Skip to main content
Log in

Behavioral diagnosis of 30 to 60 year-old men in the Fabreville Heart Health Program

  • Articles
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

To develop effective interventions in the Fabreville Heart Health Program, a behavioral diagnosis was conducted on a sample of 1,600 men 30 to 60 years of age residing in the Fabreville district of Laval, Quebec's second most populous city. The response rate of the self-administered postal questionnaire was 73.5%. The results indicate that dietary fat consumption, smoking and a sedentary lifestyle were more prevalent among the younger respondents, particularly those less-educated. The results underline the importance of segmenting the target population so that heart health interventions can respond to the specific needs of each sub-population. Furthermore, the data seem to suggest the need to adapt educational messages to the target lifestyle habits. The results showed that in terms of diet, consumption of meat and dairy products contributed the most to fat intake. Of the 30% who were smokers, a large proportion would be reluctant to stop the habit; 20% smoked 26 cigarettes or more a day, and more than half had already tried once or more to stop. Although 60% of respondents indicated they engared in physical activity, only 37.0% did it regularly. These results demonstrate the need to clearly target specific behaviours and subgroups in our promotion messages for a healthy heart.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ministère de la Santé et des Services sociaux.La politique de la santé et du bien-être. Québec: Gouvernement du Québec, 1992.

    Google Scholar 

  2. Heart and Stroke Foundation of Canada.Cardiovascular disease in Canada. Ottawa, Ont., 1993.

  3. Public Health ServiceHealthy people 2000: National health promotion and disease prevention objectives. DHHS Publication No. (PHS) 91-50212. Office of the Assistant Secretary for Health, Office of Disease Prevention and Health Promotion. Washington, DG: US Government Printing Office, 1990.

    Google Scholar 

  4. Chrétien S.Morbidité hospitalière 1981–82, 1982–83, 1983–84, Laval, Québec: DSC Cité de la Santé de Laval, 1987.

    Google Scholar 

  5. Bernier L, Gratton J, Kapétanakis C, Seliske P.La morbidité hospitalière dans la région Montréal-Métropolitain 1980–1985. Comité régional de connaissance et de surveillance de l'état de santé de la population. Montréal, Québec: Regroupement des départements de santé communautaire du Montréal-Métropolitain, 1991.

    Google Scholar 

  6. Wilkins R.Mortalité générale et années potentielles de vie perdues selon la cause de décès, région 06-A, 1979–1983. Montréal, Québec: Unpublished, 1988.

  7. Rakowski W, Lefebvre RC, Assaf AR, Lasater TM, Carleton RA. Health practice correlates in three adult age groups: results from two community surveys.Public Health Rep 1990; 105:481–491.

    PubMed  Google Scholar 

  8. Osler M, Lous J, Rasmussen NK. Knowledge, attitudes and cardiovascular risk factors in Danish adults.Scand J Soc Med 1992; 3:151–157.

    Google Scholar 

  9. Huhtasaari F, Asplund K, Stegmayr B, Lundberg V, Wester PO. Trends in cardiovascular risk factors in the Northern Sweden Monica study: who are the winners.Cardiovasc Risk Factors 1993; 3:215–221.

    Google Scholar 

  10. Lloyd HM, Paisley CM, Mela DJ. Changing to a low fat diet: attitudes and beliefs of UK consumers.Eur J Clin Nutr 1993; 47:361–373.

    PubMed  Google Scholar 

  11. Pekkanen J, Nissinen A, Puska P, Punsar S, Kavonen MJ. Risk factors and 25 year risk of coronary heart disease in a male population with a high incidence of the disease: the Finnish cohorts of the seven countries study.Br Med J 1989; 299:81–85.

    Google Scholar 

  12. Williams EL, Winkleby MA, Fortmann SP. Changes in coronary heart disease risk factors in the 1980's: evidence of a male-female crossover effect with age.Am J Epidemiol 1993; 137:1056–1067.

    PubMed  Google Scholar 

  13. Green LW, Kreutner MN.Health promotion planning. An educational and environmental approach. Toronto (Ont.): Mayfield Publishing Company, 2nd ed, 1991.

    Google Scholar 

  14. Ajzen I, Fishbein M.Understanding attitudes and predicting social behavior. Englewood Cliffs: Prentice Hall, 1980.

    Google Scholar 

  15. Benoit P, Chrétien S, Grignon R.Données lavalloises du recensement 1986. Laval, Québec: Département de santé communautaire de l'hôpital Cité de la Santé de Laval, 1987.

