Cholesterol Management in the United States: The National Health and Nutrition Examination Survey, 1999 to 2006
Section snippets
Methods
The NHANES 1999–2006 (4 series of 2-year cycles) is a complex, multistage, area probability sample representative of the United States noninstitutionalized civilian population (9). Groups oversampled include adolescents, the elderly, non-Hispanic blacks, Mexican Americans, pregnant women, and low-income whites. Similar to previous NHANES, the survey consisted of three phases—screening, interview, and examination. During screening, eligible sample persons were identified and invited to
Results
Overall, more than 70% of adults 20 years and older reported that they had at least one blood cholesterol test in their lifetime. Of those who had at least one blood cholesterol test, 57% reported having a test within the previous year. Table 1 presents the age-adjusted and age-specific prevalence (%) of reported blood cholesterol testing among adults ages 20 years and older. A higher proportion of women than men (women 73.9% vs. men 69.2%; p < .05) had had a blood cholesterol test. The percent
Discussion
Overall, more than 70% of adults had had at least one blood cholesterol test in their lifetime. The percent of adults 20 years and older who had had their cholesterol checked was higher for women than for men, for older adults than for younger adults, for non-Hispanic whites than for non-Hispanic blacks or Mexican Americans, and in adults with more than high school education than for those with a high school education or less, and greater in those with health insurance rather than without it.
References (28)
- et al.
Variations in cholesterol management practices of U.S. physicians
J Am Coll Cardiol
(1997) - et al.
Quality of cholesterol screening and management with respect to the National Cholesterol Education’s Third Adult Treatment Panel (ATPIII) guideline in primary care practices in North Carolina
Am Heart J
(2006) - et al.
ASCOT investigators. Prevention of coronary and stroke events with atorvastatin in hypertensive patients who have average or lower-than-average cholesterol concentrations, in the Anglo-Scandinavian Cardiac Outcomes Trial—Lipid Lowering Arm (ASCOT-LLA): a multicentre randomised controlled trial
Lancet
(2003) - et al.
Public recognition of major signs and symptoms of heart attack: seventeen states and the US Virgin Islands, 2001
Am Heart J
(2004) - et al.
Impact of lifestyle intervention on physical activity and diet of Japanese workers
Prev Med
(2007) Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)
JAMA
(2001)- et al.
Effect of statins on risk of coronary disease: a meta-analysis of randomized controlled trials
JAMA
(1999) - et al.
Quantifying effect of statins on low density lipoprotein cholesterol, ischaemic heart disease, and stroke: systematic review and meta-analysis
BMJ
(2003) - et al.
Stroke, statins, and cholesterol. A meta-analysis of randomized, placebo-controlled, double-blind trials with HMG-CoA reductase inhibitors
Stroke
(1997) The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial. Major outcomes in moderately hypercholesterolemic, hypertensive patients randomized to pravastatin vs. usual care: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT-LLT)
JAMA
(2002)
Effect of statin (HMG-Co-A-reductase inhibitor) use on 1-year mortality and hospitalization rates in older patients with cardiovascular disease living in nursing homes
J Am Geriatr Soc
Trends in serum lipids and lipoproteins of adults, 1960–2002
JAMA
Serum lipid profile on admission for ischemic stroke: failure to meet National Cholesterol Education Program Adult Treatment Panel (NCEP-ATPIII) guidelines
Neurology
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