[Evaluation on a community-based intervention program among people with different risk factors of stroke].
OBJECTIVE
To evaluate the effect of a long-term community-based intervention program on risk factors of stroke among people with different risk factors.


METHODS
In 1987,2 geographically separated communities with 10 000 registered residents of each, were selected as either intervention or control communities in Beijing and Changsha. A cohort containing 2700 subjects at the age of 35 years or older,and free of stroke were sampled from each community. The baseline survey was conducted to screen the subjects at high risk for intervention and there were 5319 and 5506 subjects enrolled in intervention and control cohorts,respectively. Then,a program for controlling the risk factors of stroke was initiated in the intervention cohort and health education was provided to the whole intervention community. A follow-up survey was conducted in 1999. The information on incidence and mortality of stroke was collected.


RESULTS
Comparing with the control cohort, the risk of incidence and mortality of stroke decreased by 22 % ( HR = 0.78,95 % CI:0. 66-0.92) and 73 % (HR = 0.27,95 % CI:0. 17-0.42) in intervention cohort. The risks of stroke were lower in intervention cohort than in control cohort among almost all of the sub-groups with or without risk factors of stroke except for being male,current smokers and current alcohol drinkers. The risk of death caused by stroke decreased significantly in those with or without the risk factors of stroke.


CONCLUSIONS
The long-term community intervention on the risk factors of stroke could effectively reduce the risk of incidence and mortality of stroke among people with or without the risk factors of stroke. More attention should be paid to the males and those who smoke or drink alcohol.
Fang
Xiang-hua
XH
Department of Epidemiology and Social Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Yang
Qi-dong
QD
Wu
Sheng-ping
SP
Liu
Yun-hai
YH
Du
Xiao-li
XL
Bao
Qiu-ju
QJ
Wang
Wen-zhi
WZ
D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003153:Community Health Services; D005260:Female; D006266:Health Education; D006302:Health Services Research; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D020521:Stroke / Q000453:epidemiology / Q000401:mortality / Q000517:prevention & control*