title: Cardiovascular disease control efforts among local health departments in Missouri: four-year trends and policy implications.
abstract: Knowledge, attitudes, and activities in cardiovascular disease (CVD) control among local health departments in Missouri were surveyed in 1990 and in 1994, following four years of a community-based CVD risk-reduction project. Hypertension screening was rated as the most frequently performed CVD-related activity in 1990 and in 1994. Differences in mean scores between baseline and follow-up surveys showed no significant changes except for cholesterol screening. Respondents preferred individual patient education rather than community-wide approaches to risk reduction. Our findings highlight the need for more emphasis on coalition building and community-based programs for preventing and controlling CVD at the local health department level.
authors: Missouri Department of Health, Jefferson City, USA.
authors: N E
authors: NE
authors: Mack
authors: R C
authors: RC
authors: Brownson
authors: M
authors: M
authors: Pratt
authors: C A
authors: CA
authors: Brownson
authors: C
authors: C
authors: Dean
authors: S
authors: S
authors: Dabney
mesh_terms: D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003625:Data Collection; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy / Q000639:trends*; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration* / Q000639:trends; D006801:Humans; D008923:Missouri; D011787:Quality of Health Care