Lipid screening in a rural West Virginia clinic.

West Virginia leads the nation in mortality from coronary heart disease among both men and women aged 35 to 74. Although there has been some research with respect to behavioral risk factors, little is known about the prevalence of high serum cholesterol among West Virginia residents. The present paper begins this examination by reporting the results of a medical chart audit conducted recently in a rural medicine clinic in Matewan, West Virginia. Results revealed that only 17 per cent of the 501 charts reviewed reported serum cholesterol. Significant differences were noted between the local sample and a national comparison for two groups. The implications of these findings are discussed.