Ten-year evaluation of hypertension, overweight, cholesterol, and smoking control

The CHAD program in Jerusalem

Jaime Gofin, Rosa Gofin, Joseph H. Abramson, Ronald Ban

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Control of hypertension, overweight, hypercholesterolemia, and smoking is a major objective of the CHAD program, a multifactorial cardiovascular risk factor program built into a family practice, which has operated in a neighborhood of western Jerusalem since 1971. By 1975-1976, there was a significantly larger decrease in risk factors in this population than in a neighboring population receiving ordinary medical care. Follow-up based on clinical records of a cohort of 441 people exposed to the program until 1981 revealed that the mean blood pressures decreased and the prevalence of hypertension continued to decrease between 1976 and 1981, from 12.5 to 9.1%. Prevalence of cigarette smoking among people ages 30 years or more also decreased in this period, mainly due to a decrease in heavy smoking, at a time when national surveys provided no evidence of a smoking decrease in this age group. Effects on overweight and cholesterol were not demonstrated during this period. This 10-year evaluation demonstrates the effects of intervention by primary care practitioners in the framework of a community-oriented program.

Original languageEnglish (US)
Pages (from-to)304-312
Number of pages9
JournalPreventive Medicine
Volume15
Issue number3
DOIs
StatePublished - Jan 1 1986

Fingerprint

Smoking
Cholesterol
Hypertension
Family Practice
Hypercholesterolemia
Population
Primary Health Care
Age Groups
Blood Pressure

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Ten-year evaluation of hypertension, overweight, cholesterol, and smoking control : The CHAD program in Jerusalem. / Gofin, Jaime; Gofin, Rosa; Abramson, Joseph H.; Ban, Ronald.

In: Preventive Medicine, Vol. 15, No. 3, 01.01.1986, p. 304-312.

Research output: Contribution to journalArticle

Gofin, Jaime ; Gofin, Rosa ; Abramson, Joseph H. ; Ban, Ronald. / Ten-year evaluation of hypertension, overweight, cholesterol, and smoking control : The CHAD program in Jerusalem. In: Preventive Medicine. 1986 ; Vol. 15, No. 3. pp. 304-312.
@article{c9f7c7d9be6346c8b405f22b04203d8b,
title = "Ten-year evaluation of hypertension, overweight, cholesterol, and smoking control: The CHAD program in Jerusalem",
abstract = "Control of hypertension, overweight, hypercholesterolemia, and smoking is a major objective of the CHAD program, a multifactorial cardiovascular risk factor program built into a family practice, which has operated in a neighborhood of western Jerusalem since 1971. By 1975-1976, there was a significantly larger decrease in risk factors in this population than in a neighboring population receiving ordinary medical care. Follow-up based on clinical records of a cohort of 441 people exposed to the program until 1981 revealed that the mean blood pressures decreased and the prevalence of hypertension continued to decrease between 1976 and 1981, from 12.5 to 9.1{\%}. Prevalence of cigarette smoking among people ages 30 years or more also decreased in this period, mainly due to a decrease in heavy smoking, at a time when national surveys provided no evidence of a smoking decrease in this age group. Effects on overweight and cholesterol were not demonstrated during this period. This 10-year evaluation demonstrates the effects of intervention by primary care practitioners in the framework of a community-oriented program.",
author = "Jaime Gofin and Rosa Gofin and Abramson, {Joseph H.} and Ronald Ban",
year = "1986",
month = "1",
day = "1",
doi = "10.1016/0091-7435(86)90049-6",
language = "English (US)",
volume = "15",
pages = "304--312",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "Academic Press Inc.",
number = "3",

}

TY - JOUR

T1 - Ten-year evaluation of hypertension, overweight, cholesterol, and smoking control

T2 - The CHAD program in Jerusalem

AU - Gofin, Jaime

AU - Gofin, Rosa

AU - Abramson, Joseph H.

AU - Ban, Ronald

PY - 1986/1/1

Y1 - 1986/1/1

N2 - Control of hypertension, overweight, hypercholesterolemia, and smoking is a major objective of the CHAD program, a multifactorial cardiovascular risk factor program built into a family practice, which has operated in a neighborhood of western Jerusalem since 1971. By 1975-1976, there was a significantly larger decrease in risk factors in this population than in a neighboring population receiving ordinary medical care. Follow-up based on clinical records of a cohort of 441 people exposed to the program until 1981 revealed that the mean blood pressures decreased and the prevalence of hypertension continued to decrease between 1976 and 1981, from 12.5 to 9.1%. Prevalence of cigarette smoking among people ages 30 years or more also decreased in this period, mainly due to a decrease in heavy smoking, at a time when national surveys provided no evidence of a smoking decrease in this age group. Effects on overweight and cholesterol were not demonstrated during this period. This 10-year evaluation demonstrates the effects of intervention by primary care practitioners in the framework of a community-oriented program.

AB - Control of hypertension, overweight, hypercholesterolemia, and smoking is a major objective of the CHAD program, a multifactorial cardiovascular risk factor program built into a family practice, which has operated in a neighborhood of western Jerusalem since 1971. By 1975-1976, there was a significantly larger decrease in risk factors in this population than in a neighboring population receiving ordinary medical care. Follow-up based on clinical records of a cohort of 441 people exposed to the program until 1981 revealed that the mean blood pressures decreased and the prevalence of hypertension continued to decrease between 1976 and 1981, from 12.5 to 9.1%. Prevalence of cigarette smoking among people ages 30 years or more also decreased in this period, mainly due to a decrease in heavy smoking, at a time when national surveys provided no evidence of a smoking decrease in this age group. Effects on overweight and cholesterol were not demonstrated during this period. This 10-year evaluation demonstrates the effects of intervention by primary care practitioners in the framework of a community-oriented program.

UR - http://www.scopus.com/inward/record.url?scp=0022592470&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0022592470&partnerID=8YFLogxK

U2 - 10.1016/0091-7435(86)90049-6

DO - 10.1016/0091-7435(86)90049-6

M3 - Article

VL - 15

SP - 304

EP - 312

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

IS - 3

ER -