Abstract
Effective management of dyslipidemia is important. This study aimed to determine the awareness, treatment, control, and determinants of dyslipidemia in middle-aged and older Chinese adults in China. Using data from the 2015 China National Stroke Screening and Prevention Project (CNSSPP), a nationally representative sample of 135,403 Chinese adults aged 40 years or more were included in this analysis. Dyslipidemia was defined by the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults final report (NCEP-ATP III) and the 2016 Chinese guidelines for the management of dyslipidemia in adults. Models were constructed to adjust for subjects’ characteristics with bivariate and multivariable logistic regression analyses. Overall, 51.1% of the subjects were women. Sixty-four percent were aware of their condition, of whom 18.9% received treatment, and of whom 7.2% had adequately controlled dyslipidemia. Dyslipidemia treatment was higher in men from rural areas than their urban counterparts. The multivariable logistic regression models revealed that women, urban residents, and general obesity were positively related to awareness. Women, married respondents, and current drinkers had higher odds of treatment. Age group, overweight, general obesity, urban residence, and women were independent determinants of control. Dyslipidemia awareness rate was moderately high, but treatment and control rates were low. Results can be used to develop policies and health promotion strategies with special focus on middle-aged and older adults.
Highlights
The results further indicated that urban residents, current drinkers, obese persons, and living in northern China were positively associated with dyslipidemia awareness, and current smokers and living in the stroke belt zone were negatively associated with dyslipidemia awareness
For subjects who had been treated for dyslipidemia previously, the results showed that women and persons living in northern China were positively associated with dyslipidemia control
Dyslipidemia control rate was greater in women than men in both rural and urban areas
Summary
This study aimed to determine the awareness, treatment, control, and determinants of dyslipidemia in middle-aged and older Chinese adults in China. Some previous studies on dyslipidemia among adults in China reported low awareness and management rates. In 2011, Song et al reported dyslipidemia awareness, treatment, and control rates among Chinese adults as 20.3, 14.4, and 4.9%, respectively[7]. Earlier studies have demonstrated that ageing is a recognized lipid-related risk factor of CVDs, and an effective treatment and control of dyslipidemia among adults can help reduce consequent CVDs11,12. A recent estimate of dyslipidemia awareness and management among Chinese adults is needed to better evaluate the effectiveness of care and inform stakeholders on measures to improve disease management. We aimed to estimate the awareness, treatment, and control of dyslipidemia and their determinants among middle-aged and older Chinese adults using a nationwide survey data
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
