Dyslipidemia Awareness, Treatment, Control And Influence Factors Among Adults In Jilin Province

Dyslipidemia is an expression of lipid metabolism disorders, also belong tometabolic diseases. Dyslipidemia is a serious risk factor for cardiovascular diseases(CVD). In the last20years in China, the morbidity and mortality of coronary heartdiseases have gradually increased, which has the potential to create an enormousburden on the health care system in the future. With the continuous improvement ofsocio-economic level and people’s living standards, as well as behavioral changes inlifestyle, the prevalence of dyslipidemia are increasing year by year. Thecharacteristics of dyslipidemia are asymptomatic and hyperlipidemia patients oftenlack of knowledge about lipid, so uncontrolled dyslipidemia is an important cause forincreasing prevalence of CVD. Large clinical trials have demonstrated that thetreatment of dyslipidemia is effective in both primary and secondary prevention ofCVD. Surveys in China have showed that the awareness, treatment and control ofdyslipidemia are poor. Therefore, improving awareness, treatment and control level ofdyslipidemia contributes to improve the quality of life, and improve the status of thedisease which has great practical significance.Objective To estimate the awareness, treatment, and control of dyslipidemia inthe adult population in the Jilin province; To determine the influence factorsassociated with the awareness, treatment and control of dyslipidemia; To provide atheoretical basis for the prevention and treatment of dyslipidemia among adults inJilin province.Methods Based on the prevalence and risk factors of chronic diseases surveyamong adults in Jilin Province2012used multistage stratified random samplingdesign，a total of7319community residents with dyslipidemia were checked out.Survey content included questionnaire (demographic characteristics, lifestyle, family history of disease and history of chronic disease in the past one year), blood indexdetection (blood glucose, total cholesterol high density lipoprotein cholesterol, lowdensity lipoprotein cholesterol and triglycerides), and anthropometric (height andweight)．The data was exported to SPSS16.0software for statistical analyses. Data inall statistical analysis were adjusted by the complex weighted, according to the totalpopulation of Jilin province in2010(the sixth national census data), and calculatingsampling weights based on four factors, such as area, urban and rural, age and gender.Using the sampling design corrected Rao-Scott Chi-square test to compare the rates ofdyslipidemia awareness, treatment and control between different characteristics of theparticipants. Multiple logistic regression analyses were performed separately for eachgroup to explore the associations between participants’ characteristics anddyslipidemia awareness, treatment and control. All statistical tests were two-tailed andP-values≤0.05considered statistically significant.Results After complex weighting， among18-79year-old adults withdyslipidemia in Jilin province,10.5%were aware of the diagnosis,7.3%werereceiving treatment, and34.5%had dyslipidemia controlled among those receivingtreatment. Multivariate logistic analysis showed, increase in age was by far thestrongest risk factors associated with better awareness of dyslipidemia. Mentalworkers were more likely to be aware of their dyslipidemia condition (OR=1.302,95%CI:1.025,1.654), other workers were more likely to be aware of theirdyslipidemia condition (OR=1.412,95%CI:1.129,1.767) and to be receivingtreatment (OR=1.386,95%CI:1.089,1.764) than manual workers. Those like eatinglight food with higher level awareness (OR=1.366,95%CI:1.066,1.751) andtreatment (OR=1.350,95%CI:1.000,1.822), those like eating salted food with higherlevel of treatment (OR=1.353,95%CI:1.059,1.730). Those who never exercise wereless likely to be aware of their dyslipidemia condition (OR=0.742,95%CI:0.590,0.932) and to be receiving treatment (OR=0.747,95%CI:0.576,0.967) than thosewho regular physical activity. Obesity with higher level awareness (OR=1.570,95%CI:1.228,2.008) and treatment (OR=1.519,95%CI:1.158,2.099), but thelikelihood of controlling is lower (OR=0.339,95%CI:0.190,0.604). The likelihood of awareness of dyslipidemia patients with hypertension or diabetes increased by0.643times and0.907times, respectively (P<0.001), and the possibility of treatment wasincreased by0.488times and0.637times, respectively (P≤0.001). A family historyof dyslipidemia increased the likelihood of awareness (OR=3.798,95%CI:2.791,5.169) and treatment (OR=3.206,95%CI:2.309,4.451) of dyslipidemia. Currentsmokers decreased the likelihood of awareness (OR=0.725,95%CI:0.581,0.905),treatment (OR=0.738,95%CI:0.577,0.945) and control (OR=0.453,95%CI:0.272,0.754) of dyslipidemia, those used to be smokers with higher level of treatment(OR=1.407,95%CI:1.036,1.912).Conclusion①Compared with other areas in China, our study highlights lowlevels of awareness, poor treatment and control of dyslipidemia among adults aged18-79in the Jilin province.②With increasing age, mental workers, retired orunemployed, unbalanced salt intake, obesity, dyslipidemia complicated withhypertension or diabetes, with family history of dyslipidemia were more likely toaware their dyslipidemia condition; Current smokers and those never exercise weredifficult aware their dyslipidemia condition.③Retired or unemployed, unbalanceddiet salt intake, obesity, dyslipidemia complicated with hypertension or diabetes, withfamily history of dyslipidemia with higher level of treatment; Current smokers, thosenever exercise with lower level of treatment.④Current smokers, overweight orobesity who received treatment were also associated with poor dyslipidemia control.