BloCholDrDiag blood cholesterol; hypercholesterolemia BloCholDrDiag.UT_US The proportion of adults who have ever been told by a doctor, nurse, or other health professional that they have high blood cholesterol. The number of adults who have ever been told by a doctor, nurse, or other health professional that they have high blood cholesterol. The total number of survey respondents (BRFSS survey) excluding those with missing or refused values in the numerator. In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change, Utah is consistent with both the U.S. and other states using IBIS. Data has been updated from 2011 onward in all chart views to reflect this change. Doctor-diagnosed hypercholesterolemia is based on the answer to the question: "Have you ever been told by a doctor, nurse, or other health professional that you have high blood cholesterol?" This question is asked on the Behavioral Risk Factor Surveillance System (BRFSS) in odd-numbered years. Due to small numbers, data by Utah Small Area are based on combined years. Some of these estimates may be statistically unreliable and should be interpreted with caution. Beginning in 2011, BRFSS data include both landline and cell phone respondent data along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. More details about these changes can be found at: [https://ibis.utah.gov/ibisph-view/pdf/opha/resource/brfss/RakingImpact2011.pdf]. 07/30/2024 High blood cholesterol is a major risk factor for heart disease and stroke. It is preventable. If identified early, it can be controlled with medication and lifestyle changes, such as eating a diet low in saturated fat and cholesterol, increasing physical activity, and reducing excess weight. Because high blood cholesterol does not produce obvious symptoms, experts recommend that all adults aged 20 years and older have their cholesterol levels checked at least once every five years to help them take action to prevent or lower their risk of cardiovascular disease. In 2021, the age-adjusted percentage of Utah adults who reported being told they had high cholesterol was 25.4% (approximately 1 in 4 adults). In 2021 doctor-diagnosed high cholesterol was different by gender (23.7% for females and 27.0% for males). High cholesterol prevalence increased with age. Among Utahns aged 65 and over, 49.1% were diagnosed with high cholesterol, compared to 7.3% of adults aged 18 to 34. In 2021, the age-adjusted U.S. estimate for high cholesterol was 27.4% of adults (compared to 25.4% for adults in Utah). The Healthy Environments Active Living (HEAL) Programs aims to reduce the incidence of diabetes, heart disease, and stroke by targeting risk factors including reducing obesity, increasing physical activity and nutritious food consumption, and improving diabetes and hypertension control. The HEAL Program is working on the following things to address issues related to high blood cholesterol: *Increasing healthy nutrition and physical activity environments in K-12 schools *Increasing healthy nutrition and physical activity environments in early care and education (childcare/preschool) *Increasing healthy nutrition and physical activity environments and programs in worksites *Improving awareness of prediabetes, hypertension, and high blood cholesterol for Utahns *Improving the quality of medical care for people with diabetes, hypertension, and high blood cholesterol *Improving the linkages between health care providers and supporting community programs for Utahns with prediabetes, diabetes, hypertension, and high blood cholesterol *Improving access and availability to community health programs for Utahns with prediabetes, diabetes, hypertension, and high blood cholesterol *Improving care and management of students with chronic conditions in Utah schools High cholesterol is one of the most commonly treated medical conditions. Aggressive treatment focuses on lowering LDL ("bad" cholesterol levels). Lowering LDL cholesterol reduces the risk of coronary heart disease and ischemic stroke. A low-cholesterol diet, increased exercise, and statin medications are the first line of treatment. The Utah Department of Health and Human Services, Healthy Environments Active Living program plays a key role in improving the health of residents in the state of Utah. The Healthy Environments Active Living Program (HEAL) program model focuses on working together with staff and partners to address the social determinants of health while advancing health equity and increasing policy, systems and environment changes. HEAL champions public health initiatives and addresses the challenges of making health awareness and access truly universal and equitable in eight key areas: nutrition, heart health, diabetes, physical activity, schools, child care, community health workers, and worksites. Visit HEAL's website for more information. The Utah Department of Health and Human Services Healthy Environments Active Living (HEAL) Program works with health care organizations and other partners to improve blood cholesterol measurement