Correlates of knowledge of one's blood pressure and cholesterol levels among older members of a managed care plan
Correlates of knowledge of one's blood pressure and cholesterol levels among older members of a managed care plan
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DOI：
10.1007/bf03351531
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发表时间：
2001-04-01
影响因子：
4
通讯作者：
Moore, A
中科院分区：
文献类型：
--
作者：
Harawa, NT;Morgenstern, H;Moore, A
我们研究了预测一个人的血压，总胆固醇和高密度脂蛋白水平（HDL）的知识在老年人谁报告最近的血压或胆固醇测试的因素。数据来自一个自我管理的健康风险评估，该评估被邮寄给加州圣巴巴拉一个医疗小组的55岁及以上的健康计划成员。尽管他们普遍获得医疗保健并且报告遵守预防性医疗保健筛查实践的程度很高，但41%、49%和77%的受访者表示他们分别不知道自己的血压、胆固醇或高密度脂蛋白水平。在控制了潜在的混杂因素后，年龄和低收入与受访者报告每个水平的能力呈负相关。此外，目前吸烟和肥胖与自我报告的胆固醇测量知识呈负相关。伪造高血压或高胆固醇血症药物的人比那些没有服用药物的人更有可能报告他们的血压和胆固醇水平。这些结果表明，除了目前正在接受相关治疗的人之外，很大一部分心血管疾病高风险老年人不知道他们这些重要的生物风险因素的水平。这种知识的缺乏对公共卫生教育有重要影响，并可能阻碍老年人减少风险的努力。(C)2001年，Editrice Kurtis。
We examined factors predicting knowledge of one's blood pressure, total cholesterol, and high-density lipoprotein levels (HDL) among older persons who reported a recent blood pressure or cholesterol test. Data come from a self-administered health risk assessment that was mailed to health plan members, age 55 and older in a Santa Barbara, California medical group. Despite their universal access to health care and high levels of reported compliance with preventive health care screening practices, 41%, 49%, and 77% of respondents reported that they did not know their blood pressure, cholesterol, or HDL levels respectively. After controlling for potential confounders, age and low income were inversely associated with the respondents' ability to report each level. In addition, current smoking and obesity were inversely associated with self-reported knowledge of both cholesterol measures. Persons faking medication for hypertension or hypercholesterolemia were much more likely than those not taking medication to be able to report their blood pressure and cholesterol levels. Except for persons currently undergoing treatment for related conditions these results suggest that a substantial proportion of the older persons at high risk for cardiovascular disease do not know their levels of these important biological risk factors. This lack of knowledge has important implications for public health education, and may hinder risk-reduction efforts among the elderly. (C) 2001, Editrice Kurtis.