Evidence map›Paper›PMID 29077762›Full record

ArticlePloS one2017

Awareness, treatment, and control of dyslipidemia in rural South Africa: The HAALSI (Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa) study.

Sheridan Reiger, Thiago Veiga Jardim, Shafika Abrahams-Gessel, Nigel J Crowther, Alisha Wade, F Xavier Gomez-Olive, Joshua Salomon, Stephen Tollman, Thomas A Gaziano

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Association Between Renal Dysfunction and Lipid Ratios in Rural Black South Africans.International journal of environmental research and public health · 2025
    Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Knowledge and perspectives of community members on risk assessment for stroke prevention using mobile health approaches in Nigeria.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Clozapine use at a specialised psychiatric hospital in Johannesburg.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Global epidemiology of dyslipidaemias.Nature reviews. Cardiology · 2021
    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 4 institutions in 2 countries.

Sheridan ReigerDepartment of Cardiovascular Medicine, Brigham & Women's Hospital, Boston, MA, United States of America.ORCID http://orcid.org/0000-0001-5154-7602
Thiago Veiga JardimDepartment of Cardiovascular Medicine, Brigham & Women's Hospital, Boston, MA, United States of America.ORCID http://orcid.org/0000-0002-7750-2792
Shafika Abrahams-GesselCenter for Health Decision Science, Harvard T.H. Chan School of Public Health, Boston, MA, United States of America.
Nigel J CrowtherNational Health Laboratory Service and Department of Chemical Pathology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Alisha WadeMedical Research Council / University of the Witwatersrand Rural Public Health and Health Transitions Research Unit, School of Public Health, Faculty of Health Sciences, Johannesburg, South Africa.
F Xavier Gomez-OliveMedical Research Council / University of the Witwatersrand Rural Public Health and Health Transitions Research Unit, School of Public Health, Faculty of Health Sciences, Johannesburg, South Africa.ORCID http://orcid.org/0000-0002-4876-0848
Joshua SalomonDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, United States of America.
Stephen TollmanMedical Research Council / University of the Witwatersrand Rural Public Health and Health Transitions Research Unit, School of Public Health, Faculty of Health Sciences, Johannesburg, South Africa.ORCID http://orcid.org/0000-0003-0744-7588
Thomas A GazianoDepartment of Cardiovascular Medicine, Brigham & Women's Hospital, Boston, MA, United States of America.
Brigham and Women's Hospital · USUniversity of the Witwatersrand · ZAHarvard Global Health Institute · USNational Health Laboratory Service · ZA

Funding

SOCIAL AND ECONOMIC PREDICTORS OF PHYSICAL AND COGNITIVE FUNCTIONP01AG041710 · NIA · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Michele Michele Ramsay · 2013 to 2026
$37.3M
Endocrine and metabolic diseases in rural South Africa-establishing burden and improving detectionK43TW010698 · FIC · WITS HEALTH CONSORTIUM (PTY), LTD · PI WADE, ALISHA NICOLE · 2017 to 2021
$581k
FIC NIH HHS K43 TW010698NIA NIH HHS P01 AG041710Wellcome Trust
6 · The paper itself

Abstract

Dyslipidemia is a primary driver for chronic cardiovascular conditions and there is no comprehensive literature about its management in South Africa. The objective of this study was to assess the prevalence, awareness, treatment, and control of dyslipidemia in rural South Africa and how they are impacted by different behaviors and non-modifiable factors. To fulfill this objective we recruited for this cohort study adults aged ≥40 years residing in the Agincourt sub-district of Mpumalanga Province. Data collection included socioeconomic and clinical data, anthropometric measures, blood pressure (BP), HIV-status, point-of-care glucose and lipid levels. Framingham CVD Risk Score was ascribed to patients based upon categories for 10 year cardiovascular risk of low (<3%), moderate (≥3% and <15%), high (≥15% and <30%), and very high (≥30%).LDL cholesterol control by risk category was defined according to South African Guidelines. Multivariable logistic regression models were built to identify factors that were significantly associated with dyslipidemia and awareness of dyslipidemia From 5,059 respondents a total of 4247 subjects (83.9%) had their cholesterol levels measured and were included in our analysis. Overall, 67.3% (2860) of these met criteria for dyslipidemia, only 30 (1.05%) were aware of their condition, and only 21 subjects (0.73%) were on treatment. The majority have abnormalities in triglycerides (59.3%). As cardiovascular risk increased the rates of lipid control according to LDL level dropped. Multivariate logistic regression analyses showed that being overweight was predictive of dyslipidemia (OR 1.76; 95%CI 1.51-2.05, p<0.001) and dyslipidemia awareness (OR 2.58; 95%CI 1.19-5.58; p = 0.017). In conclusion, the very low awareness and treatment of dyslipidemia in this cohort indicate a greater need for systematic screening and education within the population and demonstrate that there are multiple opportunities to allay this burden.

Indexed as

AwarenessRural Health ServicesRural PopulationAgedAnimalsDyslipidemiasHumansInfantLongitudinal StudiesMiceMiddle AgedSouth Africa

Identifiers

PMID29077762
PMCPMC5659770
OpenAlexW2765206406

What OpenQuestion holds

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LicenceCC BY
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.