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http://hdl.handle.net/1942/35982
Title: | Community-Based Interventions for Cardiovascular Disease Prevention in Low-and Middle-Income Countries: A Systematic Review | Authors: | Ndejjo, Rawlance Hassen, Hamid Yimam Wanyenze, Rhoda K. Musoke, David Nuwaha, Fred ABRAMS, Steven Bastiaens, Hilde Musinguzi, Geofrey |
Issue Date: | 2021 | Publisher: | FRONTIERS MEDIA SA | Source: | PUBLIC HEALTH REVIEWS, 42 (Art N° 1604018) | Abstract: | Objectives: To synthesize evidence on the effectiveness of community-based interventions for cardiovascular disease (CVD) prevention in low- and middle-income countries (LMICs) to inform design of effective strategies for CVD prevention. Methods: We searched MEDLINE, EMBASE, CINAHL, Cochrane register of controlled studies and PSYCINFO databases for studies published between January 2000 and June 2019. Other studies were identified from gray literature sources and review of reference lists of included studies. The primary outcomes for the review were those aimed at primary prevention of CVD targeting physical activity, diet, smoking and alcohol consumption. Results: Database searches yielded 15,885 articles and 94 articles were identified through snowball searching. After screening, the articles from LMICs were 32 emanating from 27 studies: 9 cluster randomized trials, eight randomized controlled trials and 10 controlled before and after studies. Community-based interventions successfully improved population knowledge on CVD and risk factors and influenced physical activity and dietary practices. Evidence of interventions on smoking cessation and reduced alcohol consumption was inconsistent. Conclusion: This evidence should inform policy makers in decision-making and prioritizing evidence-based interventions. | Notes: | Ndejjo, R (corresponding author), Makerere Univ, Coll Hlth Sci, Sch Publ Hlth, Dept Dis Control & Environm Hlth, Kampala, Uganda.; Ndejjo, R (corresponding author), Univ Antwerp, Fac Med & Hlth Sci, Dept Family Med & Populat Hlth, Antwerp, Belgium. rndejjo@musph.ac.ug |
Keywords: | smoking; cardiovascular disease; knowledge; physical activity; alcohol;;community-based; diet; effectiveness | Document URI: | http://hdl.handle.net/1942/35982 | e-ISSN: | 2107-6952 | DOI: | 10.3389/phrs.2021.1604018 | ISI #: | WOS:000697378600001 | Rights: | This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) | Category: | A1 | Type: | Journal Contribution | Validations: | vabb 2023 |
Appears in Collections: | Research publications |
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phrs-42-1604018.pdf | Published version | 2.19 MB | Adobe PDF | View/Open |
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