AI Article Synopsis
- Individuals with low socio-economic status (SES) exhibit higher rates of cardiovascular disease but tend to engage less in preventive health measures, particularly relating to hyperlipidaemia.
- In a study of patients aged 40 and above using ambulance services, over half were found to have high cholesterol levels, yet a significant portion did not seek treatment or make lifestyle changes.
- Factors influencing treatment-seeking behavior included health literacy and co-existing health conditions rather than socio-economic status alone; many patients faced barriers that prevented them from effectively addressing their hyperlipidaemia.
Article Abstract
Background: Individuals with low socio-economic status (SES) have disproportionate rates of cardio- vascular disease (CVD) but poorer engagement with preventative health. This study aimed to compare characteristics of individuals with and without hyperlipidaemia and describe their health behaviours.
Methods: A mixed-methods study between January and December 2022. Patients aged ≥40 years using the ambulance service with blood pressure of ≥140/90 had their total cholesterol measured using a point of care device. Data including blood pressure, smoking status, National Early Warning Score 2 and clinical frailty scale (CFS) were analysed.
Results: Of 203 patients (59% female, mean age 65.7 years), 115 (56.7%) had total cholesterol ≥5.1 mmol/L. Thirty patients (14.8%) sought treatment and received either statins (n = 9; 4.4%), dietary modification (n = 7; 3.4%) or no further intervention (n = 14; 6.9%), whilst 85 patients (41.9%) took no further action. Lower CFS (OR 0.53 [0.31-0.93]) and higher total cholesterol (OR 2.07 [1.03-2.76]) predicted seeking further management. SES was not associated with hyperlipidaemia or likelihood of seeking further management, rather this was dictated by competing co-morbidity, poor health literacy and digital divide.
Conclusions: Undiagnosed hyperlipidaemia exists in patients using the ambulance service, irrespective of SES. Individual and healthcare system factors prevent engagement in cholesterol lowering behaviours.
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| http://dx.doi.org/10.1093/pubmed/fdae009 | DOI Listing |
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