title: The prevalence, awareness, treatment and control of dyslipidemia among adults in China.
abstract: OBJECTIVE
  To analyze the prevalence, awareness, treatment, control and epidemiological characteristics of dyslipidemia in Chinese adults.
  
  
  METHODS
  In this cross-sectional study, we adopted a multi-stage, stratified sampling method to obtain representative samples of the general population aged >18 years from different urban and rural regions in China. All subjects completed a lifestyle and medical history questionnaire and were examined for risk factors. Dyslipidemia was defined according to criteria of the 2007 Chinese Guidelines on Prevention and Treatment of Dyslipidemia in Adults. Continuous variables were compared using variance analysis. Multivariate logistic regression analysis was performed to explore the risk factors of dyslipidemia.
  
  
  RESULTS
  The prevalence of dyslipidemia was 34.0% overall, and 35.1%, and 26.3% in urban and rural areas, respectively. The prevalence of dyslipidemia was significantly higher in men than women (41.9% vs 32.5%; P < 0.001). Rates of awareness, treatment, and control were 31.0%, 19.5%, and 8.9%, respectively. Increasing age (OR = 1.012; 95% CI:1.010, 1.014), male sex (OR = 1.411; 95% CI:1.318, 1.510), obesity (OR = 1.424; 95% CI:1.345, 1.507), cardiovascular disease (OR = 1.343; 95% CI:1.125, 1.603), diabetes (OR = 1.955; 95% CI:1.751, 2.182), hypertension (OR = 1.481; 95% CI:1.391, 1.577) and hyperuricemia (OR = 2.223; 95% CI:2.060, 2.399) were independent risk factors of dyslipidemia.
  
  
  CONCLUSIONS
  The prevalence of dyslipidemia among Chinese adults was high but awareness, treatment, and control of dyslipidemia were low. Urban high income earners and rural medium income earners show higher prevalence. Low income earners in urban and rural population have the worst awareness treatment, and control rate. There is an increased need for closely monitoring and controlling high risk factors in the populations including postmenopausal women, unhealthy lifestyle peoples and patients with chronic non-communicable diseases.
authors.affiliation: Renal Division, Department of Medicine, First Affiliated Hospital of Guangxi Medical University, China; Guangxi Medical University Institute of Urinology, Nanning, 530021, Guangxi Zhuang Autonomous Region, China.
authors.forename: Ling
authors.initials: L
authors.lastname: Pan
authors.affiliation: Renal Division, Department of Medicine, First Affiliated Hospital of Guangxi Medical University, China; Guangxi Medical University Institute of Urinology, Nanning, 530021, Guangxi Zhuang Autonomous Region, China.
authors.forename: Zhenhua
authors.initials: Z
authors.lastname: Yang
authors.affiliation: Renal Division, Department of Medicine, First Affiliated Hospital of Guangxi Medical University, China; Guangxi Medical University Institute of Urinology, Nanning, 530021, Guangxi Zhuang Autonomous Region, China.
authors.forename: Yue
authors.initials: Y
authors.lastname: Wu
authors.affiliation: Cardiology Division, Department of Medicine, First Affiliated Hospital of Guangxi Medical University, China.
authors.forename: Rui-Xing
authors.initials: RX
authors.lastname: Yin
authors.affiliation: Renal Division, Department of Medicine, First Affiliated Hospital of Guangxi Medical University, China; Guangxi Medical University Institute of Urinology, Nanning, 530021, Guangxi Zhuang Autonomous Region, China. Electronic address: yunhualiao1989@sina.com.
authors.forename: Yunhua
authors.initials: Y
authors.lastname: Liao
authors.affiliation: Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China; Peking University Institute of Nephrology, Peking University Health Science Center, Beijing, China.
authors.forename: Jinwei
authors.initials: J
authors.lastname: Wang
authors.affiliation: Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China; Peking University Institute of Nephrology, Peking University Health Science Center, Beijing, China.
authors.forename: Bixia
authors.initials: B
authors.lastname: Gao
authors.affiliation: Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China; Peking University Institute of Nephrology, Peking University Health Science Center, Beijing, China.
authors.forename: Luxia
authors.initials: L
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D048909:Diabetes Complications / Q000473:pathology; D050171:Dyslipidemias / Q000453:epidemiology* / Q000628:therapy*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000150:complications; D008075:Lipoproteins, HDL / Q000097:blood; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D017698:Postmenopause; D015995:Prevalence; D012044:Regression Analysis; D012307:Risk Factors; D014280:Triglycerides / Q000097:blood; D055815:Young Adult
chemical_list: D008075:Lipoproteins, HDL; D014280:Triglycerides
keywords: China; Dyslipidemia; Epidemiology; Prevalence