    Google Scholar 

  16. Dillman DA.Mail and telephone surveys: the total design method. New York: John Wiley and Sons, 1978.

    Google Scholar 

  17. Maheux B, Legault C, Lambert J. Increasing response rates in physicians mail surveys: our experimental study.Am J Public Health 1989; 79:638–641.

    PubMed  Google Scholar 

  18. Ammerman AS, Haines PS, DeVellis RF, et al. A brief dietary assessment to guide cholesterol reduction in low-income individuals: design and validation.Am J Diet Ass 1991; 91:1385–1390.

    Google Scholar 

  19. Moisan J, Potvin L, Philibert L, Strychar I.Validation of a behavioral measure of dietary fat intake. American Public Health Association, 121 Annual Meeting, San Francisco, CA, October 24–28, 1993.

  20. Gionet NJ, Godin G. Self-reported exercise behavior of employees: a validity study.J Occup Med 1989; 31:969–973.

    PubMed  Google Scholar 

  21. Williamson DF, Madans J, Andan RF, Kleinman JC, Giovino GA, Byers T. Smoking cessation and severity of weight gain in a national cohort.N Engl J Med 1991; 324:739–745.

    PubMed  Google Scholar 

  22. Garrison RJ, Gold RS, Wilson PWF, Kannel WB. Educational attainment and coronary heart disease risk: the Framingham offspring study.Prev Med 1993; 22:54–64.

    Article  PubMed  Google Scholar 

  23. Tenconi MT, Romanelli C, Gigli F, et al. The relationship between education and risk factors for coronary heart disease.Eur J Epidemiol 1992; 8:763–769.

    Article  PubMed  Google Scholar 

  24. Winkleby MA, Jatulis DE, Frank E, Fortmann SP. Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease.Am J Public Health 1992; 82:816–820.

    PubMed  Google Scholar 

  25. Center for Disease Control. Smoking cessation during previous year among adults—United States, 1990 and 1991.MMWR 1993; 42:504–507.

    Google Scholar 

  26. Freund KM, D'Agostino RB, Bélanger AJ, Kannel WB, Stokes J III. Predictors of smoking cessation: the Framingham Study.Am J Epidemiol 1992; 135:957–964.

    PubMed  Google Scholar 

  27. McWhorter WP, Boyd GM, Mattson ME. Predictors of quitting smoking: the NHANES I follow-up experience.J Clin Epidemiol 1990; 43:1399–1405.

    Article  PubMed  Google Scholar 

  28. Winkleby MA, Fortmann SP, Rockhill B. Trends in cardiovascular disease risk factors by educational level: the Stanford Five-City project.Prev Med 1992; 21:592–601.

    Article  PubMed  Google Scholar 

  29. Wilson D, Wakefield M, Owen N, Roberts L. Characteristics of heavy smokers.Prev Med 1992; 21:311–319.

    Article  PubMed  Google Scholar 

  30. McDonald S, Joffres MR, Stachenko S, Horlick L, Fodor G. Multiple cardiovascular disease risk factors in Canadian adults.Can Med Ass J 1992; 146:2021–2029.

    Google Scholar 

  31. Frank E, Winkleby M, Fortmann SP, Farquhar JW. Cardiovascular disease risk factors: improvements in knowledge and behavior in the 1980's.Am J Public Health 1993; 83:590–593.

    PubMed  Google Scholar 

  32. Pederson LL. Le tabagisme. Dans EnquêtePromotion de la Santé Canada 1990: rapport technique. Ottawa, Canada: Santé et Bien-Être social, 1993, chap. 7, pp. 97–107.

    Google Scholar 

  33. Santé-Québec.Vos habitudes de vie et votre santé. Montréal, 1986.

  34. Santé-Québec.Faits saillants de l'equête québécoise sur la santé cardio-vasculaire. Montréal, 1991.

  35. Stachenko SJ, Reeder BA, Lindsay E, Donovan C, Lessard R, Balram C. Smoking prevalence and associated risk factors in Canadian adults.Can Med Ass J 1992; 146:1988–1996.

    Google Scholar 

  36. Center for Disease Control. Cigarette smoking among adults—United States, 1990.MMWR 1992; 41:354–355, 361–362.

    Google Scholar 

  37. Center for Disease Control. Cigarette smoking among adults—United States, 1991.MMWR 1993; 42:230–233.

    Google Scholar 

  38. Slama K. Programmes antitabagiques pour des populations ciblées.Sem Hôp Paris 1991; 67: 1320–1325.

    Google Scholar 

  39. Cutler JA, Grandits GA, Grimm RH, Thomas E, Billings JH, Wright NH. Risk factor changes after cessation of intervention in the Multiple Risk Factor Intervention Trial.Prev Med 1991; 20: 183–196.

