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A church-based cholesterol education program.

W H Wiist1, J M Flack

  • 1Department of Social Sciences and Health Behavior, College of Public Health, University of Oklahoma.

Public Health Reports (Washington, D.C. : 1974)
|July 1, 1990
PubMed
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Community-based cholesterol education in Black churches significantly reduced high cholesterol levels. This pilot program demonstrated the effectiveness of church-led interventions for coronary heart disease risk reduction in the Black population.

Area of Science:

  • Public Health
  • Cardiovascular Disease Prevention
  • Health Education

Background:

  • Coronary heart disease (CHD) is the leading cause of death for Black individuals in the U.S.
  • The Task Force on Black and Minority Health recommended increased efforts to reduce CHD risk factors in the Black population.
  • The National Cholesterol Education Program aims to reach minority groups for cholesterol management.

Purpose of the Study:

  • To describe a pilot cholesterol education program conducted in Black churches.
  • To assess the effectiveness of church-based screening and education on cholesterol levels.
  • To evaluate a community-centered approach for CHD risk reduction in the Black community.

Main Methods:

  • A pilot program involving cholesterol and CHD risk factor screening was conducted in six Black churches and a library.

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  • Individuals with cholesterol levels ≥200 mg/dL received brief counseling.
  • An education group received a 6-week nutrition class and mailed information; a usual care group received physician referrals.
  • Main Results:

    • Among participants who returned for follow-up, the education group showed a 10% (23.4 mg/dL) decrease in mean cholesterol.
    • The usual care group showed a 16% (38.7 mg/dL) decrease in mean cholesterol.
    • Both screening with referral and screening with education resulted in statistically significant and clinically important mean serum cholesterol reductions.

    Conclusions:

    • Church support facilitated access to a large segment of the Black population.
    • The church-based intervention model shows promise for reaching the Black population with CHD risk reduction programs.
    • Further investigation by the National Cholesterol Education Program is recommended for this community-based approach.