title: [Effects of health promotion for eight years on knowledge, attitude and behavior of cardiovascular diseases in rural Fangshan District, Beijing].
abstract: OBJECTIVE
  To evaluate the effects of health promotion for eight years on cardiovascular diseases based on the changes in knowledge (K), attitude (A) and behavior (B) (KAB) before and after intervention in rural population of Fangshan, Beijing.
  
  
  METHODS
  Five townships in Fangshan District, Beijing were divided into intervention and control communities with cluster sampling. Totally 772 farmers were selected randomly for interviews with a questionnaire of KAB, including 424 in the intervention communities (IC) and 348 in the control communities (CC) in 1992. After community-based health promotion and education on cardiovascular prevention for eight years, 895 farmers, including 431 in IC and 464 in CC, were selected randomly again in 1999 to be interviewed with the same questionnaire of KAB used in 1992.
  
  
  RESULTS
  From 1992 to 1999, knowledge of cardiovascular diseases was significantly improved in residents of IC (P < 0.01) and CC. Compared to the residents in CC, there was a net increase in knowledge in residents of IC. Significant improvement was found in 10 and 11 of the 18 items of knowledge in males and females (P < 0.01), respectively. Level of knowledge in cardiovascular diseases was significantly higher in the residents of IC than those of CC in 1999. Proportions of those with positive attitudes and appropriate behaviors were significantly elevated in the residents of IC (P < 0.01), as well as prevalence of smoking and alcohol drinking decreased. However, as compared to CC, attitude and behavior in most aspects in the residents of IC changed positively, but in few aspects changed negatively. It suggested knowledge improved better than attitude and behavior changed.
  
  
  CONCLUSIONS
  Community-based health promotion and education for a longer term had obvious effects on improvement of knowledge in cardiovascular disease for rural population, but slower effects on changes in attitude and behavior, which suggested there still existed certain barriers to transform knowledge into healthy behavior.
authors.affiliation: Division of Poplulation Genetics and Prevention Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical Collage, Beijing 100037, China.
authors.forename: Dongfeng
authors.initials: D
authors.lastname: Gu
authors.forename: Guangyong
authors.initials: G
authors.lastname: Huang
authors.forename: Xisheng
authors.initials: X
authors.lastname: Xu
authors.forename: Xiufang
authors.initials: X
authors.lastname: Duan
authors.forename: Baoyuan
authors.initials: B
authors.lastname: Xie
authors.forename: Weiqi
authors.initials: W
authors.lastname: Gan
authors.forename: Jichun
authors.initials: J
authors.lastname: Chen
authors.forename: Tianxiu
authors.initials: T
authors.lastname: Cao
authors.forename: Yanying
authors.initials: Y
authors.lastname: Wang
authors.forename: Xigui
authors.initials: X
authors.lastname: Wu
mesh_terms: D002318:Cardiovascular Diseases / Q000517:prevention & control*; D002681:China; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D008297:Male; D012424:Rural Population; D013997:Time Factors