    Article  PubMed  Google Scholar 

  40. Hymowitz N, Sexton M, Ockene J, Grandits G. Baseline factors associated with smoking cessation and relapse.Prev Med 1991; 20:590–601.

    Article  PubMed  Google Scholar 

  41. Sorlie PD, Kannel WB. A description of cigarette smoking cessation and resumption in the Framingham Study.Prev Med 1990; 19:335–345.

    Article  PubMed  Google Scholar 

  42. Kottke TE, Solberg LI, Knapp JM. Community and clinical strategies for tobacco control.Cardiovascular Risk Factors 1993; 3:244–252.

    Google Scholar 

  43. Block G, Dresser CM, Hartman AM, Carroll MD. Nutrient sources in the American diet: quantitative data from the NHANES II survey. II macronutrients and fats.Am J Epidemiol 1985; 122:27–40.

    PubMed  Google Scholar 

  44. Gorden DD, Dolecek TA, Coleman GG, et al. Dietary intake in the Multiple Risk Factor Intervention Trial: nutrient and food group changes over 6 years.J Am Dietet Ass 1986; 86:744–751.

    Google Scholar 

  45. Ascherio A, Pimm EB, Giovannucci EL, et al. A prospective study of nutritional factors and hypertension among US men.Circulation 1992; 86:1475–1484.

    PubMed  Google Scholar 

  46. Leis HP. The relationship of diet to cancer, cardiovascular disease and longevity.Int Surg 1991; 76:1–5.

    PubMed  Google Scholar 

  47. Sharlin J, Posner BM, Gershoff SN, Zeitlin MF, Berger PD. Nutrition and behavioral characteristics and determinants of plasma cholesterol levels in men and women.J Am Dietet Ass 1992; 92:434–440.

    Google Scholar 

  48. Sonnenberg LM, Posner BM, Bélanger AJ, Cupples LA, D'Agostino RB. Dietary predictors of serum cholesterol in men: the Framingham cohort population.J Clin Epidemiol 1992; 42:413–418.

    Article  Google Scholar 

  49. Pietinen P, Nissinen A, Vartiainen E, et al. Dietary changes in the North Karelia Project (1972–1982).Prev Med 1988; 17:183–193.

    Article  PubMed  Google Scholar 

  50. Stephens T. L'activité physique de loisir. DansEnquête Promotion de la Santé Canada 1990: Rapport technique. Ottawa, Canada: Santé et Bien-être social, 1993, chap. 10, pp. 147–157.

    Google Scholar 

  51. Center for Disease Control. Prevalence of sedentary lifestyle—Behavioral risk factor surveillance system, United States, 1991.MMWR 1993; 42:576–579.

    Google Scholar 

  52. Arraiz GA, Wigh DT, Mao Y. Risk assessment of physical activity and physical fitness in the Canada Health Survey mortality follow-up study.J Clin Epidemiol 1992; 45:419–428.

    Article  PubMed  Google Scholar 

  53. Paffenbarger RS Jr, Hyde RT, Wing AL, Lee IM, Jung DL, Kampert JB. The association of changes in physical-activity level and other lifestyle characteristics with mortality among men.N Engl J Med 1993; 328:538–545.

    Article  PubMed  Google Scholar 

  54. Wannamethee G, Shaper AG. Physical activity and stroke in British middle aged men.Br Med J 1992; 304:597–601.

    Google Scholar 

  55. DiPietro L, Williamson DF, Caspersen CJ, Eaker E. The descriptive epidemiology of selected physical activities and body weight among adults trying to lose weight: the Behavioral Risk Factor Surveillance System survey, 1989.Int J Obes 1993; 17:69–76.

    Google Scholar 

  56. Lakka TA, Salonen JT. Physical activity and serum lipids: a cross-sectional population study in eastern Finnish men.Am J Epidemiol 1992; 136:806–818.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

The Fabreville Program is being conducted as part of the Project Québécois de Démonstration en Santé du Coeur (PQDSC). The PQDSC is jointly financed by the National Health Research and Development Program (Canada), the Quebec Department of Health and Social Services and the Heart and Stroke Foundation of Quebec.

The members of the coordinating committee of the PQDSC are: R. Lessard, B. Lachance, G. Paradis, L. Potvin, J. Pelletier, J. Moisan, L. Renaud, J. O'Loughlin, R. Grignon, M.N. Nguyen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nguyen, M.N., Grignon, R., Tremblay, M. et al. Behavioral diagnosis of 30 to 60 year-old men in the Fabreville Heart Health Program. J Community Health 20, 257–269 (1995). https://doi.org/10.1007/BF02260409

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02260409

Keywords

Navigation