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The Kilkenny Health Project: A community research and demonstration cardiovascular health programme

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Summary

Ireland has one of the highest death rates in the world from coronary heart disease (CHD) and has not shared in the rapid decline in mortality which has occurred in other countries. The Kilkenny Health Project was established as a community-based research and demonstration programme for cardiovascular disease prevention in County Kilkenny and as a pilot project for future national initiatives. The first phase of the health promotion programme in Kilkenny is being carried out between 1985 and 1990. Changes in behaviour and in factors associated with CHD will be estimated by the difference in changes over time between Kilkenny and the reference area, as measured by independent random sample surveys of men and women aged 35 to 64 years. CHD and stroke events, fatal and non-fatal, will be registered in both areas from 1987–1992.

The Project has studied attitudes to CHD and its prevention. Health behaviours have been studied in adults and in post-primary school pupils. Risk factors for CHD have been measured in adults in accordance with the methods of the international MONICA Project. It has been demonstrated that health and education professionals can incorporate preventive activities and health education into everyday practice.

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References

  1. WHO Expert Committee. Prevention of coronary heart disease. Geneva: World Health Organization, 1982. Technical Report Series 678.

    Google Scholar 

  2. Hickey, N., Bourke, G. J., Gearty, G., Mulcahy, R. Mediscan: a population screening programme for the detection of coronary heart disease risk factors. J. Irish Med. Assoc. 1971: 64, 155–62.

    CAS  Google Scholar 

  3. Crawley, H. D., O’Connor, A., McLaughlin, T. Knot in public. In: Health for all — meeting the challenge. Abstracts of the Twelfth World Conference on Health Education. Dublin: Health Education Bureau, 1985: 29.

    Google Scholar 

  4. The Oireachtas. Tobacco Products (control of advertising, sponsorship and sales promotion) Act, 1978. Dublin: Stationery Office.

    Google Scholar 

  5. Hickey, N., Daly, L., Mulcahy, R., Graham, I. Mortality from coronary heart disease — trends for the Republic of Ireland. Postgrad. Med. J. 1984:60, 9–14.

    PubMed  CAS  Google Scholar 

  6. Uemura, K., Pisa, Z. Trends in cardiovascular disease mortality in industrialised countries since 1950. World Health Sut. Q. 1988:41, 55–78.

    Google Scholar 

  7. Dean, G., Kelson, M. The reported mortality pattern in the countries of the EEC for six common cancers and ischaemic heart disease. Irish Med. J. 1984: 77, 98–100.

    CAS  Google Scholar 

  8. Puska, P., Tuomilehto, J., Salonen, J.et al. Community control of cardiovascular diseases. The North Karelia Project. Copenhagen: World Health Organization Regional Office for Europe, 1981.

    Google Scholar 

  9. Farquhar, J. W. The community-based model of life style intervention trials. Am J. Epidemiol. 1978: 108, 103–11.

    PubMed  CAS  Google Scholar 

  10. Blackburn, H. Research and demonstration projects in community cardiovascular disease prevention. J. Public Health Policy. 1983: 4, 398–421.

    Article  PubMed  CAS  Google Scholar 

  11. Farquhar, J. W., Fortmann, S., Maccoby, N.et al. The Stanford Five-City Project: design and methods. Am J. Epidemiol. 1985: 122, 323–34.

    PubMed  CAS  Google Scholar 

  12. Farquhar, J. W., Maccoby, N., Wood, P. D. Education and communication studies. In: Holland, W. W., Detels, R., Knox, G., eds. Oxford Textbook of Public Health. Vol. 3. Oxford, London: Oxford University Press, 1985: 207–21.

    Google Scholar 

  13. Puska, P., Nissinen, A., Tuomilehto, J.et al. The community-based strategy to prevent coronary heart disease: conclusions from the ten years of the North Karelia Project. Arm. Rev. Public Health 1985: 6, 147–93.

    Article  CAS  Google Scholar 

  14. Kilkenny Health Project. Community action towards community health. Kilkenny: Kilkenny Health Project, 1986.

    Google Scholar 

  15. Kilkenny Health Project. Health promotion in action. Kilkenny: Kilkenny Health Project, 1987.

    Google Scholar 

  16. Shelley, E., Daly, L. The relationship between goals and objectives in a population coronary heart disease intervention project. International Epidemiological Association, Meeting Abstracts, Helsinki, 1987: 191.

  17. O’Mahony, M., Conroy, R., Shelley, E., Hickey, N., Radic, A. Registration of myocardial infarction and stroke in the Kilkenny Health Project: methodology. Irish J. Med. Sci. 1991: Suppl. 17–21.

  18. Central Statistics Office. Census of population of Ireland 1981. Volume 1: Areas. Dublin: Stationery Office, 1982.

    Google Scholar 

  19. Central Statistics Office. Census 86. No. 2. County Kilkenny. Dublin: Stationery Office, 1987.

    Google Scholar 

  20. Central Statistics Office. Census 86. Local population report – 2nd series. No. 2. County Kilkenny. Dublin: Stationery Office, 1988.

