Evidence map›Paper›PMID 27430560›Full record

ArticleBMC public health2016

Prevalence and determinants of hypertension in Myanmar - a nationwide cross-sectional study.

Marius B Bjertness, Aung Soe Htet, Haakon E Meyer, Maung Maung Than Htike, Ko Ko Zaw, Win Myint Oo, Tint Swe Latt, Lhamo Y Sherpa, Espen Bjertness

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06819839 (Impact of a Community Health Worker Care Model to Reduce Cardiovascular Disease Risk Among Conflict-affected Populations in Eastern Myanmar), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.9field-weighted citation impact, top 8% 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.

NCT06819839 nacompletednot on this mapstarted 2024, after this paper: background citation

Impact of a Community Health Worker Care Model to Reduce Cardiovascular Disease Risk Among Conflict-affected Populations in Eastern Myanmar: a Cluster Randomized Controlled Trial (cRCT)

TypeinterventionalSponsorCommunity Partners InternationalRan2024 to 2025Enrolled213ConditionsCardiovascular Diseases, Hypertension, DiabetesArmsVillage Health Worker (VHW) Care Model
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
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  7. Obesity and hypertension from a public health perspective in a small remote island of Okinawa, Japan.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
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  8. Review
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  15. Prevalence and Risk Factors for Hypertension among Myanmar Migrant Workers in Thailand.International journal of environmental research and public health · 2022
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  20. Review
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 at 6 institutions in 2 countries.

Marius B BjertnessSection for Preventive Medicine and Epidemiology, Department of Community Medicine, University of Oslo, Oslo, Norway. m.b.bjertness@studmed.uio.no.
Aung Soe HtetSection for Preventive Medicine and Epidemiology, Department of Community Medicine, University of Oslo, Oslo, Norway.
Haakon E MeyerSection for Preventive Medicine and Epidemiology, Department of Community Medicine, University of Oslo, Oslo, Norway.
Maung Maung Than HtikeInternational Health Department, Ministry of Health, Nay Pyi Taw, Myanmar.
Ko Ko ZawDepartment of Medical Research, Ministry of Health, Nay Pyi Taw, Myanmar.
Win Myint OoDepartment of Preventive and Social Medicine, University of Medicine 1, Yangon, Myanmar.
Tint Swe LattUniversity of Medicine 2, Yangon, Myanmar.
Lhamo Y SherpaSection for Preventive Medicine and Epidemiology, Department of Community Medicine, University of Oslo, Oslo, Norway.
Espen BjertnessSection for Preventive Medicine and Epidemiology, Department of Community Medicine, University of Oslo, Oslo, Norway.
University of Oslo · NOMinistry of Health and Sports · MMMinistry of Health · MMNorwegian Institute of Public Health · NOUniversity Of Medicine 1 Yangon · MMUniversity of Medicine 2 Yangon · MM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-communicable diseases (NCDs), malaria and tuberculosis dominate the disease pattern in Myanmar. Due to urbanization, westernized lifestyle and economic development, it is likely that NCDs such as cerebrovascular disease and ischemic heart disease are on a rise. The leading behavioral- and metabolic NCDs risk factors are tobacco smoke, dietary risks and alcohol use, and high blood pressure and body mass index, respectively. The study aimed at estimating the prevalence and determinants of hypertension, including metabolic-, behavioral- and socio-demographic risk factors.

methodsA nationwide, cross-sectional study of 7429 citizens of Myanmar aged 15-64 years were examined in 2009, using the WHO STEPS methodology. In separate analyses by gender, odds radios (ORs) and 95 % confidence intervals (CIs) for determinants of hypertension were estimated using logistic regression analyses. Confounders included in analyses were chosen based on Directed acyclic graphs (DAGs).

resultsThe prevalence of hypertension was 30.1 % (95 % CI: 28.4-31.8) in males and 29.8 % (28.5-31.1) in females. The mean BMI was 21.7 (SD 4.3) kg/m(2) for males and 23.0 (5.1) kg/m(2) for females. In fully adjusted analyses, we found in both genders increased OR for hypertension if the participants had high BMI (males: OR = 2.6; 95 % CI 2.1-3.3, females: OR = 2.3; 2.0-2.7) and high waist circumference (males: OR = 3.4; 1.8-6.8, females: OR = 2.7; 2.2-3.3). In both sexes, associations were also found between hypertension and low physical activity at work, or living in urban areas or the delta region. Being underweight and use of sesame oil in cooking was associated with lower odds for hypertension.

conclusionsThe prevalence of hypertension was high and associated with metabolic-, behavioral- and socio-demographic factors. Due to expected rapid economic growth in Myanmar we recommend similar studies in the future to follow up and describe trends in the risk factors, especially modifiable factors, which will most likely be on rise. Studies on effectiveness on interventions are needed, and policies to reduce the burden of NCD risk factors should be implemented if proven effective in similar settings.

Indexed as

AdolescentAdultAlcohol DrinkingBody Mass IndexCross-Sectional StudiesFemaleHumansHypertensionMaleMiddle AgedMyanmarObesityPrevalenceRisk FactorsSmokingWaist CircumferenceAlcoholBody-mass indexHypertensionMyanmarNationwideNCD risk factorsSmokingWaist circumference

Identifiers

PMID27430560
PMCPMC4950687
OpenAlexW2498409302

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.