School of Postgraduate Studies, IMU University, Kuala Lumpur, Malaysia.
Department of Public Health & Community Medicine, School of Medicine, IMU University, Kuala Lumpur, Malaysia.
PLoS One. 2024 Jul 30;19(7):e0306428. doi: 10.1371/journal.pone.0306428. eCollection 2024.
Various factors have been described in the literature to explain the tendency of an individual to undergo medical screenings. This study aimed to assess the association between the level of knowledge about dyslipidaemia and the frequency of lipid testing, as well as the potential impact of predisposing, enabling, and need factors on the uptake of blood lipid screening. This study was a cross-sectional survey involving 314 participants who were Malaysian residents of Taman Selatan, Klang, aged 30 and above. The study utilized a 42-item paper-based bilingual questionnaire to evaluate the predisposing, enabling, and need factors that could potentially influence the practice of lipid testing. Out of the 314 residents approached, 271 responded to the questionnaire yielding a response rate of 86.31%. The median knowledge score was 5 out of 17. Lower monthly income (OR = 3.225, 95% CI = 0.255 to 2.141), higher number of comorbidities (OR = 2.724, 95% CI = 0.037 to 2.013), higher total knowledge score (OR = 1.334, 95% CI = 0.063 to 0.512) and respondent's belief and attitude (OR = 0.813, 95% CI = -2.033 to -0.539), were found to be significantly associated with the frequency of lipid testing. In conclusion, the knowledge level regarding dyslipidaemia was below average and associated with a lower tendency to undergo frequent lipid testing. There is a need for innovative health awareness such as active educational campaigns in various settings of the community. Further qualitative studies that explore the understanding of the publics', and antecedents of their, lipid screening behaviour are required. Appropriate communication by healthcare providers should be encouraged during patient consultations for higher impact.
各种因素在文献中被描述为解释个体进行医学筛查的倾向。本研究旨在评估血脂异常知识水平与血脂检测频率之间的关联，以及倾向因素、促成因素和需要因素对血液脂质筛查的影响。这是一项横断面调查研究，涉及马来西亚雪兰莪州南部 314 名年龄在 30 岁及以上的居民。该研究采用了 42 项基于纸张的双语问卷，评估可能影响血脂检测实践的倾向因素、促成因素和需要因素。在被接触的 314 名居民中，有 271 名对问卷做出了回应，回应率为 86.31%。知识评分中位数为 17 分中的 5 分。较低的月收入（OR=3.225，95%CI=0.255-2.141）、较高的共病数量（OR=2.724，95%CI=0.037-2.013）、较高的总知识评分（OR=1.334，95%CI=0.063-0.512）和受访者的信念和态度（OR=0.813，95%CI=-2.033-0.539）与血脂检测频率呈显著相关。综上所述，血脂异常的知识水平低于平均水平，与进行频繁血脂检测的倾向较低有关。需要在社区的各种环境中开展创新性的健康宣传活动。需要进一步进行定性研究，以探索公众对血脂筛查行为的理解及其前因。在医患沟通中，应鼓励医疗服务提供者进行适当的沟通，以产生更大的影响。
