Evidence map›Paper›PMID 34388221›Full record

ArticlePloS one2021

Public perceptions and knowledge of cholesterol management in a multi-ethnic Asian population: A population-based survey.

Chiw Yeh Lim, Jien Sze Ho, Zijuan Huang, Fei Gao, Swee Yaw Tan, Woon Puay Koh, Terrance Chua, Lip Ping Low, Huay Cheem Tan, Sungwon Yoon

Open access · goldFull text read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Chiw Yeh LimDepartment of Cardiology, National Heart Centre Singapore, Singapore, Singapore.ORCID 0000-0001-9630-425X
Jien Sze HoDepartment of Cardiology, National Heart Centre Singapore, Singapore, Singapore.
Zijuan HuangDepartment of Cardiology, National Heart Centre Singapore, Singapore, Singapore.
Fei GaoNational Heart Research Institute Singapore, National Heart Centre Singapore, Singapore, Singapore.
Swee Yaw TanDepartment of Cardiology, National Heart Centre Singapore, Singapore, Singapore.
Woon Puay KohHealthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Terrance ChuaDepartment of Cardiology, National Heart Centre Singapore, Singapore, Singapore.
Lip Ping LowLow Cardiology Clinic, Mount Elizabeth Medical Centre, Singapore, Singapore.
Huay Cheem TanDepartment of Cardiology, National University Heart Centre, Singapore, Singapore.
Sungwon YoonHealth Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.ORCID 0000-0001-9458-6097
National Heart Centre Singapore · SGDuke-NUS Medical School · SGMount Elizabeth Hospital · SGNational University Heart Centre Singapore · SGNational University of Singapore · SGSingHealth · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCardiovascular diseases (CVDs) are the leading cause of mortality worldwide. Hyperlipidemia is one of the important modifiable risk factors for CVDs. Raising public awareness of CVD risks is an important step in reducing CVD burdens. In this study, we aimed to assess public awareness and knowledge of cholesterol and its management in a multiethnic Asian population.

methodsWe recruited 1000 participants from three major ethnic groups for this nationwide population-based survey. A structured questionnaire was used to collect socio-demographics, knowledge of cholesterol and cholesterol-lowering medications. Univariate and multivariate analyses were conducted to identify factors associated with good knowledge on cholesterol and its management.

resultsOf the participants, 65% thought that high cholesterol produces symptoms and that lifestyle modification would be as effective as medication at lowering cholesterol. Nearly 70% believed that long term statin could lead to kidney or liver damage, and 56% thought that statin was associated with higher risk of cancer. A third saw herbal medicine or supplements as healthier and safer. About 45% believed that statin therapy should not be taken long term and that one could stop taking cholesterol medication when cholesterol is under control. Malays were more likely to have poor knowledge (adjusted OR 0.68; 95% CI 0.47-0.98; P = 0.039) compared to Chinese. Participants with intermediate education were more likely to have good knowledge of cholesterol and its management (adjusted OR 1.67; 95% CI 1.11-2.51; P = 0.013) compared to those with primary education.

conclusionPublic knowledge and awareness of high cholesterol and its management remains poor in Asian multi-ethnic population. Understanding gaps in public knowledge can inform the implementation of health promotion programs to effectively raise awareness of cholesterol and its management.

Indexed as

Health Knowledge, Attitudes, PracticeAdultAgedAnticholesteremic AgentsAsian PeopleCardiovascular DiseasesEthnicityFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypercholesterolemiaMaleMiddle AgedSingaporeAnticholesteremic AgentsHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID34388221
PMCPMC8362937
OpenAlexW3190042972

What OpenQuestion holds

Textfull text, public
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.