Evidence map›Paper›PMID 26150556›Full record

ArticleInternational journal of epidemiology2015

Association of hypertension and hyperglycaemia with socioeconomic contexts in resource-poor settings: the Bangladesh Demographic and Health Survey.

Eric Harshfield, Rajiv Chowdhury, Meera N Harhay, Henry Bergquist, Michael O Harhay

Abstract read
In one paragraph

Article in International journal of epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Eric HarshfieldCardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Rajiv ChowdhuryCardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Meera N HarhayDivision of Nephrology, Department of Medicine, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA, Department of Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Henry BergquistLeonard Davis Institute of Health Economics, and Wharton School of Business, University of Pennsylvania, Philadelphia, PA, USA.
Michael O HarhayDepartment of Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA, Leonard Davis Institute of Health Economics, and mharhay@upenn.edu.

Funding

Comparative Efficacy, Acceptance and Effectiveness of Health Incentive StructuresR01CA159932 · NCI · UNIVERSITY OF PENNSYLVANIA · PI HALPERN, SCOTT D · 2010 to 2014
$3.0M
Patterns and Implications of Functional Decline Among Kidney Transplant CandidatesK23DK105207 · NIDDK · DREXEL UNIVERSITY · PI HARHAY, MEERA NAIR · 2015 to 2019
$861k
Rehospitalization after Renal Transplant: Patterns, Predictors, & ImplicationsF32DK096758 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI HARHAY, MEERA NAIR · 2013 to 2013
$73k
Methods to improve the detection of treatment effects in ARDS clinical trialsF31HL127947 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI HARHAY, MICHAEL OSCAR · 2015 to 2016
$71k
British Heart Foundation RG/08/014/24067Medical Research Council MR/L003120/1NCI NIH HHS R01CA159932NHLBI NIH HHS F31 HL127947NIDDK NIH HHS F32 DK096758NIDDK NIH HHS F32DK096758-01NIDDK NIH HHS K23 DK105207
6 · The paper itself

Abstract

backgroundCardiovascular diseases and risk factors are disproportionally concentrated among the socioeconomically disadvantaged in high-income countries; however, this relationship is not well-understood or documented in resource-limited countries.

methodsWe analysed data from the 2011 Bangladesh Demographic and Health Survey to estimate age-, sex- and location-adjusted differences in blood pressure and blood glucose outcomes by categories of a standardized wealth index and education levels. Body mass index (BMI) was examined as a secondary outcome and also assessed as a potential confounder.

resultsThere was strong evidence that the prevalence of hypertension was higher among Bangladeshi women than among men (33.6% vs 19.6%, P < 0.001), whereas the overall prevalence of hyperglycaemia was 7.1% with no evidence of sex differences. The likelihood of having hypertension was more than double for individuals in the highest vs lowest wealth quintile [odds ratio (OR) for men: 2.82, 95% confidence interval (CI): 2.32-3.44; OR for women: 2.25, 95% CI: 1.90-2.67], and for individuals with the highest level of education attained vs those with no education (OR for men: 2.55, 95% CI: 2.06-3.16; OR for women: 1.42, 95% CI: 0.99-2.03). Likewise, the likelihood of having hyperglycaemia was more than four times higher in the wealthiest compared with the poorest individuals (OR for men: 6.48, 95% CI: 5.11-8.22; OR for women: 4.77, 95% CI: 3.72-6.12), and in individuals with the highest level of education attained vs those with no education (OR for men: 4.68, 95% CI: 3.56-6.15; OR for women: 5.02, 95% CI: 3.30-7.64). There were no appreciable differences in these trends when stratified by geographical location. BMI did not attenuate these associations and exhibited similarly positive associations with education and wealth.

conclusionsIncreasing levels of wealth and educational attainment were associated with an increased likelihood of having hypertension and hyperglycaemia in Bangladesh.

Indexed as

Blood PressureBody Mass IndexAdultBangladeshBlood GlucoseFemaleHealth SurveysHumansHyperglycemiaHypertensionLogistic ModelsMaleMiddle AgedOdds RatioRisk FactorsRural PopulationBlood GlucoseCardiovascular diseasedemographic health surveyshyperglycaemiahypertensionsocioeconomic

Identifiers

PMID26150556
PMCPMC4707193

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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.