Socioeconomic Factors Associated With Cholesterol Monitoring Among Patients with Hyperlipidemia; Application of The Andersen Behavioral Model
Journal Title: International Journal of Medical and Health Sciences - Year 2015, Vol 4, Issue 2
Abstract
Introduction: The National Cholesterol Education Program advices that adults with high blood cholesterol monitor their lipid profile at least once every two years. The study aimed to exam the association of socioeconomic factors and blood cholesterol monitoring. Methods: This study conducted cross-sectional secondary data analyses using 2011 Medical Expenditures panel Survey (MEPS). Study sample consisted of US. civilian, non-institutionalized adults who reported having high blood cholesterol. Cholesterol monitoring identified by patient’s self-report. Series of descriptive statistics and weighted logistic regression analyses were used to evaluate the association between socioeconomic factors, identified by Andersen Behavioral Model, and cholesterol monitoring. SAS 9.3 statistical software was used for all analyses including sample weights and standard errors adjustments. Results: Approximately 71 million patients reported having high blood cholesterol in 2011. 3,611,273 patients did not monitor their blood cholesterol levels as recommended by the NCEP. Most of the respondents were between 65 to 85 years old. Race groups other than White and Black were significantly associated with less likelihood of following the NCEP's recommendation (OR: 0.582; 95% CI: 0.381–0.889). Compared to insured patients, uninsured patients were less likely to utilize cholesterol monitoring as recommended (OR: 0.358; 95% CI: 0.251–0.511). Conclusions: The study found a significant race difference in the report of blood cholesterol monitoring. Also insurance status was another factor in blood cholesterol monitoring. Increase awareness of cholesterol monitoring for minority groups and finding inexpensive alternatives for cholesterol monitoring for uninsured would help patients utilizing preventive care services for blood cholesterol.
Authors and Affiliations
Abdullah Althemery, Leanne Lai, Abdullah Alfaifi
Keywords
Related Articles
- EP ID EP39868
- DOI -
- Views 266
- Downloads 0
Early division of Renal artery: A Case Report
The kidneys are one of the vital organs in the human body. It receives rich blood supply, nearly 25% of the cardiac outputs pass through the renal arteries to be filtered by the kidneys. Classically each Kidney is suppl...
Ultrasonographic Comparative Study of Abdominal Circumference in Fetuses of North Indian Women
Sonography has transformed the antenatal care of pregnant women and it is regarded as a well-established method of dating pregnancy and monitoring fetal growth. This study was performed in the department of Anatomy, Obs...
Morphological Study of Nutrient Foramen in Human Fibulae of North Indian Region
Background: Nutrient foramen is an opening in the shaft of bone which gives passage to the blood vessels. The knowledge of nutrient foramen is important in surgical procedures like bone grafting, microsurgical vascular...
Level of C-Reactive Protein in Stable Chronic Obstructive Pulmonary Disease
The usefulness of CRP as a marker of systemic inflammation in stable COPD was assessed from the present study. Estimation of CRP level was estimated in 50 stable COPD patients and the results compared to that of 50 heal...
Patterns of physical activities influencing cardio vascular and respiratory functions
Introduction: Physical activity is a cost effective way to decrease obesity and life style related health problems since it possess potential for having a major public health impact. The aim of the present study was to...