Correlates of Untreated Hypercholesterolemia in Older Adults: A Community-Based Household Survey in China.

2.50
Hdl Handle:
http://hdl.handle.net/2436/620793
Title:
Correlates of Untreated Hypercholesterolemia in Older Adults: A Community-Based Household Survey in China.
Authors:
Hu, Zhi; Zaman, Justin M; Wang, Jingjing; Peacock, Janet L; Chen, Ruoling
Abstract:
Hypercholesterolemia is common in older adults and less treated, but little is known about correlates of untreated hypercholesterolemia. Using a standard interview method we examined a random sample of 7,572 participants aged 60 years in a community-based household survey across 7 provinces of China during 2007–2012, and documented 328 cases of hypercholesterolemia from self-reported doctor diagnosis. Compared to participants with normal cholesterol, older adults with hypercholesterolemia had higher socioeconomic position and larger body mass index. In patients with hypercholesterolemia, 209 were not treated using lipid-lowering medications (63.7%, 95% confidence interval (CI) 58.5%– 68.9%). Untreated hypercholesterolemia was significantly associated with female sex (adjusted odds ratio 2.13, 95%CI 1.17–3.89), current smoking (3.48, 1.44–8.44), heavy alcohol drinking (3.13,1.11–8.84), chronic bronchitis (2.37,1.14–4.90) and high level of meat consumptions (2.85,1.22–6.65). Although having coronary heart disease exposed participants for treatment, half of participants with coronary heart disease did not receive lipid-lowering medications. Among hypercholesterolemia participants with stroke, hypertension or diabetes, more than half of them did not receive lipid-lowering medications. The high proportion of untreated hypercholesterolemia in older, high-risk Chinese adults needs to be mitigated through multi-faceted primary and secondary prevention strategies to increase population opportunities of treating hypercholesterolemia. PLOS ONE
Publisher:
PLoS One
Issue Date:
20-Oct-2017
URI:
http://hdl.handle.net/2436/620793
Type:
Article
Language:
en
Sponsors:
The BUPA Foundation (Grants Nos. 45NOV06, and TBF-M09-05), and Alzheimer's Research, UK (Grant Nos. ART/PPG2007B/2)
Appears in Collections:
FEHW

Full metadata record

DC FieldValue Language
dc.contributor.authorHu, Zhi; Zaman, Justin M; Wang, Jingjing; Peacock, Janet L; Chen, Ruolingen
dc.date.accessioned2017-10-20T12:55:35Z-
dc.date.available2017-10-20T12:55:35Z-
dc.date.issued2017-10-20-
dc.identifier.urihttp://hdl.handle.net/2436/620793-
dc.description.abstractHypercholesterolemia is common in older adults and less treated, but little is known about correlates of untreated hypercholesterolemia. Using a standard interview method we examined a random sample of 7,572 participants aged 60 years in a community-based household survey across 7 provinces of China during 2007–2012, and documented 328 cases of hypercholesterolemia from self-reported doctor diagnosis. Compared to participants with normal cholesterol, older adults with hypercholesterolemia had higher socioeconomic position and larger body mass index. In patients with hypercholesterolemia, 209 were not treated using lipid-lowering medications (63.7%, 95% confidence interval (CI) 58.5%– 68.9%). Untreated hypercholesterolemia was significantly associated with female sex (adjusted odds ratio 2.13, 95%CI 1.17–3.89), current smoking (3.48, 1.44–8.44), heavy alcohol drinking (3.13,1.11–8.84), chronic bronchitis (2.37,1.14–4.90) and high level of meat consumptions (2.85,1.22–6.65). Although having coronary heart disease exposed participants for treatment, half of participants with coronary heart disease did not receive lipid-lowering medications. Among hypercholesterolemia participants with stroke, hypertension or diabetes, more than half of them did not receive lipid-lowering medications. The high proportion of untreated hypercholesterolemia in older, high-risk Chinese adults needs to be mitigated through multi-faceted primary and secondary prevention strategies to increase population opportunities of treating hypercholesterolemia. PLOS ONEen
dc.description.sponsorshipThe BUPA Foundation (Grants Nos. 45NOV06, and TBF-M09-05), and Alzheimer's Research, UK (Grant Nos. ART/PPG2007B/2)en
dc.language.isoenen
dc.publisherPLoS Oneen
dc.subjectUntreated Hypercholesterolemiaen
dc.subjectDeterminantsen
dc.subjectOlder Adultsen
dc.titleCorrelates of Untreated Hypercholesterolemia in Older Adults: A Community-Based Household Survey in China.en
dc.typeArticleen
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