This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Fortmann, S. P. Articles by Farquhar, J. W. Search for Related Content PubMed PubMed Citation Articles by Fortmann, S. P. Articles by Farquhar, J. W.

Circulation, Vol 66, 77-82, Copyright © 1982 by American Heart Association

ARTICLES

Does dietary health education reach only the privileged? The Stanford Three Community Study

SP Fortmann, PT Williams, SB Hulley, N Maccoby and JW Farquhar

The relationship of selected social factors to diet, weight and plasma cholesterol was studied in one control and two treatment towns before and after a 3-year, bilingual, mass-media health education program. Spanish-speaking persons reported higher dietary cholesterol and saturated fat than English-speaking participants at baseline, and this remained true after adjusting for the confounding influence of socioeconomic status (SES). Obesity was also more prevalent in Spanish- language and low-SES groups, but plasma cholesterol was not related to these sociodemographic factors. Over the 3 years of the education program, all groups reported 20-40% decreases in dietary cholesterol and saturated fat. These decreases were as large in low-SES groups as in high-SES groups; Spanish-speaking participants reported significantly greater decreases in dietary saturated fat (p = 0.02). Weight change was not related to either SES or language group, but change in plasma cholesterol was marginally more favorable in Spanish- speaking subjects (p = 0.06).

This article has been cited by other articles:

				S. Kanjilal, E. W. Gregg, Y. J. Cheng, P. Zhang, D. E. Nelson, G. Mensah, and G. L. A. Beckles Socioeconomic Status and Trends in Disparities in 4 Major Risk Factors for Cardiovascular Disease Among US Adults, 1971-2002 Arch Intern Med, November 27, 2006; 166(21): 2348 - 2355. [Abstract] [Full Text] [PDF]

				M. A. Veazie, J. M. Galloway, D. Matson-Koffman, D. R. LaBarthe, J. N. Brownstein, M. Emr, E. Bolton, E. Freund Jr, R. Fulwood, J. Guyton-Krishnan, et al. Taking the Initiative: Implementing the American Heart Association Guide for Improving Cardiovascular Health at the Community Level: Healthy People 2010 Heart Disease and Stroke Partnership Community Guideline Implementation and Best Practices Workgroup Circulation, October 18, 2005; 112(16): 2538 - 2554. [Full Text] [PDF]

				L. Weinehall, G. Hellsten, K. Boman, G. Hallmans, K. Asplund, and S. Wall Can a sustainable community intervention reduce the health gap? -10-Year evaluation of a Swedish community intervention program for the prevention of cardiovascular disease Scand J Public Health, April 1, 2001; 29(2): 59 - 68. [Abstract] [PDF]