Objective To evaluate the effectiveness of community-based comprehensive prevention and control on cardio-cerebro-vascular disease(CVD)in large scale population through interventions with high efficacy.
Methods Guzhen community with 63 thousands of population were selected for interventions, which included hypertension management, balance nutrition, smoking control and diabetes management.
Results After 10-year interventions, the rates of awareness, management and control of hypertension were 70.29%, 80.50% and 45.80% respectively.The levels of blood pressure among intervention site were reduced by 7.23 mmHg for systolic blood pressure and 3.92 mmHg for diastolic blood pressure.The levels of CVD related knowledge, attitude and behavior(KAB)were increased clearly.The incidence and mortality of stroke were downtrend year after year, and reduced 41.07/100 000 and 38.73/100 000 respectively in six years.While the incidentage was postponed.The economic analyses made known that the ratio of benefit-cost was 2.32 mean.
Conclusion Community-based comprehensive prevention and control on CVD was effective, but the power and extent of interventions must be enhanced.
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