Community intervention for cardiovascular disease risk factors in Kalutara, Sri Lanka

摘要: The effectiveness of a 2015–17 community intervention to reduce cardiovascular disease (CVD) and type 2 diabetes (T2DM) risk factors is assessed in Sri Lanka adult population, using before-and-after study design. Four contiguous Public Health Midwife (PHM) areas Kalutara district (Western Province) were exposed Lankan designed health promotion initiatives (without screening) lower CVD T2DM factors. Pre- post-intervention surveys (2014, n=1,019; 2017, n=908) 25–64 year males (M) females (F) from dissimilar randomly selected clusters (villages or settlements) PHMs, with probability selection proportional population size, followed by household sampling, then individual yield equal-probability samples. Differences resting blood pressure (BP), fasting plasma glucose (FPG), total cholesterol, body mass index tobacco smoking, adjusting for cluster age socio-economic differences, examined. Hypertension prevalence declined 25% 16% (p<.0001), 21% 17% (M). Both mean systolic diastolic BP declined. 18% 13% (F), 15% (M), as did glucose. Elevated cholesterol women (p=0.003) Frequency distributions, medians means these continuous shifted levels, mostly statistically significant (p< 0.05). Community can key Lowering consumption obesity remain challenges Lanka.