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The State of Aging and Health in America Report
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Centers for Disease Control and Prevention
Healthy Aging Program
4770 Buford Highway, N.E., Mailstop K-45
Atlanta, GA 30341-3717

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   Healthy Aging - Cholesterol Checked in Past 5 Years

Indicator 14: Cholesterol Checked in Past 5 Years

  • High serum cholesterol is a major risk factor for coronary heart disease, a leading cause of illness and death among older adults. Periodic cholesterol screening is an essential component of preventive health care. Fasting cholesterol levels should be measured every five years for all adults.(1)
  • Among the major U.S. racial and ethnic groups, Hispanics were the least likely and non-Hispanic blacks the most likely to have had their cholesterol measured within the past five years in 2003.(2)
  • Cholesterol screening within the past five years rose with education levels among older adults in 2003.
  • Call to action:


  • Graph
 

State-by-State Report Card (2003)
Cholesterol Checked in Past 5 Years (%)

Does not include territories
Location Data C.I.* Rank Grade
United States 90.4 n/a n/a n/a
Alabama 88.4 (85.6 - 90.6) 42 Lower Third (lowest performing 33%)
Alaska 90.3 (85.6 - 93.5) 27 Middle Third (middle 33%)
Arizona 92.2 (89.0 - 94.6) 10 Upper Third (top performing 33%)
Arkansas 88.6 (86.1 - 90.7) 40 Lower Third (lowest performing 33%)
California 94.6 (92.6 - 96.1) 2 Upper Third (top performing 33%)
Colorado 90.3 (86.7 - 93.0) 27 Middle Third (middle 33%)
Connecticut 92.7 (90.4 - 94.4) 7 Upper Third (top performing 33%)
Delaware 95.0 (92.6 - 96.7) 1 Upper Third (top performing 33%)
District of Columbia 94.0 (90.7 - 96.3) 3 Upper Third (top performing 33%)
Florida 90.6 (87.9 - 92.7) 22 Middle Third (middle 33%)
Georgia 91.2 (89.0 - 93.0) 16 Middle Third (middle 33%)
Hawaii§ 89.0 (85.9 - 91.5) 34 Lower Third (lowest performing 33%)
Idaho 88.0 (85.7 - 90.0) 45 Lower Third (lowest performing 33%)
Illinois 88.2 (85.8 - 90.3) 43 Lower Third (lowest performing 33%)
Indiana 91.4 (89.5 - 93.1) 15 Middle Third (middle 33%)
Iowa 90.5 (88.5 - 92.2) 24 Middle Third (middle 33%)
Kansas 88.9 (86.5 - 90.9) 36 Lower Third (lowest performing 33%)
Kentucky 87.2 (84.7 - 89.3) 49 Lower Third (lowest performing 33%)
Louisiana 86.6 (84.0 - 88.9) 51 Lower Third (lowest performing 33%)
Maine 90.0 (86.5 - 92.6) 29 Middle Third (middle 33%)
Maryland 92.7 (90.1 - 94.7) 7 Upper Third (top performing 33%)
Massachusetts 93.3 (91.4 - 94.8) 4 Upper Third (top performing 33%)
Michigan 89.9 (87.1 - 92.1) 30 Middle Third (middle 33%)
Minnesota 90.4 (88.0 - 92.5) 26 Middle Third (middle 33%)
Mississippi 88.9 (86.5 - 90.8) 36 Lower Third (lowest performing 33%)
Missouri 88.5 (85.8 - 90.7) 41 Lower Third (lowest performing 33%)
Montana 87.6 (84.4 - 90.2) 46 Lower Third (lowest performing 33%)
Nebraska 87.5 (85.4 - 89.4) 47 Lower Third (lowest performing 33%)
Nevada 89.6 (85.6 - 92.6) 31 Middle Third (middle 33%)
New Hampshire 91.6 (89.2 - 93.5) 12 Middle Third (middle 33%)
New Jersey 91.2 (89.7 - 92.6) 16 Middle Third (middle 33%)
New Mexico 86.9 (84.6 - 88.9) 50 Lower Third (lowest performing 33%)
New York 90.5 (88.1 - 92.5) 24 Middle Third (middle 33%)
North Carolina 91.5 (89.6 - 93.1) 14 Middle Third (middle 33%)
North Dakota 91.1 (88.6 - 93.1) 19 Middle Third (middle 33%)
Ohio 91.0 (88.3 - 93.1) 20 Middle Third (middle 33%)
Oklahoma 88.8 (87.1 - 90.3) 39 Lower Third (lowest performing 33%)
Oregon 88.9 (86.4 - 91.0) 36 Lower Third (lowest performing 33%)
Pennsylvania 93.1 (91.2 - 94.6) 5 Upper Third (top performing 33%)
Rhode Island 92.5 (89.4 - 94.7) 9 Upper Third (top performing 33%)
South Carolina 93.1 (91.3 - 94.6) 5 Upper Third (top performing 33%)
South Dakota 89.4 (87.4 - 91.1) 32 Middle Third (middle 33%)
Tennessee 91.6 (88.3 - 94.0) 12 Middle Third (middle 33%)
Texas 88.2 (85.8 - 90.3) 43 Lower Third (lowest performing 33%)
Utah 87.4 (83.8 - 90.3) 48 Lower Third (lowest performing 33%)
Vermont 90.7 (88.4 - 92.5) 21 Middle Third (middle 33%)
Virginia 90.6 (88.0 - 92.6) 22 Middle Third (middle 33%)
Washington 91.2 (90.0 - 92.2) 16 Middle Third (middle 33%)
West Virginia 92.1 (89.8 - 94.0) 11 Middle Third (middle 33%)
Wisconsin 89.0 (86.1 - 91.4) 34 Lower Third (lowest performing 33%)
Wyoming 89.1 (86.3 - 91.3) 33 Lower Third (lowest performing 33%)
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Make comparisons
Healthy People 2010 Targets
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  Upper Third (top performing 33%) = Upper Third (top performing 33%)
  Middle Third (middle 33%) = Middle Third (middle 33%)
  Lower Third (lowest performing 33%) = Lower Third (lowest performing 33%)
     
  * A confidence interval (CI) describes the level of uncertainty of an estimate and specifies the range in which the true value is likely to fall. The State of Aging and Health in America online report uses a 95% level of significance, which means that 95% of the time, the true value falls within these boundaries.
     
  Rankings are based on the relative numeric scores for each indicator, with a ranking of "1" indicating the highest rank.
     
  Grades are calculated as tertiles (thirds) and show state performance relative to all other states.
     
  § 2003 data are used for Hawaii because no 2004 data exist.
     
    Note: When comparing prevalence of variables across states or years, we recommend the use of confidence intervals. If the confidence intervals overlap, the difference is not statistically significant.
     

  References:
1. National Institutes of Health. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Executive Summary. 2001. Available at http://www.nhlbi.nih.gov/guidelines/cholesterol/atp3xsum.pdf (accessed May 23, 2006).

2. Centers for Disease Control and Prevention. Trends in cholesterol screening and awareness of high blood cholesterol—United States, 1991–2003. Morbidity and Mortality Weekly Report 2005;54(35):865 –870.
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