Evidence map›Paper›PMID 23872588›Full record

ArticleHeart (British Cardiac Society)2013

Multiple cardiovascular risk factors in Kenya: evidence from a health and demographic surveillance system using the WHO STEPwise approach to chronic disease risk factor surveillance.

Gerald S Bloomfield, Ann Mwangi, Patrick Chege, Chrispinus J Simiyu, Daniel F Aswa, David Odhiambo, Andrew A Obala, Paul Ayuo, Barasa O Khwa-Otsyula

Abstract read
In one paragraph

Article in Heart (British Cardiac Society), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Observational
  8. Article
  9. Article
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  12. Mapping the Current and Future Noncommunicable Disease Burden in Kenya by Human Immunodeficiency Virus Status: A Modeling Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
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  16. Patient costs of diabetes mellitus care in public health care facilities in Kenya.The International journal of health planning and management · 2020
    Article
  17. Article
  18. Patient costs of hypertension care in public health care facilities in Kenya.The International journal of health planning and management · 2019
    Article
  19. Pattern of stroke in a rural Kenyan hospital.Malawi medical journal : the journal of Medical Association of Malawi · 2019
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Gerald S BloomfieldDivision of Cardiology, Duke Clinical Research Institute, Duke University, Durham, North Carolina, USA. gerald.bloomfield@duke.edu
Ann Mwangi
Patrick Chege
Chrispinus J Simiyu
Daniel F Aswa
David Odhiambo
Andrew A Obala
Paul Ayuo
Barasa O Khwa-Otsyula

Funding

Risk Factors for Atherosclerosis among Patients with Heart Failure in KenyaK01TW008407 · FIC · DUKE UNIVERSITY · PI BLOOMFIELD, GERALD SAMUEL · 2011 to 2014
$490k
FIC NIH HHS 5K01TW008407FIC NIH HHS K01 TW008407
6 · The paper itself

Abstract

objectiveTo describe the distribution of cardiovascular risk factors in western Kenya using a Health and Demographic Surveillance System (HDSS).

designPopulation based survey of residents in an HDSS.

settingWebuye Division in Bungoma East District, Western Province of Kenya. PATIENTS: 4037 adults ≥ 18 years of age.

interventionsHome based survey using the WHO STEPwise approach to chronic disease risk factor surveillance.

main outcome measuresSelf-report of high blood pressure, high blood sugar, tobacco use, alcohol use, physical activity, and fruit/vegetable intake.

resultsThe median age of the population was 35 years (IQR 26-50). Less than 6% of the population reported high blood pressure or blood sugar. Tobacco and alcohol use were reported in 7% and 16% of the population, respectively. The majority of the population (93%) was physically active. The average number of days per week that participants reported intake of fruits (3.1 ± 0.1) or vegetables (1.6 ± 0.1) was low. In multiple logistic regression analyses, women were more likely to report a history of high blood pressure (OR 2.72, 95% CI 1.9 to 3.9), less likely to report using tobacco (OR 0.08, 95% CI 0.06 to 0.11), less likely to report alcohol use (OR 0.18, 95% CI 0.15 to 0.21) or eat ≥ 5 servings per day of fruits or vegetables (OR 0.87, 95% CI 0.76 to 0.99) compared to men.

conclusionsThe most common cardiovascular risk factors in peri-urban western Kenya are tobacco use, alcohol use, and inadequate intake of fruits and vegetables. Our data reveal locally relevant subgroup differences that could inform future prevention efforts.

Indexed as

AdolescentAdultAgedAlcohol DrinkingCardiovascular DiseasesChronic DiseaseCross-Sectional StudiesDietFemaleHealth BehaviorHumansKenyaLogistic ModelsMaleMiddle AgedPopulation Surveillance

Identifiers

PMID23872588
PMCPMC3898037

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.