TY - JOUR
T1 - Ten-year evaluation of hypertension, overweight, cholesterol, and smoking control
T2 - The CHAD program in Jerusalem
AU - Gofin, Jaime
AU - Gofin, Rosa
AU - Abramson, Joseph H.
AU - Ban, Ronald
N1 - Funding Information:
These results suggested that the changes in the occurrence of risk factors in the CHAD population were attributable, at least in part, to the CHAD program. This conclusion was supported by the replies to questions asked in the two surveys. Between 1970 and 1975 the proportion of respondents who reported that they were receiving treatment for hypertension rose from 10 to 19% in the CHAD population, and from 9 to only 14% in the control population (3).
PY - 1986/3
Y1 - 1986/3
N2 - Control of hypertension, overweight, hypercholesterolemia, and smoking is a major objective of the CHAD program, a multifactorial cardiovascular risk factor program built into a family practice, which has operated in a neighborhood of western Jerusalem since 1971. By 1975-1976, there was a significantly larger decrease in risk factors in this population than in a neighboring population receiving ordinary medical care. Follow-up based on clinical records of a cohort of 441 people exposed to the program until 1981 revealed that the mean blood pressures decreased and the prevalence of hypertension continued to decrease between 1976 and 1981, from 12.5 to 9.1%. Prevalence of cigarette smoking among people ages 30 years or more also decreased in this period, mainly due to a decrease in heavy smoking, at a time when national surveys provided no evidence of a smoking decrease in this age group. Effects on overweight and cholesterol were not demonstrated during this period. This 10-year evaluation demonstrates the effects of intervention by primary care practitioners in the framework of a community-oriented program.
AB - Control of hypertension, overweight, hypercholesterolemia, and smoking is a major objective of the CHAD program, a multifactorial cardiovascular risk factor program built into a family practice, which has operated in a neighborhood of western Jerusalem since 1971. By 1975-1976, there was a significantly larger decrease in risk factors in this population than in a neighboring population receiving ordinary medical care. Follow-up based on clinical records of a cohort of 441 people exposed to the program until 1981 revealed that the mean blood pressures decreased and the prevalence of hypertension continued to decrease between 1976 and 1981, from 12.5 to 9.1%. Prevalence of cigarette smoking among people ages 30 years or more also decreased in this period, mainly due to a decrease in heavy smoking, at a time when national surveys provided no evidence of a smoking decrease in this age group. Effects on overweight and cholesterol were not demonstrated during this period. This 10-year evaluation demonstrates the effects of intervention by primary care practitioners in the framework of a community-oriented program.
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U2 - 10.1016/0091-7435(86)90049-6
DO - 10.1016/0091-7435(86)90049-6
M3 - Article
C2 - 3749010
AN - SCOPUS:0022592470
SN - 0091-7435
VL - 15
SP - 304
EP - 312
JO - Preventive Medicine
JF - Preventive Medicine
IS - 3
ER -