[Evaluation on the effect of cardiovascular prevention program in Fangshan, Beijing]

To evaluate the effect of cardiovascular prevention program in Fangshan, Beijing (BFCP) from 1991-1999.

BFCP was a comprehensive community trial covering 120,000 residents in five communities, including three as intervention communities (IC), and two as control communities (CC), in Fangshan, suburb of Beijing. The program was implemented under both population and high risk individual strategies, focusing on health education and hypertension control. The main intervention measures were as follows: (1) network setup; (2) health education and promotion; (3) health professional training; (4) detection and management of hypertensive patients.

Baseline, midterm and final cross-sectional surveys were conducted in the year 1991, 1995 and 1999, respectively. After 9-year intervention, improvement was found in population of IC versus CC (P < 0.01 or P < 0.05) for knowledge, attitude and behavior of CVD prevention, awareness on hypertension, treatment and control rates, as well as the quantity of dietary intake of protein, potassium and calcium. Risk factors such as systolic blood pressure, diastolic blood pressure, rates of smoking and alcohol drinking declined in the population in IC versus CC (P < 0.01). The average morbidity and mortality of stroke were 18.7% (u = 2.81, P < 0.01) and 17.7% (u = 2.91, P < 0.01), significantly lower in the IC versus CC. No significant difference was identified on the morbidity and mortality of coronary heart diseases between IC and CC.

The comprehensive community prevention approach was feasible and effective in the prevention and control of cardiovascular diseases in rural populations in China.