Dyslipidemia awareness, treatment, control and influence factors among adults in the Jilin province in China: a cross-sectional study

Abstract

BackgroundIn China, even though the prevalence of dyslipidemia among adults increased yearly and dyslipidemia being an important risk factor for cardiovascular diseases among the Chinese population, however, the awareness, treatment and control of dyslipidemia are at low levels, and only limited studies on the influence factors associated with the awareness, treatment and control dyslipidemia in China have been carried out.MethodsThe analysis was based on a representative sample of 7138 adult subjects aged 18 ~ 79 years recruited from a cross-sectional study of chronic disease and risk factors among adults in the Jilin province in 2012. Chi-square test was used to compare the rates of dyslipidemia awareness, treatment and control between different characteristics of participants. Multiple logistic regression analyses were performed separately for each group to explore the associations between participants’ characteristics and dyslipidemia awareness, treatment and control.ResultsAmong participants with dyslipidemia, 11.6% were aware of the diagnosis, 8.4% were receiving treatment, and 34.8% had dyslipidemia controlled. Increase in age and BMI ≥ 24 kg/m2 were by far the strongest risk factors associated with better awareness and treatment of dyslipidemia. Retirees were more likely to be aware of their dyslipidemia condition (OR = 1.255; 95% CI: 1.046, 1.506) and to be receiving treatment (OR = 1.367; 95% CI: 1.114, 1.676) than manual workers. A family history of dyslipidemia increased the likelihood of awareness (OR = 3.620; 95% CI: 2.816, 4.653) and treatment (OR = 3.298; 95% CI: 2.488, 4.371) of dyslipidemia. Alcohol drinking and physical activity were associated with a lower level of awareness and treatment.Cigarette smokers (OR = 0.501; 95% CI: 0.349, 0.719) and those with BMI ≥ 24 kg/m2 (OR = 0.480; 95% CI: 0.326, 0.706) who received treatment were also associated with poor dyslipidemia control.ConclusionOur study highlights low levels of awareness, poor treatment and control of dyslipidemia among adults aged 18 ~ 79 in the Jilin province. Promotion of healthy lifestyles and establishment of a comprehensive strategy of screening, treatment and control of dyslipidemia is needed to reduce or prevent the risk of cardiovascular disease in the Jilin province.

Knowledge, Attitude and Practice Towards Dyslipidemia Among Patients Attending Primary Health Care Centers, Abha City, Saudi Arabia.

“…21 The results of the present study revealed that almost one third of patients had lipid profile in the last year. This is in line with another study carried out in China.…”

“…Numerous recent studies showed that education is positively associated with the awareness of and attitude towards dyslipidemia. 21,[25][26][27][28] Regarding job status, as expected, medical professionals expressed higher significant knowledge of and attitude towards dyslipidemia compared with military persons and businessmen. This may be related to the possibility that militaries and businessmen havingless time to focus on their health, and tend to seek late management of any adverse health condition.…”

“…19 In the current study, most of the participants (77.3%) had poor knowledge regarding dyslipidemia and 47.4% had negative attitude. Several studies have revealed almost the same including a study carried out in European countries, 20 and studies carried out among Chinese population [21][22][23] Despite that that dyslipidemia is an important health risk factor in our community , many important facts related to dyslipidemia was unknown by most of the participants which emphasizes the vital roles of dissemination of health education related to dyslipidemia.…”

The prevalence, awareness, treatment, and control of dyslipidemia in northeast China: a population-based cross-sectional survey

“…Moreover, this rate varies by region due to different climatic environments, diets, and lifestyles [13]. The latest data from Jilin Province in northeast China reported that the awareness, treatment, and control rate of dyslipidemia were 11.6, 8.4, and 34.8%, respectively, in 2012 [14]. However, this data did not contain the prevalence rates of dyslipidemia or details regarding the subtypes of lipid disorders (high serum total cholesterol, triglycerides, low-density lipoprotein cholesterol, and low high-density lipoprotein cholesterol).…”

China may hold answers to addressing cardiovascular disease epidemic

“…Meanwhile, awareness and treatment of dyslipidemia is extremely low. [5] The global focus on reducing noncommunicable diseases provides an opportunity for China to take advantage of population-wide strategies to promote cardiovascular health and stop the nearepidemic levels of cardiovascular diseases in the country. The United States and other countries have had success in reducing cardiovascular mortality through patient education and focused campaigns targeting risk factors such as smoking, hyperlipidemia, and hypertension.…”