Winkleby Lab In the Prevention Research Center

The Stanford Five City Multifactor Risk Reduction Project (FCP)

The Stanford Five City Multifactor Risk Reduction Project (FCP) is a long-term, field study of the feasibility and effectiveness of community-wide health education directed at lowering cardiovascular disease (CVD) risk, morbidity, and mortality. The Project was first funded in 1978 for 5 years by the National Heart, Lung, and Blood Institute; it was renewed for 4 additional years in 1983. The FCP as originally planned included 6 years of education (mid-1980 to mid-1986), four independent (cross-sectional) population surveys, four surveys of a cohort, and continuous surveillance for cardiovascular disease events.

The population surveys provide the major source of data relating to CVD risk and risk factor reduction in the FCP. These surveys are designed to obtain information on health attitudes, knowledge and behavior, and selected measures of CHD risk. They are conducted on randomly selected samples of young and older adults, ages 12-74, from four communities: Monterey, Salinas, Modesto, and San Luis Obispo. For economic reasons, no population surveys were conducted in Santa Maria.

The two treatment (intervention) cities were Salinas (1980 population 80,500) and Monterey (population 44,900), and the two control cities were Modesto (population 132,400) and San Luis Obispo (population 34,300). Santa Maria was the third control city where only morbidity and mortality events were monitored. Persons 12 through 74 years of age, who resided in randomly selected households in the four surveyed cities, were eligible to participate. Information was collected on site at survey centers located in each city. Each survey comprised approximately 1,800-2,500 participants.

The major goals of the population surveys include the following:

The biologic measures consist of the following:



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