دورية أكاديمية
أعرض في EDS

Associations between education level, blood-lipid measurements and statin treatment in a Danish primary health care population from 2000 to 2018.

التفاصيل البيبلوغرافية
العنوان: Associations between education level, blood-lipid measurements and statin treatment in a Danish primary health care population from 2000 to 2018.
المؤلفون: Flege MM; Department of Clinical Biochemistry, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark., Kriegbaum M; Department of Public Health, University of Copenhagen, Research Unit for General Practice and Section of General Practice, Copenhagen, Denmark., Jørgensen HL; Department of Clinical Biochemistry, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark., Lind BS; Department of Clinical Biochemistry, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark., Bathum L; Department of Clinical Biochemistry, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark., Andersen CL; Department of Clinical Biochemistry, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.; Department of Hematology, Copenhagen University Hospital, Rigshospitalet, Hvidovre, Denmark., Engell AE; Department of Clinical Biochemistry, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
المصدر: Scandinavian journal of primary health care [Scand J Prim Health Care] 2023 Jun; Vol. 41 (2), pp. 170-178. Date of Electronic Publication: 2023 Apr 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Taylor & Francis Country of Publication: United States NLM ID: 8510679 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1502-7724 (Electronic) Linking ISSN: 02813432 NLM ISO Abbreviation: Scand J Prim Health Care Subsets: MEDLINE
أسماء مطبوعة: Publication: Philadelphia, PA : Taylor & Francis
Original Publication: Stockholm, Sweden : Almqvist & Wiksell Periodical Co., [1983-
مواضيع طبية MeSH: Hydroxymethylglutaryl-CoA Reductase Inhibitors*/therapeutic use , Hypercholesterolemia*/drug therapy, Humans ; Cohort Studies ; Lipids ; Cholesterol ; Educational Status ; Primary Health Care ; Denmark ; Treatment Outcome
مستخلص: Objective: To examine whether education level influences screening, monitoring, and treatment of hypercholesterolemia.
Design: Epidemiological cohort study.
Setting: Department of Clinical Biochemistry, Copenhagen University Hospital Hvidovre.
Subjects: Cholesterol blood test results ordered by general practitioners in Greater Copenhagen were retrieved from 2000-2018. Using the International Standard Classification of Education classification, the population was categorized by length of education in three groups (basic education; up to 10 years, intermediate education; 11-12 years, advanced education; 13 years or more). The database comprised 13,019,486 blood sample results from 653,903 patients.
Main Outcome Measures: Frequency of lipid measurement, prevalence of statin treatment, age and comorbidity at treatment initiation, total cholesterol threshold for statin treatment initiation, and achievement of treatment goal.
Results: The basic education group was measured more frequently (1.46% absolute percentage difference of total population measured [95% CI 0.86%-2.05%] in 2000 and 9.67% [95% CI 9.20%-10.15%] in 2018) over the period compared to the intermediate education group. The advanced education group was younger when receiving first statin prescription (1.87 years younger [95% CI 1.02-2.72] in 2000 and 1.06 years younger [95% CI 0.54-1.58 in 2018) compared to the intermediate education group. All education groups reached the treatment goals equally well when statin treatment was initiated.
Conclusion: Higher education was associated with earlier statin prescription, although the higher educated group was monitored less frequently. There was no difference in reaching treatment goal between the three education groups. These findings suggest patients with higher education level achieve an earlier dyslipidemia prevention intervention with an equally satisfying result compared to lower education patients.Key PointsLittle is known about the role of social inequality as a possible barrier for managing hypercholesterolemia in general practice.Increasing education level was associated to less frequent measurement and less frequent statin treatment.Patients with higher education level were younger, and less comorbidity at first statin prescription.Education level had no effect on frequency of statin treatment-initiated patients reaching the treatment goal was found.
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فهرسة مساهمة: Keywords: Hypercholesteremia; educational status; epidemiology; general practice; hypolipidemic agents; lipids
المشرفين على المادة: 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors)
0 (Lipids)
97C5T2UQ7J (Cholesterol)
تواريخ الأحداث: Date Created: 20230410 Date Completed: 20230519 Latest Revision: 20230520
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10193900
DOI: 10.1080/02813432.2023.2198584
PMID: 37036064
قاعدة البيانات: MEDLINE
الوصف
تدمد:1502-7724
DOI:10.1080/02813432.2023.2198584