EVALUATION OF A COMMUNITY-BASED HEALTH EDUCATION PROGRAM FOR SALT REDUCTION THROUGH MEDIA CAMPAIGNS

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  • YOKOTA Kimiko
    Department of Public Health and Welfare, Kyowa Municipal Office Department of Public Health Medicine, Graduate School of Comprehensive Human Sciences, and Institute of Community Medicine, University of Tsukuba
  • HARADA Mitiko
    Kyowa Health Center, Chikusei Municipal Office
  • WAKABAYASHI Yoko
    Kyowa Health Center, Chikusei Municipal Office
  • INAGAWA Mieko
    Kyowa Health Center, Chikusei Municipal Office
  • OSHIMA Miyuki
    Kyowa Health Center, Chikusei Municipal Office
  • TORIUMI Sawako
    Kyowa Health Center, Chikusei Municipal Office
  • HIROSE Kumiko
    Kyowa Health Center, Chikusei Municipal Office
  • SHIINA Yumi
    Kyowa Health Center, Chikusei Municipal Office
  • YAMAGISHI Kazumasa
    Department of Public Health Medicine, Graduate School of Comprehensive Human Sciences, and Institute of Community Medicine, University of Tsukuba
  • CUI Renzhe
    Department of Public Health Medicine, Graduate School of Comprehensive Human Sciences, and Institute of Community Medicine, University of Tsukuba
  • IKEDA Ai
    Department of Public Health Medicine, Graduate School of Comprehensive Human Sciences, and Institute of Community Medicine, University of Tsukuba (present address) Public Health, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University
  • YAO Masayuki
    Department of Public Health Medicine, Graduate School of Comprehensive Human Sciences, and Institute of Community Medicine, University of Tsukuba Osaka Medical Center for Health Science and Promotion
  • NODA Hiroyuki
    Department of Public Health Medicine, Graduate School of Comprehensive Human Sciences, and Institute of Community Medicine, University of Tsukuba (present address) Public Health, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University
  • TANIGAWA Takeshi
    Department of Public Health Medicine, Graduate School of Comprehensive Human Sciences, and Institute of Community Medicine, University of Tsukuba
  • TANAKA Sayoko
    Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • KUROKAWA Michinori
    Osaka Medical Center for Health Science and Promotion (present address) Hirakata Public Health Center
  • IMANO Hironori
    Osaka Medical Center for Health Science and Promotion
  • KIYAMA Masahiko
    Osaka Medical Center for Health Science and Promotion
  • KITAMURA Akihiko
    Osaka Medical Center for Health Science and Promotion
  • SATO Shinichi
    Osaka Medical Center for Health Science and Promotion
  • SHIMAMOTO Takashi
    Osaka Medical Center for Health Science and Promotion
  • ISO Hiroyasu
    Department of Public Health Medicine, Graduate School of Comprehensive Human Sciences, and Institute of Community Medicine, University of Tsukuba (present address) Public Health, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University

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Other Title
  • 地域ぐるみの減塩教育キャンペーンの実際とその評価　筑西市協和地区・脳卒中半減対策事業　メディアによる健康教育活動
  • チイキグルミ ノ ゲンエン キョウイク キャンペーン ノ ジッサイ ト ソノ ヒョウカ チクセイシ キョウワ チク ノウソッチュウ ハンゲン タイサク ジギョウ メディア ニ ヨル ケンコウ キョウイク カツドウ

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Purpose To provide the strategies, achievement and evaluation of a community health education program for salt reduction with media campaigns.<br/>Methods The intervention community was Kyowa town (A district of Chikusei city, census population in 1985=16,792) where we have systematically conducted a community-based blood pressure control program since 1981, and health education on reduction of salt intake since 1983 for primary prevention of hypertension. The education program was performed through media campaigns including use of banners, signboards, posters, and calendars with health catchphrases. We also used catchphrase-labeled envelopes when sending documents from the municipal health center to individuals. Health festivals were held annually to enhance health consciousnesses and to improve health behavior. Some of the posters and calligraphy were painted or drawn by elementary schoolchildren as part of their education. The program was evaluated by repeated questionnaires and examination of salt concentrations of miso soup and dietary salt intake.<br/>Results Between 1983 and 1988, the prevalence of persons who were aware that health consultation including blood pressure measurements were available at the town office increased from 65% to 84%. The prevalence of those who knew the salt intake goal (10 g or less/day) increased from 47% to 63% and that of those who reported to reduce salt intake also increased from 38% to 58%. As for salt concentrations of miso soup, the proportion with less than 1.1% increased from 47% to 66% between 1985 and 2004. Age-adjusted mean salt intake for persons aged 40-69 years declined from 14 g to 11 g in men and from 12 g to 10 g in women between 1982-1986 and 2000-2004.<br/>Conclusion A long-term systemic education program through media campaigns proved feasible with the cooperation of community leaders, schools and food associations.

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