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© 1995 Oxford University Press

research-article

Cancer Risk Following a Community-Based Programme to Prevent Cardiovascular Diseases

TAPIO LUOSTARINEN*, TIMO HAKULINEN*,{dagger} and EERO PUKKALA*

*Finnish Cancer Registry Liisankatu 21 B, FIN-00170 Helsinki, Finland
{dagger}Department of Public Health, University of Helsinki Finland

BACKGROUND: The North Karelia project, a community-based programme for prevention of cardiovascular diseases in North Karelia in 1972–1977, was successful in reducing some major cardiovascular risk factors. It was studied whether changes in the incidence of smoking- or diet-related cancers in North Karelia were different from those in a reference area without a programme.

METHODS: Poisson age-period-cohort-county regression models were fitted to each cancer-sex combination. Specially designed variables were added to the best models to detect any post-programme changes in the incidence trend in North Karelia.

RESULTS: After having been consistently higher, the incidence of lung cancer among males in North Karelia decreased below that of the reference county during 1987–1991. The programme-related risk ratio in 1987–1991 indicated a significant 20% beneficial effect. The trend in stomach cancer among males was more favourable in the reference county than in North Karelia.

CONCLUSION: The quicker reduction in smoking may have caused the more favourable trend of lung cancer among North Karelian males than males in the reference county.

Keywords cancer risk, cardiovascular disease, prevention, lung cancer, Poisson regression

Revised 1 May 1995


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