Recent trends in the identification and treatment of high blood cholesterol by physicians: progress and missed opportunities

Article Abstract:

Fewer than a third of those who should be treated for high blood cholesterol (HBC) may be receiving any treatment. Based on information from telephone interviews with 154,735 randomly-selected adults, the percentage of adults screened for HBC rose from 46.6% at the beginning of 1988 to 62.1% at the end of 1990. The percentage notified that their blood cholesterol level was high rose from 9.9% to 17.2%, and the percentage being treated for HBC rose from 7.6% to 11.7%. Based on these figures, about 28% of the estimated people who needed treatment were receiving it. Men, blacks and people between the ages of 20 and 39 were the least likely to be treated, and people with multiple risk factors for coronary heart disease were the most likely to be treated. Almost 40% of the 126,571 people who visited a physician for preventive care in the previous two years had not been tested for HBC. These missed opportunities were most common among women who visited obstetricians/gynecologists for their routine care and among young adults.

Care and treatment, Demographic aspects, Medical screening, Health screening, Hypercholesterolemia

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Childhood Abuse, Household Dysfunction, and the Risk of Attempted Suicide Throughout the Life Span: Findings From the Adverse Childhood Experiences Study. (Original Contribution)

Article Abstract:

Adverse childhood experiences may increase the risk of suicidal behavior as an adult, according to a survey of 17,337 people. Adverse childhood experiences include emotional, physical, or sexual child abuse, parental mental illness, incarceration, substance abuse, domestic violence, separation, and divorce.

Psychological aspects, Causes of, Child abuse, Suicidal behavior, Family violence, Domestic violence

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Secular trends in cardiovascular disease risk factors according to body mass index in US adults

Article Abstract:

A study was conducted to examine 40-year trends in cardiovascular disease (CVD) risk factors with body mass index (BMI) groups among US adults aged 20 to 74 years. The results suggested that CVD risk factors except for diabetes have declined considerably since the year 1965 in all BMI groups.

United States, Cardiovascular diseases, Diagnosis, Risk factors, Body mass index

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