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dc.contributor.authorChow, Clara K.
dc.contributor.authorLock, Karen
dc.contributor.authorMadhavan, Manisha
dc.contributor.authorCorsi, Daniel J.
dc.contributor.authorGilmore, Anna B.
dc.contributor.authorSubramanian, S.V. Venkata
dc.contributor.authorLi, Wei
dc.contributor.authorSwaminathan, Sumathi
dc.contributor.authorLopez-Jaramillo, Patricio
dc.contributor.authorAvezum, Alvaro
dc.contributor.authorLear, Scott A.
dc.contributor.authorDagenais, Gilles
dc.contributor.authorTeo, Koon
dc.contributor.authorMcKee, Martin
dc.contributor.authorYusuf, Salim
dc.date.accessioned2014-07-25T19:36:11Z
dc.date.issued2010
dc.identifierQuick submit: 2013-12-06T15:19:14-05:00
dc.identifier.citationChow, Clara K., Karen Lock, Manisha Madhavan, Daniel J. Corsi, Anna B. Gilmore, S. V. Subramanian, Wei Li, et al. 2010. “Environmental Profile of a Community’s Health (EPOCH): An Instrument to Measure Environmental Determinants of Cardiovascular Health in Five Countries.” Edited by Joseph S. Ross. PLoS ONE 5 (12) (December 10): e14294.en_US
dc.identifier.issn1932-6203en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:12561431
dc.description.abstractBackground The environment in which people live is known to be important in influencing diet, physical activity, smoking, psychosocial and other risk factors for cardiovascular (CV) disease. However no instrument exists that evaluates communities for these multiple environmental factors and is suitable for use across different communities, regions and countries. This report describes the design and reliability of an instrument to measure environmental determinants of CV risk factors. Method/Principal Findings The Environmental Profile of Community Health (EPOCH) instrument comprises two parts: (I) an assessment of the physical environment, and (II) an interviewer-administered questionnaire to collect residents' perceptions of their community. We examined the inter-rater reliability amongst 3 observers from each region of the direct observation component of the instrument (EPOCH I) in 93 rural and urban communities in 5 countries (Canada, Colombia, Brazil, China and India). Data collection using the EPOCH instrument was feasible in all communities. Reliability of the instrument was excellent (Intraclass Correlation Coefficient - ICC>0.75) for 24 of 38 items and fair to good (ICC 0.4–0.75) for 14 of 38 items. Conclusion This report shows data collection with the EPOCH instrument is feasible and direct observation of community measures reliable. The EPOCH instrument will enable further research on environmental determinants of health for population studies from a broad range of settings.en_US
dc.language.isoen_USen_US
dc.publisherPublic Library of Science (PLoS)en_US
dc.relation.isversionof10.1371/journal.pone.0014294en_US
dash.licenseLAA
dc.titleEnvironmental Profile of a Community's Health (EPOCH): An Instrument to Measure Environmental Determinants of Cardiovascular Health in Five Countriesen_US
dc.typeJournal Articleen_US
dc.date.updated2013-12-06T20:20:36Z
dc.description.versionVersion of Recorden_US
dc.rights.holderChow CK, Lock K, Madhavan M, Corsi DJ, Gilmore AB, Subramanian SV, Li W, Swaminathan S, Lopez-Jaramillo P, Avezum A, Lear SA, Dagenais G, Teo K, McKee M, Yusuf S.
dc.relation.journalPLoS ONEen_US
dash.depositing.authorSubramanian, S.V. Venkata
dc.date.available2014-07-25T19:36:11Z
dc.identifier.doi10.1371/journal.pone.0014294*
dash.authorsorderedfalse
dash.contributor.affiliatedCorsi, Daniel
dash.contributor.affiliatedSubramanian, Sankaran


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