Heart Health Hamilton-Wentworth Survey: Programming Implications

Article excerpt

ABSTRACT

This telephone survey (n=601) provided baseline data for the development and evaluation of cardiovascular disease (CVD) prevention programming in the City of Hamilton. Questions covered health history, awareness of CVD risk factors, hypertension control, smoking, dietary fat knowledge, physical activity, and preferred sources of health promotion information. Body mass index values over 25 kg/m^sup 2^ were calculated for 55.2% of respondents (n=439). Smoking and poor diet were the most frequently reported CVD risk factors. Lack of time was the main barrier to increased physical activity for nearly 54% of respondents. Print media (55%) and physicians (36%) were preferred sources of healthy eating information, while physical activity information was most likely to be sought from recreation centres (37%) and print media (34%). Smokers who wished to quit would consult a physician. In the City of Hamilton, CVD prevention programming should support healthy body weights through promotion of active lifestyles and healthy eating.

A B R E G E

Un Bondage telephonique a fourni des donnees de reference pour (elaboration et (evaluation de programmes de prevention des maladies cardio-vasculaires a Hamilton. Les questions couvraient les antecedents medicaux, la conscience des facteurs de risque des maladies cardio-vasculaires, le controle de l'hypertension, l'usage du tabac, les connaissances sur les graisses alimentaires, l'activite physique et les sources preferees de renseignements sur la sante. Un echantillon aleatoire de 601 participants a repondu au Bondage. Nous avons calcule des valeurs d'indice de masse corporelle de plus de 25 kg/m2 chez 55,2 % des repondants (n=439). L'usage du tabac et un regime alimentaire de quality mediocre etaient les facteurs de risque de maladies cardio-vasculaires les plus frequemment indiques. Le manque de temps etait l'obstacle principal at une augmentation de l'activite physique pour pros de 54 % des repondants. La presse ecrite (55 %) et les medecins (36 %) etaient les sources preferee de renseignements sur (alimentation saine; les renseignements sur l'activite physique etaient principalement recherches dans les centres de loisirs (37%) et la presse ecrite (34 %). Les fumeurs qui desiraient arreter de fumer ont indique qu'ils consulteraient un medecin. A Hamilton, les programmes de prevention des maladies cardio-- vasculaires devraient se concentrer sur le soutien a l'atteinte d'une masse corporelle saine en faisant la promotion d'un mode de vie actif et d'une alimentation saine.

Cardiovascular disease (CVD) accounted for 37% of all deaths in Canada during 1995.1 In the region of Hamilton-- Wentworth,* home to nearly half a million residents, 36% of all deaths and 20% of days spent in hospital in 1996 were attributed to CVD.2 Here, as in many other Canadian communities, developing and implementing primary prevention programs that target CVD is a public health priority.

In 1993, the Ontario Heart Health Survey examined the knowledge, behaviour and selected health indicators of Ontarians aged 18 to 74 years.3 At that time, 23% of Ontarians smoked, 42% had hypercholesterolemia, 18% had hypertension, and 33% had body mass index values over 27 kg/m^sup 2^ (health indicators measured by researchers).3 Used in conjunction with regional data (when available), the OHHS has played a key role in the development of heart health programming in Ontario.

The prevention of cardiovascular disease begins with awareness of risk factors on both a community-wide and an individual basis. While the high prevalence of modifiable CVD risk factors among City of Hamilton residents had been reported,4-6 little was known about residents' understanding of CVD risk factors, the perceived barriers to behaviour change, and preferred sources of health information.

The purpose of the Heart Health Hamilton-Wentworth Survey (HHHWS) was to provide baseline data to inform Heart Health Hamilton-Wentworth, a community-based coalition, on the development and evaluation of heart health programming. …