Evidence map›Paper›PMID 29727376›Full record

ArticleThe Journal of cardiovascular nursing

Cardiovascular Disease Risk Among Older Immigrants in the United States: A Comparison of Risk Measures.

Tina R Sadarangani, Deborah Chyun, Chau Trinh-Shevrin, Gary Yu, Christine Kovner

Abstract readComparative Study
In one paragraph

Article in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Tina R SadaranganiTina R. Sadarangani, PhD Assistant Professor/Faculty Fellow, New York University Rory Meyers College of Nursing, New York. Deborah Chyun, PhD Dean and Professor, University of Connecticut School of Nursing, Storrs. Chau Trinh-Shevrin, DrPh Associate Professor, Department of Population Health, New York University School of Medicine, New York. Gary Yu, PhD Associate Research Scientist and Assistant Professor/Faculty Fellow, New York University Rory Meyers College of Nursing, New York. Christine Kovner, PhD Mathy Mezey Professor of Geriatric Nursing, New York University Rory Meyers College of Nursing, New York.
Deborah Chyun
Chau Trinh-Shevrin
Gary Yu
Christine Kovner

Funding

Research Training and Education CoreP60MD000538 · NIMHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TRINH-SHEVRIN, CHAU · 2003 to 2017
$21.2M
Scaling Community-Clinical Linkage Models to Address Diabetes and Hypertension Disparities in the Southeastern U.S.U54MD000538 · NIMHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI KWON, SIMONA, TRINH-SHEVRIN, CHAU · 2017 to 2022
$11.3M
NYU-CUNY Prevention Research CenterU48DP006396 · DP · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HUANG, TERRY T-K, THORPE, LORNA · 2018 to 2023
$9.1M
New York University, City University of New York Health Promotion & Prevention ReU48DP005008 · DP · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI THORPE, LORNA, TRINH-SHEVRIN, CHAU · 2014 to 2018
$6.9M
NYU HEALTH PROMOTION AND PREVENTION RESEARCH CENTERU48DP001904 · DP · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TRINH, CHAU · 2009 to 2013
$4.7M
NCCDPHP CDC HHS U48 DP001904NCCDPHP CDC HHS U48 DP005008NCCDPHP CDC HHS U48 DP006396NIMHD NIH HHS P60 MD000538NIMHD NIH HHS U54 MD000538
6 · The paper itself

Abstract

backgroundIn the United States, 16 million immigrants are 50 years and older, but little is known about their cardiometabolic health and how to best assess their cardiovascular disease (CVD) risk. Aging immigrants may therefore not be benefitting from advances in CVD prevention.

objectiveIn this study, we estimate and compare CVD risk in a nationally representative sample of aging immigrants using 3 different measures.

methodsThis was a cross-sectional analysis using National Health and Nutrition Examination Survey data. Immigrants 50 years and older with no history of CVD were eligible. The Framingham Risk Score (FRS), the American College of Cardiology/American Heart Association Pooled Cohort Risk Equation, and presence of metabolic syndrome (MetS) were used to estimate risk. Bivariate statistics were analyzed using SPSS version 23.0 Complex Survey module to account for National Health and Nutrition Examination Survey unique weighting scheme.

resultsThe mean age of the sample was 61.3 years; 40% had hypertension, 17% had diabetes, 10% were smokers, and 95% did not meet the recommended physical activity guidelines. Proportions at an elevated CVD risk were as follows: American College of Cardiology/American Heart Association, 42% female and 76% male; FRS, 17.4% female and 76% male; and MetS, 22% female and 24% male.

conclusionsImmigrants had a lower overall risk using MetS and the American College of Cardiology/American Heart Association equation than has been found using these tools in similarly aged samples. The opposite was true for the FRS. The discrepancy between the proportion at risk and those being treated may reflect healthcare access gaps that warrant further investigation. A more holistic approach to risk measurement is needed that accounts for determinants of health that disproportionately affect immigrants, including language and socioeconomic status.

Indexed as

Emigrants and ImmigrantsAgedCardiovascular DiseasesCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk AssessmentRisk FactorsUnited States

Identifiers

PMID29727376
PMCPMC6813816

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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.