title: Reasons for the upsetting cholesterol level during the community investigation from residents, physicians, and social aspects: the China Cholesterol Education Program (CCEP).
abstract: BACKGROUND
  The community medical center is the first barrier for lipid control. We aimed to survey the residents' cholesterol condition in the community, and pursue the reasons for the upsetting results from various aspects.
  
  
  METHODS
  Residents and physicians were recruited from four community centers. Residents completed questionnaires and a physical examination as well as biochemical analysis. Physicians were also asked to complete a questionnaire, some of which were about basic knowledge of lipids.
  
  
  RESULTS
  About 37.0% male and 48.1% female had elevated cholesterol levels. Residents' blood pressure (BP), fasting glucose (FG), body mass index (BMI), and waist circumference (WC) were positively associated with their low-density lipoprotein cholesterol (LDL-C) and total cholesterol (TC). Framingham risk scoring (FRS) was strongly related to cholesterol (P < 0.001 for LDL-C and TC). Residents' higher education grade was positively related to a normal cholesterol condition (P < 0.001), while personal income was negatively related to it. Rural residents had higher percent of population with normal cholesterol level (normal cholesterol rate) than their city counterpart (P < 0.001). Although physicians with college education had a much higher lipid knowledge level themselves, the physicians' factors had almost no relationship with the residents' cholesterol levels.
  
  
  CONCLUSIONS
  Management of hypercholesterolemia should be an important component of health strategy in Beijing. Education is imperative for residents as well as for physicians.
authors: Department of Respiration, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
authors: Jiang
authors: J
authors: Xie
authors: Fei
authors: F
authors: Guan
authors: Jia-Hong
authors: JH
authors: Wang
authors: Da-Yi
authors: DY
authors: Hu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D002784:Cholesterol / Q000097:blood*; D003153:Community Health Services; D004522:Educational Status; D005260:Female; D006801:Humans; D006937:Hypercholesterolemia / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods; D010820:Physicians; D011795:Surveys and Questionnaires
chemical_list: D002784:Cholesterol