Evidence map›Paper›PMID 30834719›Full record

ArticleJournal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing2019

Cardiovascular Risk in Middle-Aged and Older Immigrants: Exploring Residency Period and Health Insurance Coverage.

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

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

Article in Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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 at 3 institutions in 1 country.

Tina R SadaranganiUpsilon, Assistant Professor/Faculty Fellow, New York University Rory Meyers College of Nursing, New York, NY, USA.
Chau Trinh-ShevrinAssociate Professor, Department of Population Health, New York University School of Medicine, New York, NY, USA.
Deborah ChyunUpsilon, Dean and Professor, University of Connecticut School of Nursing, Storrs, CT, USA.
Gary YuAssociate Research Scientist, New York University Rory Meyers College of Nursing, New York, NY, USA.
Christine KovnerUpsilon, Mathy Mezey Professor of Geriatric Nursing, New York University Rory Meyers College of Nursing, New York, NY, USA.
New York University · USMedgar Evers College · USUniversity of Connecticut · US

Funding

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
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
NCCDPHP CDC HHS U48 DP005008NIMHD NIH HHS U54 MD000538
6 · The paper itself

Abstract

purposeIt is reported that while immigrants are, initially, healthier than the native-born upon resettlement, this advantage erodes over time. In the United States, uninsured aging immigrants are increasingly experiencing severe complications of cardiovascular disease (CVD). The purpose of this study was to compare overall CVD risk and explore the importance of health insurance coverage on CVD risk relative to other health access barriers, from 2007 to 2012, in recent and long-term immigrants >50 years of age.

methodsThis study was based on secondary cross-sectional analysis of the National Health and Nutrition Examination Survey (N = 1,920). The primary outcome, CVD risk category (high or low), was determined using the American College of Cardiology and American Heart Association Pooled Cohort equation. Differences between immigrant groups were examined using independent-samples t tests and chi-square analysis. The association between insurance and CVD risk was explored using a hierarchical block logistic regression model, in which variables were entered in a predetermined order. Changes in pseudo R

resultsRecent immigrants had lower overall CVD risk than long-term immigrants but were twice as likely to be uninsured and had higher serum glucose and lipid levels. Based on regression models, being uninsured contributed to CVD risk beyond other health access determinants, and CVD risk was pronounced among recent immigrants who were uninsured.

conclusionsHealth insurance coverage plays an essential part in a comprehensive approach to mitigating CVD risk for aging immigrants, particularly recent immigrants whose cardiovascular health is susceptible to deterioration. CLINICAL RELEVANCE: Nurses are tasked with recognizing the unique social and physical vulnerabilities of aging immigrants and accounting for these in care plans. In addition to helping them access healthcare coverage and affordable medication, nurses and clinicians should prioritize low-cost lifestyle interventions that reduce CVD risk, especially diet and exercise programs.

Indexed as

Emigrants and ImmigrantsAdultAgedBlood GlucoseCardiovascular DiseasesCross-Sectional StudiesFemaleHealth StatusHumansInsurance CoverageInsurance, HealthLife StyleLipidsLogistic ModelsMaleMiddle AgedBlood GlucoseLipidsCardiovascular diseasegeriatricshealth accessImmigrants

Identifiers

PMID30834719
PMCPMC6488369
OpenAlexW2919306375

What OpenQuestion holds

Textmetadata
LicenceTDM
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.