Kern Leah, Eichberger Lisa, Wang Helen, Lin Tuo, Rhee Kyung E
University of California, San Diego, CA, USA.
Clin Pediatr (Phila). 2020 May;59(4-5):439-444. doi: 10.1177/0009922820903043. Epub 2020 Jan 31.
Nationally recommended universal lipid screening (ULS) in children aged 9 to 11 years is low. Little is known about parents' understanding of screening. We conducted a survey exploring parental knowledge and attitudes regarding ULS. Of 91 parent respondents, 81.3% were female, 69.2% were non-Hispanic white, 90.1% had a college/graduate degree, and 63.7% had a family history of abnormal cholesterol. Overall, 45.5% agreed that ULS should be done for all children, 30.8% disagreed, and 23.1% were unsure. Parents' support for ULS was significantly associated with their attitudes toward screening rather than their knowledge about cholesterol, family history of cardiovascular disease or abnormal cholesterol, age, race/ethnicity, or gender. Parents were less likely to agree that ULS should be done if they thought that cholesterol screening should be done based on a child's health or family history rather than for all children ( < .001), or if they thought that cholesterol screening was unnecessary ( < .001).
全国范围内推荐的针对9至11岁儿童的普遍血脂筛查（ULS）比例较低。对于家长对筛查的理解知之甚少。我们开展了一项调查，以探究家长对普遍血脂筛查的知识和态度。在91位家长受访者中，81.3%为女性，69.2%为非西班牙裔白人，90.1%拥有大学/研究生学位，63.7%有胆固醇异常家族史。总体而言，45.5%的家长同意应为所有儿童进行普遍血脂筛查，30.8%不同意，23.1%不确定。家长对普遍血脂筛查的支持与其对筛查的态度显著相关，而非与其对胆固醇的了解、心血管疾病家族史或胆固醇异常家族史、年龄、种族/族裔或性别相关。如果家长认为应根据孩子的健康状况或家族史而非对所有儿童进行胆固醇筛查（<.001），或者如果他们认为胆固醇筛查不必要（<.001），那么他们不太可能同意进行普遍血脂筛查。
