Evidence map›Paper›PMID 28190691›Full record

ArticleAmerican journal of preventive medicine2017

Lack of Lipid Screening Disparities in Obese Latino Adults at Health Centers.

John D Heintzman, Steffani R Bailey, John Muench, Marie Killerby, Stuart Cowburn, Miguel Marino

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

22 citing papers in PubMed, 24 citations in OpenAlex.

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  16. Oral corticosteroid use, obesity, and ethnicity in children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
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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

6 authors at 2 institutions in 1 country.

John D HeintzmanDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon. Electronic address: heintzma@ohsu.edu.
Steffani R BaileyDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
John MuenchDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Marie KillerbyDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Stuart CowburnOCHIN, Inc., Portland, Oregon.
Miguel MarinoDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Oregon Health & Science University · USOchin · US

Funding

Meaningful Use and Treatment of Smoking in Federally-Qualified Health CentersK23DA037453 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI BAILEY, STEFFANI R · 2015 to 2019
$841k
The Primary Care Medical Home and Preventive Service Use in Latino ImmigrantsK08HS021522 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN · 2013 to 2016
$590k
AHRQ HHS K08 HS021522NIDA NIH HHS K23 DA037453NIMHD NIH HHS L60 MD008882
6 · The paper itself

Abstract

introductionIn cross-sectional survey studies, obese Latinos are less likely to be screened for elevated serum cholesterol, despite their higher risk for hyperlipidemia and coronary artery disease. This study evaluated insurance and racial/ethnic disparities in lipid screening receipt between obese Latino and non-Hispanic white patients in Oregon community health centers (CHCs) over 5 years, using electronic health record data.

methodsThis retrospective cohort study evaluated obese (BMI ≥30), low-income, adult patients (aged 21-79 years) with at least one visit at an Oregon CHC during 2009-2013 (n=11,095). Odds of lipid screening in the study period (clinical data collected in 2009-2013) were measured, adjusting for age, sex, primary clinic, and comorbidities, stratified by utilization in the study period. Analysis was done in 2016.

resultsSixty percent of the study population received at least one lipid screening in 2009-2013. There were no significant differences in screening between insured Latinos and insured non-Hispanic whites, except those with more than five visits over 5 years (OR=0.75, 95% CI=0.60, 0.94). Uninsured Latinos had higher odds of screening versus insured non-Hispanic whites among the low visit strata (OR=1.65, 95% CI=1.18, 2.30). Among Latinos, Spanish preference resulted in higher screening odds versus English preference in the two- to five-visit stratum (OR=1.63, 95% CI=1.12, 2.35).

conclusionsObese, low-income patients at CHCs underutilize cholesterol screening. However, screening differences by race/ethnicity and preferred language are minimal. Further research is necessary to understand how care delivered by CHCs may mitigate previously reported disparities in lipid screening.

Indexed as

ObesityAdultCholesterolCommunity Health CentersEthnicityFemaleHealthcare DisparitiesHispanic or LatinoHumansMaleMass ScreeningOregonPovertyRetrospective StudiesWhite PeopleCholesterol

Identifiers

PMID28190691
PMCPMC5438764
OpenAlexW2587271483

What OpenQuestion holds

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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.