High cholesterol rates in Duplin County are influenced by several interconnected factors. Many residents face limited access to healthy, affordable food options, particularly in rural and low-income areas. Diets high in saturated fats and processed foods, combined with low levels of physical activity, contribute significantly to elevated cholesterol levels.

Access to regular preventive care and screenings is also limited due to transportation barriers, provider shortages, and lack of insurance among some populations. Cultural food traditions and low health literacy may reduce awareness of cholesterol risks and the importance of ongoing management.

Without targeted education, lifestyle interventions, and improved access to care, cholesterol rates are likely to remain high, increasing the risk for heart disease and stroke.