Evidence map›Paper›PMID 32552022›Full record

ArticleAmerican journal of public health2020

Inequalities and Deteriorations in Cardiovascular Health in Premenopausal US Women, 1990-2016.

Adrienne O'Neil, Kelly Thompson, Josephine D Russell, Robyn Norton

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  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

4 authors.

Adrienne O'NeilAdrienne O'Neil and Josephine D. Russell are with Heart and Mind Research, iMPACT Institute, School of Medicine, Deakin University, Geelong, Victoria, Australia. Adrienne O'Neil is also with Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria. Kelly Thompson and Robyn Norton are with Global Women's Health, The George Institute for Global Health, University of New South Wales, Newtown, New South Wales, Australia. Robyn Norton is also with University of Oxford, Oxford, United Kingdom.
Kelly ThompsonAdrienne O'Neil and Josephine D. Russell are with Heart and Mind Research, iMPACT Institute, School of Medicine, Deakin University, Geelong, Victoria, Australia. Adrienne O'Neil is also with Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria. Kelly Thompson and Robyn Norton are with Global Women's Health, The George Institute for Global Health, University of New South Wales, Newtown, New South Wales, Australia. Robyn Norton is also with University of Oxford, Oxford, United Kingdom.
Josephine D RussellAdrienne O'Neil and Josephine D. Russell are with Heart and Mind Research, iMPACT Institute, School of Medicine, Deakin University, Geelong, Victoria, Australia. Adrienne O'Neil is also with Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria. Kelly Thompson and Robyn Norton are with Global Women's Health, The George Institute for Global Health, University of New South Wales, Newtown, New South Wales, Australia. Robyn Norton is also with University of Oxford, Oxford, United Kingdom.
Robyn NortonAdrienne O'Neil and Josephine D. Russell are with Heart and Mind Research, iMPACT Institute, School of Medicine, Deakin University, Geelong, Victoria, Australia. Adrienne O'Neil is also with Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria. Kelly Thompson and Robyn Norton are with Global Women's Health, The George Institute for Global Health, University of New South Wales, Newtown, New South Wales, Australia. Robyn Norton is also with University of Oxford, Oxford, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary heart disease (CHD) mortality rates in the United States have declined by up to two thirds in recent decades. Closer examination of these trends reveals substantial inequities in the distribution of mortality benefits. It is worrying that the uneven distribution of CHD that exists from lowest to highest social class-the social gradient-has become more pronounced in the United States since 1990 and is most pronounced for women.Here we consider ways in which this trend disproportionately affects premenopausal women aged 35 to 54 years. We apply a social determinants of health framework focusing on intersecting axes of inequalities-notably gender, class, ethnicity, geographical location, access to wealth, and class-among other power relations to which young and middle-aged women are especially vulnerable, and we argue that increasing inequalities may be driving these unprecedented deteriorations. We conclude by discussing interventions and policies to target and alleviate inequality axes that have potential to promote greater equity in the distribution of CHD mortality and morbidity gains.The application of this framework in the context of women's cardiovascular health can help shed light regarding why we are seeing persistently poorer outcomes for premenopausal US women.

Indexed as

Coronary DiseaseHealth Status DisparitiesPremenopauseWomen's HealthAdultEthnicityFemaleHumansMiddle AgedRisk FactorsSocioeconomic FactorsUnited States

Identifiers

PMID32552022
PMCPMC7349459

What OpenQuestion holds

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Registered trials

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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.