Evidence map›Paper›PMID 32699107›Full record

ArticleBMJ open diabetes research & care2020

Interaction between sex and rurality on the prevalence of diabetes in Guyana: a nationally representative study.

Calvin Ke, Shamdeo Persaud, Kavita Singh, Brian Ostrow, Gerald Lebovic, Cesar Hincapié, Julia Lowe

Open access · goldAbstract read
In one paragraph

Article in BMJ open diabetes research & care, 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
0.7field-weighted citation impact, top 23% 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, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Development and Validation of a New Diabetes Risk Score in Guyana.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    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 3 institutions in 4 countries.

Calvin KeDivision of Enodcrinology and Metabolism, Department of Medicine, University of Toronto, Toronto, Ontario, Canada calvin.ke@mail.utoronto.ca.ORCID 0000-0002-9944-4976
Shamdeo PersaudChief Medical Officer, Ministry of Public Health, Georgetown, Guyana.ORCID 0000-0002-0908-7689
Kavita SinghChronic Diseases Unit, Ministry of Public Health, Georgetown, Guyana.ORCID 0000-0002-5317-9230
Brian OstrowDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-4957-2769
Gerald LebovicApplied Health Research Centre, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-3540-3339
Cesar HincapiéApplied Health Research Centre, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-7257-8122
Julia LoweDivision of Enodcrinology and Metabolism, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-7162-6057
University of Toronto · CAUniversity of Guyana · GYUniversity of Zurich · CH

Funding

CIHR
6 · The paper itself

Abstract

introductionDiabetes prevalence has never been measured in Guyana. We conducted a nationally representative cross-sectional study to estimate the prevalence of diabetes and pre-diabetes, and the association between sex and diabetes. RESEARCH DESIGN AND

methodsIn 2016, the Ministry of Public Health led Guyana's first national STEPS survey among adults aged 18-69 years. Half of the participants were randomly selected for hemoglobin A

resultsWe included 805 adults (511 women, 294 men, mean age 41.8 (SD 14.4) years). The national prevalence of diabetes was 18.1% (95% CI: 15.4% to 20.8%), with higher rates among women (21.4%, 95% CI: 18.0% to 24.7%) than men (15.1%, 95% CI: 10.9% to 19.3%). Sex-specific diabetes prevalence varied significantly across urban and rural areas (p=0.002 for interaction). In rural areas, diabetes was twice as common among women (24.1%, 95% CI: 20.1% to 28.2%) compared with men (11.8%, 95% CI: 7.7% to 15.9%). After adjusting for prespecified covariates, rural women had double the odds of diabetes compared with rural men (OR 2.1, 95% CI: 1.20 to 3.82). This prevalence pattern was reversed in urban areas (diabetes prevalence, women: 13.9%, 95% CI: 8.7% to 19.0%; men: 22.0%, 95% CI: 12.9% to 31.1%), with urban women having half the odds of diabetes compared with urban men (OR 0.4, 95% CI: 0.20 to 0.99). We estimated that nearly one-third of women and over a quarter of men had diabetes or pre-diabetes.

conclusionsThe burden of diabetes in Guyana is considerably higher than previously estimated, with an unexpectedly high prevalence among women-particularly in rural areas.

Indexed as

Diabetes MellitusAdultCross-Sectional StudiesFemaleGuyanaHumansMalePrevalenceRural Populationadult diabetesepidemiologygender differencesrural

Identifiers

PMID32699107
PMCPMC7380853
OpenAlexW3044811506

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.