Why Is This Important?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.
Doctor-diagnosed Hypercholesterolemia (High Blood Cholesterol) by Year, Utah and U.S., 1991-2017
In 2017, the prevalence of high blood cholesterol continued to be lower among Utah adults than among the general U.S. adult population. In 2017, 27.3% of U.S. adults had doctor-diagnosed high cholesterol, compared to 23.7% of adults in Utah.
- Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
- U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services
Data NotesIn 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. [[br]][[br]]Age-adjusted to 2000 U.S. standard population.
To reduce bias and more accurately represent population data, the BRFSS has changed survey methodology. In 2010, it began conducting surveys by cellular phone in addition to landline phones. It also adopted "iterative proportional fitting" (raking) as its weighting method.
Risk FactorsThe 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.
How Are We Doing?In 2017, the age-adjusted percentage of Utah adults who reported being told they had high cholesterol was 23.7% (1 in 4 adults).
In 2017 doctor-diagnosed high cholesterol was different by gender (22.1% for females and 25.3% for males). High cholesterol prevalence increased with age. Among Utahns aged 65 and over, 48.4% were diagnosed with high cholesterol, compared to 6.1% of adults aged 18 to 34.
What Is Being Done?The Healthy Living through Environment, Policy, and Improved Clinical Care Program (EPICC) was formed in 2013, consolidating three Utah Department of Health programs (Diabetes Prevention and Control Program, Heart Disease and Stroke Prevention Program, and the Physical Activity, Nutrition and Obesity Program). The purpose of the consolidation was to ensure a productive, collaborative, and efficient program focused on health outcomes.
EPICC 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 program is organized around four domains:
*Domain 1: Epidemiology and Surveillance--gather, analyze, and disseminate data and information and conduct evaluation to inform, prioritize, deliver, and monitor programs and population health.
*Domain 2: Policy and Environment--environmental approaches the promote health and support and reinforce healthful behaviors (statewide in schools and childcare, worksites, and communities).
*Domain 3: Health Systems--Health system interventions to improve the effective delivery and use of clinical and other preventive services in order to prevent disease, detect diseases early, and reduce or eliminate risk factors and manage complications.
*Domain 4: Community Clinical Linkages--Strategies to improve community-clinical linkages ensuring that communities support and clinics refer patients to programs that improve management of chronic conditions.
The primary program strategies include:
*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 in worksites
*Improving awareness of prediabetes and hypertension for Utahns
*Improving the quality of medical care for people with diabetes and hypertension
*Improving the linkages between health care providers and supporting community programs for Utahns with diabetes and hypertension
*Improving access and availability to community health programs for Utahns with diabetes, hypertension, and obesity
*Improving care and management of students with chronic conditions in Utah schools
Healthy People Objective: Reduce the proportion of adults with high total blood cholesterol levelsU.S. Target: 13.5 percent
Date Indicator Content Last Updated: 11/13/2018
- by Year, Utah and U.S., 1991-2017
- by Age and Sex, Utah, 2017
- by Education Level, Utah Adults 25+, 2017
- by Income Level, Utah, 2017
- by Ethnicity, Utah, 2017
- by Race, Utah, 2015 and 2017
- by Local Health District, Utah, 2017
- by Utah Small Area, 2015 and 2017