Adolescent Perceptions of Cholesterol Screening Results: "Young Invincibles" or Developing Adults?
Adolescent Perceptions of Cholesterol Screening Results: "Young Invincibles" or Developing Adults?
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DOI：
10.1016/j.jadohealth.2016.03.027
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发表时间：
2016-08-01
影响因子：
7.6
通讯作者：
Mackie, Thomas I.
中科院分区：
文献类型：
--
作者：
Gooding, Holly C.;Sheldrick, R. Christopher;Mackie, Thomas I.
目的：指南建议对所有17-21岁的青少年和年轻人（AYAs）进行胆固醇筛查。鲜为人知的是如何筛选结果影响的AYA health.Methods的看法：我们招募了37 AYA和35 AYA的父母与不同的风险异常胆固醇结果：（1）家族性高胆固醇血症;（2）肥胖;（3）一般健康。参与者使用视觉模拟量表（VAS）和半结构化访谈完成了关于三种假设胆固醇筛查方案的定量健康状况评级：（1）40岁之前心血管疾病（CVD）的高可能性（2）在70岁之前有一定的CVD风险（“中等风险”）;和（3）尽管有很强的CVD家族史但CVD风险低（“低风险”）。我们分析了VAS数据与逻辑回归和定性数据与先验和紧急编码使用多个coders.Results：每组认为所有三个胆固醇筛查方案相对低于完美的健康，高风险的结果下降最远的完美的健康。虽然在VAS评分中AYAs和父母之间没有显著差异，但定性分析显示AYAs比父母更可能对中等风险结果的影响进行折扣，因为预测CVD之前的时间较长。AYA和家长对胆固醇筛查结果对AYA健康影响的看法因所呈现的情景而异，从轻度到显著降低AYA健康的看法。由于普遍的胆固醇筛查继续在这个年龄组中采用，进一步研究对AYA风险认知和随后行为的现实影响是必要的。(C)2016年青少年健康和医学协会。爱思唯尔公司出版
Purpose: Guidelines recommend cholesterol screening for all adolescents and young adults (AYAs) ages 17-21 years. Little is known about how screening results impact perceptions of AYA health.Methods: We recruited 37 AYAs and 35 parents of AYAs with differing risk for abnormal cholesterol results: (1) familial hypercholesterolemia; (2) obesity; and (3) generally healthy. Participants completed quantitative health status ratings using visual analog scales (VASs) and semistructured interviews regarding three hypothetical cholesterol screening scenarios: (1) high likelihood of cardiovascular disease (CVD) before age 40 years ("high risk"); (2) some risk of CVD before age 70 years ("moderate risk"); and (3) low risk for CVD despite a strong family history of CVD ("low risk"). We analyzed VAS data with logistic regression and qualitative data with a priori and emergent coding using multiple coders.Results: Each group perceived all three cholesterol screening scenarios as comparatively less than perfect health; the high-risk result fell furthest from perfect health. Although there was no significant difference between AYAs and parents in VAS ratings, qualitative analyses revealed AYAs were more likely than parents to discount the impact of moderate-risk results because of longer length of time before predicted CVD.Conclusions: AYAs' and parents' perceptions of the impact of cholesterol screening results on AYA health varied by presented scenario, ranging from mild to significant decreases in perceptions of AYA health. As universal cholesterol screening continues to be adopted in this age group, further studies of the real-life impact on AYA risk perceptions and subsequent behavior are warranted. (C) 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc.