Evidence map›Paper›PMID 25517351›Full record

ArticleJournal of women's health (2002)2015

Outcomes of cardiovascular disease risk factor screening and referrals in a family planning clinic.

Cheryl L Robbins, Thomas C Keyserling, Stephanie Jilcott Pitts, John Morrow, Merry-K Moos, Larry F Johnston, Sherry L Farr

Open access · greenAbstract read
In one paragraph

Article in Journal of women's health (2002), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 81% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Proactive Referral to Behavioral Smoking Cessation Programs by Healthcare Staff: A Systematic Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Pooled it
  2. Article
  3. 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

7 authors at 2 institutions in 1 country.

Cheryl L Robbins1 Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion , Centers for Disease Control and Prevention (CDC), Atlanta, Georgia .
Thomas C Keyserling
Stephanie Jilcott Pitts
John Morrow
Merry-K Moos
Larry F Johnston
Sherry L Farr
University of North Carolina at Chapel Hill · USEast Carolina University · US

Funding

UNC CENTER FOR HEALTH PROMOTION AND DISEASE PREVENTIONU48DP001944 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI AMMERMAN, ALICE S · 2009 to 2013
$15.1M
UNC Center for Diabetes Translation Research to Reduce Health DisparitiesP30DK093002 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVIS, RICHARD M · 2011 to 2015
$3.0M
Intramural CDC HHS CC999999NCCDPHP CDC HHS 5U48DP001944NIDDK NIH HHS P30 DK093002
6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) screening in Title X settings can identify low-income women at risk of future chronic disease. This study examines follow-up related to newly identified CVD risk factors in a Title X setting.

methodsFemale patients at a North Carolina Title X clinic were screened for CVD risk factors (n=462) and 167/462 (36.1%) were rescreened one year later. Clinical staff made protocol-driven referrals for women identified with newly diagnosed CVD risk factors. We used paired t-tests and chi square tests to compare screening and rescreening results (two-tailed, p<0.05).

resultsAmong 11 women in need of referrals for newly diagnosed hypertension or diabetes, 9 out of 11 (81.8%) were referred, and 2 of 11 (18.2%) completed referrals. Among hypertensive women who were rescreened (n=21), systolic blood pressure decreased (139 to 132 mmHg, p=0.001) and diastolic blood pressure decreased (90 to 83 mmHg, p=0.006). Hemoglobin A1c did not improve among rescreened diabetic women (n=5, p=0.640). Among women who reported smoking at enrollment, 129 of 148 (87.2%) received cessation counseling and 8 of 148 (5.4%) accepted tobacco quitline referrals. Among smokers, 53 out of 148 (35.8%) were rescreened and 11 of 53 (20.8%) reported nonsmoking at that time. Among 188 women identified as obese at enrollment, 22 (11.7%) scheduled nutrition appointments, but only one attended. Mean weight increased from 221 to 225 pounds (p 0<.05) among 70 out of 188 (37.2%) obese women who were rescreened.

conclusionsThe majority of women in need of referrals for CVD risk factors received them. Few women completed referrals. Future research should examine barriers and facilitators of referral care among low-income women.

Indexed as

AdolescentAdultBlood PressureCardiovascular DiseasesDiabetes MellitusFamily Planning ServicesFemaleFollow-Up StudiesHumansHypertensionMass ScreeningNorth CarolinaObesityPovertyPrevalenceReferral and Consultation

Identifiers

PMID25517351
PMCPMC4331243
OpenAlexW2169720890

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.