Community Mobilization, Participation, and Blood Pressure Status in a Cardiovascular Health Awareness Program in Ontario
| العنوان: | Community Mobilization, Participation, and Blood Pressure Status in a Cardiovascular Health Awareness Program in Ontario |
|---|---|
| المؤلفون: | Rolf J. Sebaldt, Beatrice McDonough, Larry W. Chambers, Lisa Dolovich, Lynne Lohfeld, Brian Hutchison, Tina Karwalajtys, Janusz Kaczorowski, Heather Hall |
| المصدر: | American Journal of Health Promotion. 27:252-261 |
| بيانات النشر: | SAGE Publications, 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Male, Gerontology, Health Knowledge, Attitudes, Practice, Health (social science), Cardiovascular health, Pilot Projects, Pharmacy, Health Promotion, Primary care, Community Networks, Risk Factors, Intervention (counseling), Humans, Medicine, Aged, Aged, 80 and over, Ontario, business.industry, Public Health, Environmental and Occupational Health, Blood Pressure Determination, Blood pressure, Health promotion, Community mobilization, Cardiovascular Diseases, Hypertension, Feasibility Studies, Female, business, Risk assessment |
| الوصف: | Purpose. To determine the feasibility of a community-wide approach integrated with primary care (Cardiovascular Health Awareness Program [CHAP]) to promote monitoring of blood pressure (BP) and awareness of cardiovascular disease risk. Design. Demonstration project. Setting. Two midsized Ontario communities. Participants. Community-dwelling seniors. Intervention. CHAP sessions were offered in pharmacies and promoted to seniors using advertising and personalized letters from physicians. Trained volunteers measured BP, completed risk profiles, and provided risk-specific education materials. Method. We examined the distribution of risk factors among participants and predictors of multiple visits and elevated BP. Results. Opinion leaders aided recruitment of family physicians (n = 56/63) and pharmacists (n = 18/19). Over 90 volunteers were recruited. Invitations were mailed to 4394 seniors. Over 10 weeks, there were 4165 assessments of 2350 unique participants (approximately 30% of senior residents). 37.5% of attendees had untreated (16%; 360/2247) or uncontrolled (21.5%; 482/2247) high BP. Participants who received a letter (odds ratio [OR] 2.5, 95% confidence interval [CI] 2.1–3.0), had an initial elevated BP (OR 1.2, 95% CI 1.0–1.5), or reported current antihypertensive medication (OR 1.4, 95% CI 1.1–1.6) were more likely to attend multiple sessions (p ≤ .05 for all). Older age (≥ 70 years; OR 1.5, 95% CI 1.3–1.8), BMI ≥ 30 (OR 1.7, 95% CI 1.4–2.2), current antihypertensive medication (OR 1.6, 95% CI 1.3–1.9), and diabetes (OR 2.4, 95% CI 1.9–3.2) predicted elevated BP (p < .001 for all). Conclusion. The program yielded learning about community mobilization and identified a substantial number of seniors with undiagnosed/uncontrolled high BP. |
| تدمد: | 2168-6602 0890-1171 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e7c0b2e5c3eff89f5636b15ddc55a4a8 https://doi.org/10.4278/ajhp.101221-qual-408 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....e7c0b2e5c3eff89f5636b15ddc55a4a8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21686602 08901171 |
|---|