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September 23, 1992JAMA

Improved cholesterol-related knowledge and behavior and plasma cholesterol levels in adults during the 1980s

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Key result

Large-scale national cholesterol interventions in the mid-1980s were associated with significant improvements in cholesterol-related knowledge, behavior, and plasma cholesterol levels (P=0.0001).

Why the study?

Did large-scale national cholesterol interventions improve cholesterol-related knowledge, behavior, and plasma cholesterol levels in adults during the 1980s?

Population

4173 adults aged 25 through 74 years in two control cities of the Stanford Five-City Project

Comparison

Large-scale national cholesterol interventions… vs Pre-intervention period (early 1980s)

Design

Cross-sectional

Follow-up

1979 to 1990

Authors

EFE. Frank

Discussion

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Overview

Secular improvements in cholesterol knowledge, behavior, and levels occurred after 1980s; leaves open the contribution of national interventions in this observational analysis.

Key Points

  • The study aims to assess the stability of cholesterol-related knowledge and behavior, and plasma cholesterol levels before and after national interventions in the 1980s.
  • Data collected from 4173 adults aged 25-74 years in San Luis Obispo and Modesto, California.
  • Five community-based surveys conducted between 1979 and 1990.
  • Analyzed changes in knowledge, behavior, and plasma cholesterol levels over time.
  • Cholesterol-related knowledge, behavior, and plasma cholesterol levels improved significantly (P=0.0001) after the early 1980s.
  • Higher knowledge and behavior scores were linked to being more educated, female, older, or nonsmokers.
  • Younger, more educated, or normotensive individuals showed significantly lower plasma cholesterol levels.

Study Design

Type

Cross-Sectional (n=4,173)

Multicenter

Yes

Structured PICO

Did large-scale national cholesterol interventions improve cholesterol-related knowledge, behavior, and plasma cholesterol levels in adults during the 1980s?

P
Population
4,173 adults aged 25 through 74 years from two California cities surveyed across five time points between 1979 and 1990.
E
Exposure
Large-scale national cholesterol interventions in the middle to late 1980s
C
Comparator
Pre-intervention period (early 1980s)
O
Outcome
Cholesterol-related knowledge and behavior and plasma cholesterol levelssurrogate

Main Result

p-value: p=.0001

Large-scale national cholesterol interventions in the mid-1980s were associated with significant improvements in community-level cholesterol knowledge, behavior, and plasma levels.

Cite This Study

E. Frank (1992) reported a cross-sectional. Large-scale national cholesterol interventions (time period) vs. Pre-intervention period (early 1980s) was evaluated on Cholesterol-related knowledge and behavior and plasma cholesterol levels (p=.0001). Large-scale national cholesterol interventions in the mid-1980s were associated with significant improvements in cholesterol-related knowledge, behavior, and plasma cholesterol levels (P=0.0001).

synapsesocial.com/papers/6a6d2de06ceb2bbd16df91dchttps://doi.org/10.1001/jama.268.12.1566
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Trends in cardiovascular disease risk factors by educational level: The Stanford five-city project1992 · 54 citations
  2. 2Population awareness and control of hypertension and hypercholesterolemia. The Atherosclerosis Risk in Communities study1995 · 169 citations
  3. 3Trends in Plasma Cholesterol Levels in the Atherosclerosis Risk in Communities (ARIC) Study2000 · 32 citations
  4. 4Population Awareness and Control of Hypertension and Hypercholesterolemia1995 · 165 citations
  5. 5THE IMPACT OF DIETARY INTERVENTION ON HDL AND LDL CHOLESTEROL LEVELS IN A PEDIATRIC POPULATION1992