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Application of Healthy Heart program in the two semi-rural areas in Eskişehir [Anatol J Cardiol]
Anatol J Cardiol. 2011; 11(6): 485-491 | DOI: 10.5152/akd.2011.131

Application of Healthy Heart program in the two semi-rural areas in Eskişehir

İnci Arıkan1, Selma Metintaş2, Cemalettin Kalyoncu2
1Clinic of Public Health, Burdur Central Community Health Center, Burdur
2Department of Public Health, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir-Turkey

Objective: The purpose of this study was to raise awareness of people in two semi-rural regions of Eskişehir in terms of cardiovascular diseases (CVD) risk factors and to promote related heart-healthy behaviors. Methods: The study was a semi-experimental intervention and featured as a two-phase design. In the first phase of the study, participants received visits at home. Individuals in intervention and control areas were given a participation form that indicated the Framingham Risk Score (FRS). Other training materials were distributed throughout the intervention area. The second phase was planned as a nested case- control study. The first phase included 2.766 persons and the second phase included 778 persons. In the evaluation of the data the Pearson Chi-square and Student’s t-test for independent samples, Mc-Nemar Chi-square and the paired t-test for dependent samples were applied. Results: During the first phase, the frequency of FRS metrics above 10% was 26.2% for males, 18.1% for females in the intervention area, 22.9% for males, and 14.9% for females in the control area. There was no difference between males and females in terms of scoring for control and intervention areas (p>0.05). Based on the FRS data, the second phase revealed a decrease of 15.4% in males (p<0.001) and 10.2% in females (p<0.001) in the intervention area and an increase of 8.2% in males (p=0.011) and 3.8% in females (p=0.078) in the control area. Conclusion: In this study, teaching individuals who were older than twenty years of age about cardiac health seemed to be an effective method for decreasing CVD risk factors.

Keywords: Cardiovascular disease, community-based prevention, intervention, health education

İnci Arıkan, Selma Metintaş, Cemalettin Kalyoncu. Application of Healthy Heart program in the two semi-rural areas in Eskişehir. Anatol J Cardiol. 2011; 11(6): 485-491