Evidence map›Paper›PMID 31999178›Full record

ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2020

Barriers to cardiovascular disease preventive behaviors among OEF/OIF/OND women and men veterans.

Casey E Cavanagh, Lindsey Rosman, Philip W Chui, Lori Bastian, Cynthia Brandt, Sally Haskell, Matthew M Burg

Open access · hybridAbstract read
In one paragraph

Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Post-9/11 veterans' heart disease knowledge, self-perceived risk, and prevention beliefs and behaviors.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
    Article
  10. 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

7 authors at 4 institutions in 1 country.

Casey E CavanaghDepartment of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine.ORCID 0000-0003-2464-5041
Lindsey RosmanDepartment of Medicine-Cardiology, University of North Carolina at Chapel Hill.
Philip W ChuiSection of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine.
Lori BastianVA Connecticut Healthcare System.
Cynthia BrandtVA Connecticut Healthcare System.
Sally HaskellVA Connecticut Healthcare System.
Matthew M BurgVA Connecticut Healthcare System.
VA Connecticut Healthcare System · USUniversity of North Carolina at Chapel Hill · USUniversity of Virginia · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Stress, Sleep, and Arterial StiffnessR01HL126770 · NHLBI · YALE UNIVERSITY · PI BURG, MATTHEW M · 2016 to 2019
$3.3M
PTSD, Sleep, and Risk for Incident HypertensionR01HL125587 · NHLBI · YALE UNIVERSITY · PI BURG, MATTHEW M · 2015 to 2018
$3.2M
Gender Differences in Physical Activity Among Patients with Implantable Cardioverter Defibrillators (ICDs)K23HL141644 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROSMAN, LINDSEY · 2019 to 2023
$910k
Women Veterans Cohort Study 2I01HX000915 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI BRANDT, CYNTHIA A., HASKELL, SALLY · 2014 to 2019
–
HSRD VA I01 HX000915NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K23 HL141644NHLBI NIH HHS R01 HL125587NHLBI NIH HHS R01 HL126770
6 · The paper itself

Abstract

objectiveOEF/OIF/OND Veterans have an elevated risk for developing cardiovascular disease (CVD), but research suggests that engagement in CVD preventive behaviors is low even among at-risk individuals. It is critical to understand barriers to prevention engagement among Veterans to inform the development of tailored interventions addressing barriers and reducing CVD incidence.

methodThe Women Veterans Cohort Study survey of OEF/OIF/OND Veterans (586 women and 555 men) assessed patient, interpersonal, and systems level barriers to CVD risk prevention. Prevalence of barriers was determined, and chi-squares were conducted to examine sex differences. Multivariate logistic regressions were conducted to determine if sex differences remained when adjusting for demographic factors (age, marital status, education, employment status).

resultsDespite a low response rate (11.5%), endorsement of barriers was high for both women and men, with most (56.8%) not perceiving themselves to be at CVD risk. More men preferred making no lifestyle change (40.9% vs. 29.1%). More women endorsed lack of confidence (42.4% vs. 36.1%), stress (36.9% vs. 27.8%) and depression (36.9% vs. 27.8%), and inadequate social support (26% vs. 20.9%), along with the belief that their clinician does not perceive them as at risk (57.8% vs. 32%) and has not explained CVD preventive behaviors (19% vs. 12.3%). Multivariate analyses reduced statistical significance of sex differences.

conclusionsGiven the low response rate, testing of efforts-for example, implementation science methods-to assess CVD risk reduction barriers in this population are needed, a task for which the Veterans Health Administration is well suited. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Indexed as

AdultCardiovascular DiseasesCohort StudiesFemaleHumansIraq War, 2003-2011MalePrevalenceUnited StatesVeterans

Identifiers

PMID31999178
PMCPMC7078021
OpenAlexW3004405458

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.