Population screening for cholesterol determination. A pilot study.
Population screening for cholesterol determination. A pilot study.
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胆固醇测定的人群筛查。
DOI：
10.1001/jama.1986.03380200077025
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发表时间：
1986
期刊：
影响因子：
--
通讯作者：
Haley Nj
中科院分区：
文献类型：
--
作者：
Ernst L. Wynder;Frank Field;Haley Nj
在纽约大都市区的六个地点进行了血浆胆固醇水平筛查，涉及医院、卫生专业人员、专业人员、媒体专家和快速提供胆固醇水平的仪器。在五天的测试中，超过 12,000 名参与者接受了筛查。由于该计划仅限于惯常的工作时间，并且由于参与者是自我选择的，因此受试者可能是一个非常具有健康意识的群体，吸烟者的患病率较低（11%）就证明了这一点。尽管如此，12%的人处于冠心病中度风险，16%的人处于冠心病高风险。大约一半的人报告从未测试过胆固醇水平，超过 40% 的人不知道什么水平是最佳水平。通过电话调查对处于危险中的患者子样本进行了筛查。在大多数情况下，当向患者的医生咨询建议时，他们不建议采取任何行动。我们的结果表明，可以实施大规模人群筛查，至少某些公众会对这样的计划做出反应，并且教育工作必须针对广大公众和医生。
A screening for plasma cholesterol levels was conducted at six sites in the New York metropolitan area and involved hospitals, health professionals, paraprofessionals, media experts, and instruments that provided cholesterol levels rapidly. During the five days of the testing, over 12,000 participants were screened. Because the program was limited to customary working hours and because of self-selection of participants, the subjects were probably an unusually health-conscious group as evidenced by the low prevalence of cigarette smokers (11%). Nevertheless, 12% were at moderate risk and 16% were at high risk for coronary heart disease. Approximately half of the population reported never having had their cholesterol levels tested, and over 40% had no idea what levels were optimal. A subsample of patients at risk was screened by telephone survey. In the majority of cases, when a patient's physician was consulted for advice, no action was recommended. Our results demonstrate that a large population screening can be implemented, that at least certain segments of the public will respond to such a program, and that educational efforts must be directed at both the public at large and physicians.