TY - JOUR
T1 - Community cholesterol screening
T2 - Impact of labeling on participant behavior
AU - Gordon, Randolph L.
AU - Klag, Michael J.
AU - Whelton, Paul K.
PY - 1990/9
Y1 - 1990/9
N2 - • To investigate the effect of screening for an elevated cholesterol level and compliance with follow-up recommendations, we surveyed 375 participants in a free screening program at a shopping mall walk-in clinic. One hundred thirty-nine participants (37%) had desirable (<5.17 mmol/L [<200 mg/dL]), 135 (36%) had borderline (5.17 to 6.18 mmol/L [200 to 239mg/dL]), and 101 (27%) had high (>6.18 mmol/L [>239 mg/dL]) cholesterol levels. Persons in the borderline and high categories were instructed to see their physicians within 2 months for confirmation of their levels. Of the 338 (90%) who responded to a follow-up questionnaire at 3 months, 8 (7%) in the desirable, 23 (22%) in the borderline, and 44 (50%) in the high group had been to see physicians concerning their cholesterol levels since the screening. In multiple logistic regression analyses only cholesterol category at time of screening, current use of antihypertensive drugs, history of coronary heart disease, and history of a high cholesterol level were associated with physician follow-up. Our results suggest that labeling persons as being at high rather than borderline risk results in greater physician follow-up.
AB - • To investigate the effect of screening for an elevated cholesterol level and compliance with follow-up recommendations, we surveyed 375 participants in a free screening program at a shopping mall walk-in clinic. One hundred thirty-nine participants (37%) had desirable (<5.17 mmol/L [<200 mg/dL]), 135 (36%) had borderline (5.17 to 6.18 mmol/L [200 to 239mg/dL]), and 101 (27%) had high (>6.18 mmol/L [>239 mg/dL]) cholesterol levels. Persons in the borderline and high categories were instructed to see their physicians within 2 months for confirmation of their levels. Of the 338 (90%) who responded to a follow-up questionnaire at 3 months, 8 (7%) in the desirable, 23 (22%) in the borderline, and 44 (50%) in the high group had been to see physicians concerning their cholesterol levels since the screening. In multiple logistic regression analyses only cholesterol category at time of screening, current use of antihypertensive drugs, history of coronary heart disease, and history of a high cholesterol level were associated with physician follow-up. Our results suggest that labeling persons as being at high rather than borderline risk results in greater physician follow-up.
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M3 - Article
C2 - 2393327
AN - SCOPUS:0025030078
SN - 0003-9926
VL - 150
SP - 1957
EP - 1960
JO - Archives of internal medicine
JF - Archives of internal medicine
IS - 9
ER -