Evidence map›Paper›PMID 27419033›Full record

ArticlePreventive medicine reports2016

Associations between noncommunicable disease risk factors, race, education, and health insurance status among women of reproductive age in Brazil - 2011.

Jonetta Johnson Mpofu, Lenildo de Moura, Sherry L Farr, Deborah Carvalho Malta, Betine Moehlecke Iser, Regina Tomie Ivata Bernal, Cheryl L Robbins, Felipe Lobelo

Abstract read
In one paragraph

Article in Preventive medicine reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Bayesian spatial modeling of COVID-19 case-fatality rate inequalities.Spatial and spatio-temporal epidemiology · 2022
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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

8 authors.

Jonetta Johnson MpofuDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS-F-74, Atlanta, GA 30341, United States; U.S. Public Health Service Commissioned Corps, 1101 Wooten Parkway, Rockville, MD 20852, United States.
Lenildo de MouraPan-Americana Health Organization, Brasilia, Distrito Federal, Brazil.
Sherry L FarrDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS-F-74, Atlanta, GA 30341, United States.
Deborah Carvalho MaltaMinistry of Health of Brazil, Section 2, Lots 05/06, Premium Building, Block F, Tower 1, Brasilia, DF, Brazil.
Betine Moehlecke IserMinistry of Health of Brazil, Section 2, Lots 05/06, Premium Building, Block F, Tower 1, Brasilia, DF, Brazil.
Regina Tomie Ivata BernalMinistry of Health of Brazil, Section 2, Lots 05/06, Premium Building, Block F, Tower 1, Brasilia, DF, Brazil.
Cheryl L RobbinsDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS-F-74, Atlanta, GA 30341, United States.
Felipe LobeloHubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, Mailstop 1518-002-7BB, Atlanta, GA 30322, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNoncommunicable disease (NCD) risk factors increase the risk of adverse reproductive health outcomes and are becoming increasingly common in Brazil.

methodsWe analyzed VIGITEL 2011 telephone survey data for 13,745 Brazilian women aged 18-44 years in a probabilistic sample from 26 Brazilian state capitals and the Federal District. We examined associations between NCD risk factors (fruit and vegetable intake, leisure time physical activity, alcohol consumption, smoking status, BMI and hypertension status) and race, education, and insurance using chi-square tests and multivariable logistic regression models, estimating the average marginal effects to produce adjusted relative risk ratios (aRRs). Analyses were conducted using SAS 9.3 survey procedures and weighted to reflect population estimates.

resultsWomen with less than a college education were more likely to report physical inactivity (adjusted relative risk (aRR) and 95% confidence interval = 1.1 (1.1-1.2)), smoking (aRR = 1.7 (1.3-2.2)), and self-reported diagnoses of hypertension (aRR = 2.0 (1.6-2.5)) compared to women with a college education or greater. Similarly, women without health insurance were more likely to report physical inactivity (aRR = 1.1 (1.1-1.2)), smoking (aRR = 1.4 (1.1-1.8)), and self-reported diagnoses of hypertension aRR = 1.4 (1.1-1.7)) compared to women with health insurance. Less variation was found by race and NCD risk factors.

conclusionTargeted public health strategies and policies are needed to increase healthcare access and decrease educational and racial disparities in NCD risk factors among women of reproductive age in Brazil.

Indexed as

Chronic diseaseEducationHealthInsuranceReproductive healthRisk factorsWomen

Identifiers

PMID27419033
PMCPMC4929178

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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.