Abstract

National and international health guidelines have recommended measurements of blood pressure, blood cholesterol, and blood glucose as the first step in detecting hypertension, hypercholesterolemia, and hyperglycemia, respectively. These chronic conditions are modifiable risk factors for chronic diseases such as obesity, diabetes, and cardiovascular disease. Social determinants of health (SDoHs) have contributed to persistent chronic condition disparities in the United States. This study identified SDoHs associated with the use of screening services for hypertension, hypercholesterolemia, and hyperglycemia by analyzing data from the 2019 United States National Health Interview Survey. Examined SDoHs consisted of demographic characteristics, socioeconomic status, and health care utilization. Age, gender, education, annual income, health coverage, and usual care source were positively associated with the odds of receiving secondary preventive services. There was a marginal significance among race/ethnicity and employment status in association with the odds of receiving secondary preventive services. This study’s findings inform health educators and providers, public health professionals, and policymakers to fund, plan, and coordinate services and interventions accordingly to improve the population’s quality of life and lengthen lifespan by promptly diagnosing and treating these diseases.

Highlights

  • IntroductionHypertension, hypercholesterolemia, and hyperglycemia are critical modifiable health risk factors of chronic diseases, such as obesity, diabetes, and cardiovascular disease [1]

  • This study aimed to examine utilization of the recommended blood tests as screenings for hypertension, hypercholesterolemia, and hyperglycemia among American adults, to prevent obesity, diabetes, and cardiovascular diseases

  • Since this study focused on preventing chronic conditions, those who had been told of having hypertension, hypercholesterolemia, and hyperglycemia were excluded from the study sample

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Summary

Introduction

Hypertension, hypercholesterolemia, and hyperglycemia are critical modifiable health risk factors of chronic diseases, such as obesity, diabetes, and cardiovascular disease [1]. Individuals with one or more chronic diseases appear to be at higher risk for severe outcomes in infectious diseases if they ever contract one [3]. The concept of the secondary prevention of screening for risk factors among asymptomatic individuals, to halt the development of the disease, has been of interest as one of the essential tools of modern public health and preventive medicine [5]. Screening tests that detect chronic conditions at an early stage can increase the prevention and management of the diseases, improve health outcomes, decrease treatment costs, and reduce chronic diseases’ economic impact [6,7]

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