and to improve medication adherence for people with high blood cholesterol. See the HEAL website for more details: [https://heal.utah.gov/heart%20health/]. '''Impact of Heart Disease and Stroke in Utah'''[[br]] In 2012, the Utah Heart Disease and Stroke Prevention Program published a statistical report titled the Impact of Heart Disease and Stroke in Utah. This report describes overall patterns in cardiovascular disease and risk factors at the state and national levels and among Utah subpopulations (age group, sex, race, ethnicity, and Utah Small Area). '''Million Hearts Initiative'''[[br]] Heart disease and stroke are the first and fifth leading causes of death in the United States ([https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm CDC 2022]). Heart disease is responsible for 1 of every 3 deaths in the country. [https://millionhearts.hhs.gov/ Million Hearts] is a national initiative that has set an ambitious goal to prevent 1 million heart attacks and strokes within 5 years (by 2027). Million Hearts aims to prevent heart disease and stroke by: *Improving access to effective care *Improving the quality of care for the ABCS (appropriate aspirin prescription, blood pressure control, cholesterol control, and smoking cessation) *Focusing clinical attention on the prevention of heart attack and stroke *Activating the public to lead a heart-healthy lifestyle *Improving the prescription and adherence to appropriate medications for the ABCS HEAL karleewalker@utah.gov A 09/10/2024 Detail modified by: cjasumback@utah.gov, 11/25/2022 10/29/21 BR updated HEAL text. Detail modified by: thoj@utah.gov, 12/28/2020 Updated by BR 10-12-18 Updated 10-26-18 br This was deleted from Section on Data Interpretation Issues While this question is asked of all respondents, almost one third of respondents reported not having had their blood cholesterol checked in the past five years. This means that the actual prevalence of high cholesterol is probably higher than the numbers reported here. This was removed from UT V US Section tah's 2015 rate of high cholesterol (24.5%) was lower than the U.S. rate. In years 2005, 2007, and 2009, Utah had a lower rate of adults reporting 5-year cholesterol screens compared with other states. Nationally, the Centers for Disease Control and Prevention (CDC) documented an increase in cholesterol screening of 4.5 percent during these years. Utah's rate increased by 5.8 percent, but was the second lowest among the 50 states. Due to this low rate of cholesterol screening, it is likely that high cholesterol is under-diagnosed. For more information on how Utah compares to the U.S. and other states for cholesterol screening, please visit [http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6135a2.htm]. 11.15.18 BR fixed typo for edu.graph 11/16/2021 Updated CJasumback 11/25/2021 Update CJasumback 3/4/2024 Updated by SRobinson 3 x 09/10/2024 Status changed by: kimneerings@utah.gov 09/10/2024 PopChar Prevalence of high cholesterol was highest among the 65 and over age category compared to younger age categories. AgeDistPop AgeDistPop.Ut_US Pov Pov.UT_US RacEthPop RacEthPop.RaceYear SystemFactors High cholesterol must be diagnosed by a physician therefore screening for high cholesterol should be integrated into routine care. BloCholScr BloCholScr.Ut_USYear CosBarHtlhCar CosBarHtlhCar.UT_US HlthIns HlthIns.UT_US_ACS RouMedCarVis RouMedCarVis.AgeSex RiskFactors The risk factors for high cholesterol include lack of exercise, overweight and obesity, cigarette smoking, and high cholesterol diet. Some risk factors can be reduced through lifestyle changes. Others, such as family history and liver functioning, are more difficult to control. Certain medications can contribute to high cholesterol as well. Individuals are encouraged to discuss their risk factors with a physician and request blood cholesterol screening at least every five years. 5aDayFruit 5aDayFruit.UT_US 5aDayVeg 5aDayVeg.UT_US CigSmokAdlt CigSmokAdlt.Ut_US DiabPrev DiabPrev.LHD Obe Obe.UT_US OvrwtObe OvrwtObe.UT_US PhysAct PhysAct.UT_US PreDiab PreDiab.Age HealthStatus High blood cholesterol is a major risk factor for heart disease and stroke. Early identification and treatment of high cholesterol can decrease this risk. HrtDisDth HrtDisDth.Ut_USYear HypAwa HypAwa.UT_US StrDth StrDth.UT_US BloCholDrDiag.UT_US by Year, Utah and U.S., 1991-2021 Age-adjusted Percentage of Adults BloCholDrDiag.Age_Sex by Age and Sex, Utah, 2021 Percentage of Adults BloCholDrDiag.Edu by Education Level, Utah, 2021 Age-adjusted Percentage of Adults 25+ BloCholDrDiag.Inc by Income Level, Utah, 2021 Age-adjusted Percentage of Adults BloCholDrDiag.Eth by Ethnicity, Utah, 2021 Age-adjusted Percentage of Adults BloCholDrDiag.Race by Race, Utah, 2021 Age-adjusted Percentage of Adults BloCholDrDiag.Dis by Disability, Utah, 2021 Age-adjusted Percentage of Adults BloCholDrDiag.LHD by Local Health District, Utah, 2021 Age-adjusted Percentage of Adults BloCholDrDiag.SA by Utah Small Area, 2019 and 2021 Age-adjusted Percentage of Adults