Evidence map›Paper›PMID 29678978›Full record

ArticleBMJ open2018

Community-based diagnosis of non-communicable diseases and their risk factors in rural and urban Haiti: a cross-sectional prevalence study.

Vincent DeGennaro Jr, Stuart Malcolm, Lindsay Crompton, Krishna Vaddiparti, Lazarus K Mramba, Catherine Striley, Linda Cottler, Kellee Taylor, Robert Leverence

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.3field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 23 citations in OpenAlex.

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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

9 authors at 6 institutions in 3 countries.

Vincent DeGennaro JrDepartment of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Stuart MalcolmMedicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Lindsay CromptonLondon School of Hygiene and Tropical Medicine, London, London, UK.
Krishna VaddipartiCollege of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA.
Lazarus K MrambaDepartment of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Catherine StrileyCollege of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA.
Linda CottlerCollege of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA.
Kellee TaylorDepartment of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Robert LeverenceDepartment of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
University of Florida Health · USFlorida College · USEmory University · USInnovating Health International · HTLondon School of Hygiene & Tropical Medicine · GBUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the prevalence of hypertension, diabetes and chronic kidney disease and their risk factors in a rural and urban region of Haiti. SETTING AND

participantsCommunity health workers enumerated 2648 households (909 rural and 1739 urban) via a multistage cluster random sampling method from July 2015 to May 2016, completed 705 rural and 1419 urban assessments for adults aged 25-65 years. OUTCOME MEASURES: We performed a WHO STEPS based questionnaire, measured two blood pressure values, weight, height, abdominal circumference and point of care test finger stick blood sample for haemoglobin A1c, creatinine and cholesterol (total, high density lipoprotein (HDL) and triglycerides).

resultsAfter adjusting for age and sex, the overall prevalence rates of hypertension, diabetes and chronic kidney disease were 15.6% (±2.93%), 19.7% (±1.57%) and 12.3% (±2.72%), respectively. Of the three non-communicable diseases (NCDs), only diabetes showed a significant difference between rural and urban sites (p=0.000), with the rural site (23.1%) having a higher prevalence than the urban site (16.4%). When comparing male and female participants, females were significantly more likely than males to have an NCD (p≤0.011). Females had a higher prevalence of most of the risk factors when compared with males. The urban location had a higher prevalence than the rural location for four risk factors that showed a significant difference between location (p≤0.037).

conclusionsWomen in Haiti had significantly higher prevalence rates of most NCDs and risk factors than men, and urban populations frequently, but not always, had higher rates of NCDs risk factors than the rural population. Further, it was shown that using point of care blood tests combined with community health workers, it is feasible to screen for NCDs and risk factors in remote areas which otherwise have limited access to healthcare.

Indexed as

AdultAgedCross-Sectional StudiesDiabetes MellitusFemaleHaitiHumansHypertensionMaleMiddle AgedNoncommunicable DiseasesPrevalenceRenal Insufficiency, ChronicRisk FactorsRural PopulationUrban Populationchronic diseasechronic renal failuregeneral diabeteshaitihypertensionnon-communicable diseases

Identifiers

PMID29678978
PMCPMC5914767
OpenAlexW2799349031

What OpenQuestion holds

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LicenceCC BY-NC
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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.