MMWR Morb Mortal Wkly Rep. 2000 Aug 25;49(33):750-5.
High blood cholesterol (HBC) increases the risk for heart disease, the leading cause of death in the United States. To reduce the prevalence of HBC in the United States, the National Heart, Lung, and Blood Institute initiated the National Cholesterol Education Program in 1985 and recommended that all adults aged > or =20 years have their cholesterol levels checked at least once every 5 years. One of the national health objectives for 2000 was to increase to 75% the proportion of adults aged > or =20 years screened for HBC during the preceding 5 years (objective 15.14). This objective was revised for 2010 to recommend that 80% of adults in this age group be screened during the preceding 5 years. To monitor progress during the 1990s and to determine whether the 2000 objective was attained, data from CDC's Behavioral Risk Factor Surveillance System (BRFSS) were used to examine the state-specific trends in cholesterol screening from 1991 through 1999. This report summarizes the results of this analysis and provides a projected estimate of the 2010 screening rates for HBC in each state. The findings indicate that few states attained the 2000 objective and that more emphasis on cholesterol screening will be needed to attain the 2010 objective.
高血胆固醇（HBC）会增加患心脏病的风险，而心脏病是美国的主要死因。为降低美国HBC的患病率，国家心肺血液研究所于1985年启动了国家胆固醇教育计划，并建议所有年龄大于或等于20岁的成年人每5年至少检查一次胆固醇水平。2000年的一项国家卫生目标是将在前5年接受HBC筛查的年龄大于或等于20岁的成年人比例提高到75%（目标15.14）。该目标在2010年进行了修订，建议该年龄组80%的成年人在前5年接受筛查。为监测20世纪90年代的进展情况并确定是否实现了2000年的目标，利用疾病控制和预防中心行为危险因素监测系统（BRFSS）的数据来研究1991年至1999年各州胆固醇筛查的特定趋势。本报告总结了该分析结果，并对每个州2010年HBC的筛查率进行了预测估计。研究结果表明，很少有州实现2000年的目标，要实现2010年的目标需要更加重视胆固醇筛查。
