Abstract
INTRODUCTION: One of the main modifiable risk factors for cardiovascular disease (CVD) is dyslipidemia which leads to the progression of atherosclerosis. This study aimed to evaluate the prevalence of self-reported hypercholesterolemia and its associated factors among elderly in Malaysia. METHODS: This cross sectional, population-based survey was conducted throughout Malaysia in 2018. Data was analysed from the National Health and Morbidity Survey 2018 based on 3977 elderly persons aged 60 years and above. It employed a two-stage stratified sampling to represent the population in Malaysia. Descriptive and multivariate logistic regression were used to analyse the data. RESULTS: Almost half (41.8%) of the elderly in Malaysia self-reported to have hypercholesterolemia. The prevalence of self-reported hypercholesterolemia was higher in urban areas (43.3%) compared to rural (37.8%)and among females (45.7%) compared to males (37.8%). Multivariate logistic regression analysis showed those in urban areas (aOR:1.210; 95%CI: 1.02, 1.42) were significantly more likely to have hypecholesterolemia compared to rural areas. Meanwhile, those with primary (aOR:1.386; 95%CI: 1.121, 1.714) and secondary education (aOR:1.5.37; 95%CI: 1.203, 1.965) were significantly more likely to have hypercholesterolemia compared to those with no formal education. Those with diabetes (aOR:3.311; 95%CI: 2.768, 3.961), hypertension (aOR:6.285; 95%CI: 5.330, 7.412) and obesity (aOR:1.447; 95%CI: 1.178, 1.776) also were more likely to have hypercholesterolemia compared to those without those diseases. Smokers (aOR:0.680; 95%CI: 0.540, 0.856) were less likely to have hypercholesterolemia compared to non-smokers. CONCLUSION: A high prevalence of hypercholesterolemia was found among the elderly. Therefore, a comprehensive public health commitment is required to ensure intervention programmes to reduce cholesterol levels are effective, especially for high risk groups.
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@proceedings{APCPH-2019-247,
title = {Prevalence of Hypercholesterolemia Among Elderly in Malaysia and Its Associated Factors: Findings from National Health and Morbidity Survey 2018},
author = {Halizah Mat Rifin and Wan Shakira Rodzlan Hasani and Tania Gayle Robert Lourdes and Nur Liana Abd Majid and Ling Miaw Yn and Thamil Arasu Saminathan and Hasimah Ismail and Ahzairin Ahmad},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: One of the main modifiable risk factors for cardiovascular disease (CVD) is dyslipidemia which leads to the progression of atherosclerosis. This study aimed to evaluate the prevalence of self-reported hypercholesterolemia and its associated factors among elderly in Malaysia. METHODS: This cross sectional, population-based survey was conducted throughout Malaysia in 2018. Data was analysed from the National Health and Morbidity Survey 2018 based on 3977 elderly persons aged 60 years and above. It employed a two-stage stratified sampling to represent the population in Malaysia. Descriptive and multivariate logistic regression were used to analyse the data. RESULTS: Almost half (41.8%) of the elderly in Malaysia self-reported to have hypercholesterolemia. The prevalence of self-reported hypercholesterolemia was higher in urban areas (43.3%) compared to rural (37.8%)and among females (45.7%) compared to males (37.8%). Multivariate logistic regression analysis showed those in urban areas (aOR:1.210; 95%CI: 1.02, 1.42) were significantly more likely to have hypecholesterolemia compared to rural areas. Meanwhile, those with primary (aOR:1.386; 95%CI: 1.121, 1.714) and secondary education (aOR:1.5.37; 95%CI: 1.203, 1.965) were significantly more likely to have hypercholesterolemia compared to those with no formal education. Those with diabetes (aOR:3.311; 95%CI: 2.768, 3.961), hypertension (aOR:6.285; 95%CI: 5.330, 7.412) and obesity (aOR:1.447; 95%CI: 1.178, 1.776) also were more likely to have hypercholesterolemia compared to those without those diseases. Smokers (aOR:0.680; 95%CI: 0.540, 0.856) were less likely to have hypercholesterolemia compared to non-smokers. CONCLUSION: A high prevalence of hypercholesterolemia was found among the elderly. Therefore, a comprehensive public health commitment is required to ensure intervention programmes to reduce cholesterol levels are effective, especially for high risk groups.},
note = {Type: POSTER PRESENTATION; Organisation: Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor,},
keywords = {Elderly, Hypercholesterolemia, NHMS},
pubstate = {published},
tppubtype = {proceedings}
}