Evidence map›Paper›PMID 29554692›Full record

ArticleAnnals of internal medicine2018

Trends in Racial/Ethnic and Nativity Disparities in Cardiovascular Health Among Adults Without Prevalent Cardiovascular Disease in the United States, 1988 to 2014.

Arleen F Brown, Li-Jung Liang, Stefanie D Vassar, Jose J Escarce, Sharon Stein Merkin, Eric Cheng, Adam Richards, Teresa Seeman, W T Longstreth

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PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 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

78 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  11. Racial and ethnic differences in plasma biomarker eligibility for a preclinical Alzheimer's disease trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
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  13. Identifying dietary consumption patterns from survey data: a Bayesian nonparametric latent class model.Journal of the Royal Statistical Society. Series A, (Statistics in Society) · 2024
    Article
  14. Review
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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Arleen F BrownUniversity of California, Los Angeles, Los Angeles, California; Olive View-UCLA Medical Center (A.F.B.).
Li-Jung LiangUniversity of California, Los Angeles, Los Angeles, California (L.L., S.D.V., J.J.E., S.S.M., E.C., A.R., T.S.).
Stefanie D VassarUniversity of California, Los Angeles, Los Angeles, California (L.L., S.D.V., J.J.E., S.S.M., E.C., A.R., T.S.).
Jose J EscarceUniversity of California, Los Angeles, Los Angeles, California (L.L., S.D.V., J.J.E., S.S.M., E.C., A.R., T.S.).
Sharon Stein MerkinUniversity of California, Los Angeles, Los Angeles, California (L.L., S.D.V., J.J.E., S.S.M., E.C., A.R., T.S.).
Eric ChengUniversity of California, Los Angeles, Los Angeles, California (L.L., S.D.V., J.J.E., S.S.M., E.C., A.R., T.S.).
Adam RichardsUniversity of California, Los Angeles, Los Angeles, California (L.L., S.D.V., J.J.E., S.S.M., E.C., A.R., T.S.).
Teresa SeemanUniversity of California, Los Angeles, Los Angeles, California (L.L., S.D.V., J.J.E., S.S.M., E.C., A.R., T.S.).
W T LongstrethUniversity of Washington, Seattle, Washington (W.L.).

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
Secondary Stroke prevention by Uniting Community and Chronic care model teams Early to End Disparities: the SUCCEED TrialU54NS081764 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VICKREY, BARBARA G · 2012 to 2016
$11.3M
NCATS NIH HHS UL1 TR001881NINDS NIH HHS U54 NS081764
6 · The paper itself

Abstract

Background: Trends in cardiovascular disparities are poorly understood, even as diversity increases in the United States. Objective: To examine U.S. trends in racial/ethnic and nativity disparities in cardiovascular health. Design: Repeated cross-sectional study. Setting: NHANES (National Health and Nutrition Examination Survey), 1988 to 2014. Participants: Adults aged 25 years or older who did not report cardiovascular disease. Measurements: Racial/ethnic, nativity, and period differences in Life's Simple 7 (LS7) health factors and behaviors (blood pressure, cholesterol, hemoglobin A1c, body mass index, physical activity, diet, and smoking) and optimal composite scores for cardiovascular health (LS7 score ≥10). Results: Rates of optimal cardiovascular health remain below 40% among whites, 25% among Mexican Americans, and 15% among African Americans. Disparities in optimal cardiovascular health between whites and African Americans persisted but decreased over time. In 1988 to 1994, the percentage of African Americans with optimal LS7 scores was 22.8 percentage points (95% CI, 19.3 to 26.4 percentage points) lower than that of whites in persons aged 25 to 44 years and 8.0 percentage points (CI, 6.4 to 9.7 percentage points) lower in those aged 65 years or older. By 2011 to 2014, differences decreased to 10.6 percentage points (CI, 7.4 to 13.9 percentage points) and 3.8 percentage points (CI, 2.5 to 5.0 percentage points), respectively. Disparities in optimal LS7 scores between whites and Mexican Americans were smaller but also decreased. These decreases were due to reductions in optimal cardiovascular health among whites over all age groups and periods: Between 1988 to 1994 and 2011 to 2014, the percentage of whites with optimal cardiovascular health decreased 15.3 percentage points (CI, 11.1 to 19.4 percentage points) for those aged 25 to 44 years and 4.6 percentage points (CI, 2.7 to 6.5 percentage points) for those aged 65 years or older. Limitation: Only whites, African Americans, and Mexican Americans were studied. Conclusion: Cardiovascular health has declined in the United States, racial/ethnic and nativity disparities persist, and decreased disparities seem to be due to worsening cardiovascular health among whites rather than gains among African Americans and Mexican Americans. Multifaceted interventions are needed to address declining population health and persistent health disparities. Primary Funding Source: National Institute of Neurological Disorders and Stroke and National Center for Advancing Translational Sciences of the National Institutes of Health.

Indexed as

Health Status DisparitiesAdultAgedBiomarkersBlack or African AmericanCardiovascular DiseasesCross-Sectional StudiesFemaleHumansMaleMexican AmericansMiddle AgedNutrition SurveysPrevalenceUnited StatesWhite PeopleBiomarkers

Identifiers

PMID29554692
PMCPMC6499476

What OpenQuestion holds

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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.