title: The Mississippi Delta Cardiovascular Health Examination Survey: Study Design and Methods.
abstract: Assessment of cardiovascular disease (CVD) morbidity and mortality in subnational areas is limited. A model for regional CVD surveillance is needed, particularly among vulnerable populations underrepresented in current monitoring systems. The Mississippi Delta Cardiovascular Health Examination Survey (CHES) is a population-based, cross-sectional study on a representative sample of adults living in the 18-county Mississippi Delta region, a rural, impoverished area with high rates of poor health outcomes and marked health disparities. The primary objectives of Delta CHES are to (1) determine the prevalence and distribution of CVD and CVD risk factors using self-reported and directly measured health metrics and (2) to assess environmental perceptions and existing policies that support or deter healthy choices. An address-based sampling frame is used for household enumeration and participant recruitment and an in-home data collection model is used to collect survey data, anthropometric measures, and blood samples from participants. Data from all sources will be merged into one analytic dataset and sample weights developed to ensure data are representative of the Mississippi Delta region adult population. Information gathered will be used to assess the burden of CVD and guide the development, implementation, and evaluation of cardiovascular health promotion and risk factor control strategies.
authors.affiliation: Mississippi State Department of Health, 570 East Woodrow Wilson, Osborne-429B, Jackson, MS 39215, USA.
authors.forename: Vanessa L
authors.initials: VL
authors.lastname: Short
authors.affiliation: Office of Preventive Health, Mississippi State Department of Health, 522 West Park Avenue, Suite P, Greenwood, MS 38930, USA.
authors.forename: Tameka
authors.initials: T
authors.lastname: Ivory-Walls
authors.affiliation: Office of Preventive Health, Mississippi State Department of Health, 570 East Woodrow Wilson, Osborne-429B, Jackson, MS 39215, USA.
authors.forename: Larry
authors.initials: L
authors.lastname: Smith
authors.affiliation: Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA.
authors.forename: Fleetwood
authors.initials: F
authors.lastname: Loustalot
references.citation: Ethn Dis. 2005 Autumn;15(4 Suppl 6):S6-18-29
references.pmid: 16317982
references.citation: BMC Public Health. 2009 Nov 19;9:421
references.pmid: 19922675
references.citation: Am J Public Health. 2009 Jan;99(1):152-9
references.pmid: 18556616
references.citation: Natl Health Stat Report. 2013 Dec 18;(70):1-16
references.pmid: 24467831
references.citation: Vital Health Stat 2. 2012 Jan;(154):1-65
references.pmid: 22783637
references.citation: Med Sci Sports Exerc. 2002 Dec;34(12):2045-51
references.pmid: 12471314
references.citation: Sports Med. 2004;34(1):1-8
references.pmid: 14715035
references.citation: Natl Health Stat Report. 2011 Apr 20;(39):1-26, 28
references.pmid: 21568134
references.citation: Prev Chronic Dis. 2011 May;8(3):A67
references.pmid: 21477507
references.citation: Epidemiol Res Int. 2014 Jan 1;2014(Article 499 861461):861461
references.pmid: 25844257
references.citation: Stat Med. 2010 Feb 28;29(5):533-45
references.pmid: 20029804
references.citation: Am J Public Health Nations Health. 1951 Mar;41(3):279-81
references.pmid: 14819398
references.citation: Natl Vital Stat Rep. 2009 Apr 17;57(14):1-134
references.pmid: 19788058
references.citation: Aust N Z J Public Health. 2010 Aug;34(4):394-400
references.pmid: 20649780
references.citation: Prev Chronic Dis. 2012;9:E117
references.pmid: 22721502
references.citation: Med Sci Sports Exerc. 2004 Feb;36(2):331-5
references.pmid: 14767259
references.citation: Med Sci Sports Exerc. 2003 May;35(5):867-71
references.pmid: 12750599
references.citation: JAMA. 2003 May 21;289(19):2560-72
references.pmid: 12748199
references.citation: Sports Med. 2002;32(12):795-808
references.pmid: 12238942