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An important recent trend in health promotion and disease prevention has been the increasing number and scope of community-based interventions. These programs are aimed at entire populations , which are usually geographi cally defined , and they attempt to change health behavior and disease risk laddress correspondence to T. D. Koepsell, Departments of Health Services and Epidemiolo gy, SC-37, University of Washington, Seattle, WA 98195 2also at Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, WA 98101 3also at Departments of Epidemiology and Health Services, University. of Washington, Seattle, WA 98195 0163-7525/92/0501-0000$02.00 KOEPSELL ET AL through mass media campaigns, activation of existing community organiza tions, or changes in the physical or sociocultural environment. Several large programs of this kind have been mounted for cardiovascular disease preven tion (30, 33, 44, 56, 71), as reviewed by Shea & Basch (79, 80), and the approach is increasingly being applied to other disease areas and populations (3, 34, 67, 89, 92). As investment in community-based programs has grown, so has the importance of evaluating their effectiveness, as evidenced in part by the recent publications of Green & Lewis (38) and Bracht (6). In this review, we focus on
Annual Review of Public Health – Annual Reviews
Published: May 1, 1992
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