Public perceptions and knowledge of cholesterol management in a multi-ethnic Asian population: A population-based survey.

<h4>Introduction</h4>Cardiovascular diseases (CVDs) are the leading cause of mortality worldwide. Hyperlipidemia is one of the important modifiable risk factors for CVDs. Raising public awareness of CVD risks is an important step in reducing CVD burdens. In this study, we aimed to assess...

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Autores principales: Chiw Yeh Lim, Jien Sze Ho, Zijuan Huang, Fei Gao, Swee Yaw Tan, Woon Puay Koh, Terrance Chua, Lip Ping Low, Huay Cheem Tan, Sungwon Yoon
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/37f8b3b77c0c4343a47b33386d51c938
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spelling oai:doaj.org-article:37f8b3b77c0c4343a47b33386d51c9382021-12-02T20:18:07ZPublic perceptions and knowledge of cholesterol management in a multi-ethnic Asian population: A population-based survey.1932-620310.1371/journal.pone.0256218https://doaj.org/article/37f8b3b77c0c4343a47b33386d51c9382021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256218https://doaj.org/toc/1932-6203<h4>Introduction</h4>Cardiovascular diseases (CVDs) are the leading cause of mortality worldwide. Hyperlipidemia is one of the important modifiable risk factors for CVDs. Raising public awareness of CVD risks is an important step in reducing CVD burdens. In this study, we aimed to assess public awareness and knowledge of cholesterol and its management in a multiethnic Asian population.<h4>Methods</h4>We recruited 1000 participants from three major ethnic groups for this nationwide population-based survey. A structured questionnaire was used to collect socio-demographics, knowledge of cholesterol and cholesterol-lowering medications. Univariate and multivariate analyses were conducted to identify factors associated with good knowledge on cholesterol and its management.<h4>Results</h4>Of the participants, 65% thought that high cholesterol produces symptoms and that lifestyle modification would be as effective as medication at lowering cholesterol. Nearly 70% believed that long term statin could lead to kidney or liver damage, and 56% thought that statin was associated with higher risk of cancer. A third saw herbal medicine or supplements as healthier and safer. About 45% believed that statin therapy should not be taken long term and that one could stop taking cholesterol medication when cholesterol is under control. Malays were more likely to have poor knowledge (adjusted OR 0.68; 95% CI 0.47-0.98; P = 0.039) compared to Chinese. Participants with intermediate education were more likely to have good knowledge of cholesterol and its management (adjusted OR 1.67; 95% CI 1.11-2.51; P = 0.013) compared to those with primary education.<h4>Conclusion</h4>Public knowledge and awareness of high cholesterol and its management remains poor in Asian multi-ethnic population. Understanding gaps in public knowledge can inform the implementation of health promotion programs to effectively raise awareness of cholesterol and its management.Chiw Yeh LimJien Sze HoZijuan HuangFei GaoSwee Yaw TanWoon Puay KohTerrance ChuaLip Ping LowHuay Cheem TanSungwon YoonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0256218 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Chiw Yeh Lim
Jien Sze Ho
Zijuan Huang
Fei Gao
Swee Yaw Tan
Woon Puay Koh
Terrance Chua
Lip Ping Low
Huay Cheem Tan
Sungwon Yoon
Public perceptions and knowledge of cholesterol management in a multi-ethnic Asian population: A population-based survey.
description <h4>Introduction</h4>Cardiovascular diseases (CVDs) are the leading cause of mortality worldwide. Hyperlipidemia is one of the important modifiable risk factors for CVDs. Raising public awareness of CVD risks is an important step in reducing CVD burdens. In this study, we aimed to assess public awareness and knowledge of cholesterol and its management in a multiethnic Asian population.<h4>Methods</h4>We recruited 1000 participants from three major ethnic groups for this nationwide population-based survey. A structured questionnaire was used to collect socio-demographics, knowledge of cholesterol and cholesterol-lowering medications. Univariate and multivariate analyses were conducted to identify factors associated with good knowledge on cholesterol and its management.<h4>Results</h4>Of the participants, 65% thought that high cholesterol produces symptoms and that lifestyle modification would be as effective as medication at lowering cholesterol. Nearly 70% believed that long term statin could lead to kidney or liver damage, and 56% thought that statin was associated with higher risk of cancer. A third saw herbal medicine or supplements as healthier and safer. About 45% believed that statin therapy should not be taken long term and that one could stop taking cholesterol medication when cholesterol is under control. Malays were more likely to have poor knowledge (adjusted OR 0.68; 95% CI 0.47-0.98; P = 0.039) compared to Chinese. Participants with intermediate education were more likely to have good knowledge of cholesterol and its management (adjusted OR 1.67; 95% CI 1.11-2.51; P = 0.013) compared to those with primary education.<h4>Conclusion</h4>Public knowledge and awareness of high cholesterol and its management remains poor in Asian multi-ethnic population. Understanding gaps in public knowledge can inform the implementation of health promotion programs to effectively raise awareness of cholesterol and its management.
format article
author Chiw Yeh Lim
Jien Sze Ho
Zijuan Huang
Fei Gao
Swee Yaw Tan
Woon Puay Koh
Terrance Chua
Lip Ping Low
Huay Cheem Tan
Sungwon Yoon
author_facet Chiw Yeh Lim
Jien Sze Ho
Zijuan Huang
Fei Gao
Swee Yaw Tan
Woon Puay Koh
Terrance Chua
Lip Ping Low
Huay Cheem Tan
Sungwon Yoon
author_sort Chiw Yeh Lim
title Public perceptions and knowledge of cholesterol management in a multi-ethnic Asian population: A population-based survey.
title_short Public perceptions and knowledge of cholesterol management in a multi-ethnic Asian population: A population-based survey.
title_full Public perceptions and knowledge of cholesterol management in a multi-ethnic Asian population: A population-based survey.
title_fullStr Public perceptions and knowledge of cholesterol management in a multi-ethnic Asian population: A population-based survey.
title_full_unstemmed Public perceptions and knowledge of cholesterol management in a multi-ethnic Asian population: A population-based survey.
title_sort public perceptions and knowledge of cholesterol management in a multi-ethnic asian population: a population-based survey.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/37f8b3b77c0c4343a47b33386d51c938
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