Bassett Healthcare Network|Bassett Medical Center|Bassett Medical Center|Bassett Medical Center|University of Rochester Medical Center
describe rural hospitalbased public health intervention program evaluate effectiveness cardiovascular disease cvd risk reduction using crosssectional studies panel studya rural population 158000 located new york state comprised intervention population similar separate population used reference multifaceted multimedia 5year program provided health promotion education initiatives increase physical activity decrease smoking improve nutrition identify hypercholesterolemia hypertension evaluate effectiveness intervention surveys conducted baseline 1989 crosssectional followup 199495 crosssectional panel crosssectional studies random sample adults obtained using threestage cluster design selfreported objective risk factor measurements obtained comparison pre post changes intervention versus reference populations done using 2 x 2 randomized block anova 2 x 2 mixed anova extension mcnemar testsmoking prevalence declined 279 176 intervention population significant adverse trends observed highdensity lipoprotein cholesterol triglycerides systolic blood pressure reduced diastolic blood pressure remained stable body mass index increased significantly populationsthis rural 5year cvd community intervention program decreased smoking risk reduction may attributable tailoring multifaceted approach multiple risk factors multiple messages multiple population subgroups target rural population study period short identify changes cvd morbidity mortality