Awareness, treatment, control, and determinants of dyslipidemia among adults in China: results from the China National Stroke Screening and Prevention Project (CNSSPP)
Cross-sectional study finds low treatment and control rates despite moderate awareness of dyslipidemia in older adults, highlighting major gaps in cardiovascular risk management.
Key Points
To assess the awareness, treatment, control, and associated determinants of dyslipidemia among middle-aged and older adults in China.
Conducted a cross-sectional analysis of 135,403 Chinese adults aged over 40 years using nationally representative data from the 2015 China National Stroke Screening and Prevention Project (CNSSPP).
Applied bivariate and multivariable logistic regression models adjusting for sociodemographic, clinical, and behavioral factors to evaluate factors linked to awareness, treatment, and control.
Among 57,760 individuals with dyslipidemia, 64.0% (36,958/57,760) were aware of their diagnosis, 18.9% (6,993/36,958) of aware individuals received treatment, and 7.3% (504/6,993) of treated individuals achieved lipid control.
Women had significantly higher awareness (69.2% vs. 58.3%, p < 0.001) and control than men, while urban residents consistently demonstrated greater awareness than rural residents across low-, middle-, and high-income regions (all p < 0.001).
Multivariable analyses identified female sex, health insurance, history of stroke or coronary heart disease, and high-income residence as significant positive determinants of receiving treatment.