| Co-Investigator(Kenkyū-buntansha) |
JOANNE Grunb テキサス大学ヒューストン校公衆衛生学部, 助教授
MILTON Z. Nichaman School of Public Health, The University of Texas, Professor, 教授
R. Sue McPherson School of Public Health, The University of Texas, Associate Professor, 助教授
DARWIN R. Labarthe School of Public Health, The University of Texas, Professor, 教授
STEPHEN P. F スタンフォード大学医学部, 助教授
JOHN W. Farquhar Stanford University School of Medicine, Professor, 教授
IWAYA Masako Dept. of Public Health Nutri., National Institute of Health and Nutrition, Resea, 栄養研究所成人・健康栄養部, 研究員 (50193777)
MATSUMURA Yasuhiro Dept. of Public Health Nutri., National Institute of Health and Nutrition, Vice, 栄養研究所成人・健康栄養部, 室長 (60181757)
DATE Chigusa Dept. of Public Health, Osaka City University Medical School, Associate Professo, 助教授 (60047389)
YOSHI-IKE Nobuo Dept. of Public Health Nutri., National Institute of Health and Nutrition, Resea, 栄養研究所成人・健康栄養部, 研究員 (80240232)
YAMAGUCHI Momoko Dept. of Public Health Nutri., National Institute of Health and Nutrition, Vice, 栄養研究所成人・健康栄養部, 室長 (00118655)
YAMAMOTO Takashi Medical Research Institute, Tokyo Medical and Dental University, Research Associ, 難治疾患研究所, 助手 (00220476)
NAKAYAMA Takeo Medical Research Institute, Tokyo Medical and Dental University, Research Associ, 難治疾患研究所, 助手 (70217933)
STEPHEN p. Fortmann Stanford University School of Medicine, Associate Professor
JO Anne Grunbaum School of Public Health, The University of Texas, Associate Professor
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| Research Abstract |
Under the leadership of Stanford and Texas Universities in the U.S., the Shiso Total Health Project was initiated in 1990 to evaluate the effects of a community-based health education program on cardiovascular risk factors, frequency of stroke, ischemic heart disease and cancer, and life expectancy.
Five towns in Shiso County, Hyogo Prefecture, received a comprehensive education program using social learning theory, a communication-behavior change model, community organization principles, and social marketing methods.
In order to have a control or reference group, non-random selection of 13 representative regions in whole Japan was performed, and random selection of subjects aged 40-69 years from each region was made to monitor changes in lifestyles and cardiovascular risk factors. Morbidity and mortality from cardiovascular disease and cancer were measured by surveillance system in each control region. After 5 to 10 years of education, epidemiological, economic and behavioral evaluation will be performed.
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