Differences Between Adolescent Participants and Non-Participants in Cholesterol Level Screening
Leading risk factors for the development of coronary heart disease (CHD) in young adulthood are: family history of CHD, elevated blood pressure, elevated serum total cholesterol (TC), stroke, or myocardial infarction; smoking, limited exercise, and use of oral contraceptives. Adolescent TC screening...
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| Published in: | Journal of the American Dietetic Association Vol. 95; no. 9; p. A11 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Elsevier Inc
01-09-1995
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| Online Access: | Get full text |
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| Summary: | Leading risk factors for the development of coronary heart disease (CHD) in young adulthood are: family history of CHD, elevated blood pressure, elevated serum total cholesterol (TC), stroke, or myocardial infarction; smoking, limited exercise, and use of oral contraceptives. Adolescent TC screening can help identify those with the highest risk for development of CHD. In this study, 1321 adolescents completed questionnaires and were given the opportunity to have serum TC tested. Participation in the TC screening was 41% of all the students. Participation rates for each school varied widely from 16-81%. Non-participants were characterized using 34 variables. One way and two way frequency tables were run. Relationships between participation and other variables were tested using chi-square or t-tests for continuous variables. Odds ratios were determined if chi-square significance was <0.05 and both variables were binary. Since one school's participation rate was <20% and all the other schools >50%, the schools were dichotomized to better characterize non-participants. In general, non-participants were characterized as being male; having a family history of stroke, high blood pressure, high TC and diabetes; food consumption patterns of frequently eating at fast food restaurants, consuming whole milk, eggs, fried foods, and pizza; personal lifestyle habits of drinking alcohol frequently and in excess, smoking and if female using oral contraceptives. These results indicate those most likely to develop CHD are least likely to participate in TC screening. There is a real need to target individuals with a family history of diseases that increase an adolescent's risk of CHD as well as those individuals who consume a high fatty diet, smoke, drink alcohol and use oral contraceptives. |
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| ISSN: | 0002-8223 1878-3570 |
| DOI: | 10.1016/S0002-8223(95)00394-0 |