    Google Scholar 

  21. Scally, M. (Editor). Local employment initiatives. A way to beat unemployment Report Kilkenny Consultation 1985. Kilkenny: Kilkenny Regional Employment Council, 1985.

    Google Scholar 

  22. Central Statistics Office. Report on vital statistics. Dublin: Stationery Office. Published annually.

  23. Kilkenny Health Project. Progress on a community heart health programme. Kilkenny: Kilkenny Health Project, 1989.

    Google Scholar 

  24. Shelley, E., Drynan, J., Conroy, R., Cuddihy, J., Lee, B., Magnier, P. A Heart Health Assessment Programme in General Practice in Kilkenny. Irish J. Med. Sci. 1991: Suppl. 45–49.

  25. Daly, B., Hobdell, M., Sadlier, D., Jennings, N. The Kilkenny Integrated Oral Health Project. Irish J. Med. Sci. 1991: Suppl. 50–54.

  26. Gibney, M. J., Moloney, M., Shelley, E. The Kilkenny Health Project: food and nutrient intakes in randomly selected healthy adults consuming high and low fat diets. Br. J. Nutrition 1989: 61, 129–37.

    Article  CAS  Google Scholar 

  27. O’Reilly, O., Shelley, E. The Kilkenny Post-primary School Survey — A survey of knowledge, attitudes and behaviour relevant to noncommunicable diseases. Irish J. Med. Sci. 1991: Suppl. 40–44.

  28. Keys, A. Seven Countries. A multivariate analysis of death and coronary heart disease. Cambriage, Mass.: Harvard University Press, 1980.

    Google Scholar 

  29. Puska, P., Koskcla, K., McAlister, A.et at. Use of lay opinion leaders to promote diffusion of health innovations in a community programme: lessons learned from the North Karelia Project. Bull. WHO 1986: 64, 437–46.

    PubMed  CAS  Google Scholar 

  30. Kottke, T. E., Nissinen, A., Puska, P., Salonen, J. T., Tuomilehto, J. Message dissemination for a community-based cardiovascular disease prevention programme (The North Karelia Project). Scand. J. Prim. Health Care 1984: 2, 99–104.

    Article  PubMed  CAS  Google Scholar 

  31. Tuomilehto, J., Neittaanmaki, L., Salonen, J. T., Puska, P., Nissinen, A. Community involvement in developing comprehensive cardiovascular control programs. A case study in North Karelia, Finland. Year Book of Population Research in Finland 1983: 75–98.

  32. Salonen, J. T., Puska, P., Mustaniemi, H. Changes in morbidity and mortality during comprehensive community programme to control cardiovascular diseases during 1972–7 in North Karelia. Br. Med. J. 1979: 2, 1178–83.

    PubMed  CAS  Google Scholar 

  33. Tuomilehto, J., Geboers, J., Salonen, J. T., Nissinen, A., Kuulasmaa, K., Puska, P. Decline in cardiovascular mortality in North Karelia and other parts of Finland. Br. Med. J. 1986: 293, 1068–71.

    Article  CAS  Google Scholar 

  34. Puska, P., Tuomilehto, J., Salonen, J.et al. Changes in coronary risk factors during comprehensive five-year community programme to control cardiovascular diseases (North Karelia Project). Br. Med. J. 1979: 2, 1173–8.

    PubMed  CAS  Google Scholar 

  35. Kottke, T. E., Puska, P., Salonen, J. T., Tuomilehto, J., Nissinen, A. Changes in perceived heart disease risk and health during a communitybased heart disease prevention program: The North Karelia Project. Am. J. Public Health 1984: 74, 1404–5.

    PubMed  CAS  Google Scholar 

  36. Salonen, J. T. Did the North Karelia Project reduce coronary mortality? Lancet 1987: ii, 269.

    Article  Google Scholar 

  37. Puska, P., Salonen, J. T., Tuomilehto, J., Nissinen, A., Kottke, T. E. Evaluating community-based preventive cardiovascular programs: problems and experiences from the North Karelia Project. J. Community Health 1983: 9, 49–64.

    Article  PubMed  CAS  Google Scholar 

  38. Salonen, J. T., Kottke, T. E., Jacobs, D. R., Hannan, P. J. Analysis of community-based cardiovascular disease prevention studies — evaluation issues in the North Karelia Project and Minnesota Health Program. Int. J. Epidemiol. 1986: 15, 176–82.

    Article  PubMed  CAS  Google Scholar 

  39. Nutbeam, D., Catford, J. The Welsh Heart Programme evaluation strategy: progress, plans and possibilities. Health Promotion 1987: 2, 5–18.

    Article  Google Scholar 

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Shelley, E., Daly, L., Graham, I. et al. The Kilkenny Health Project: A community research and demonstration cardiovascular health programme. Ir J Med Sci 160, 10–16 (1991). https://doi.org/10.1007/BF02950436

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