Evidence map›Paper›PMID 32847913›Full record

ArticleBMJ open2020

Gravidity, parity, blood pressure and mortality among women in Bangladesh from the HEALS cohort.

Yu-Hsuan Shih, Molly Scannell Bryan, Faruque Parvez, Keriann Hunter Uesugi, Mohammed Shahriar, Alauddin Ahmed, Tariqul Islam, Habibul Ahsan, Maria Argos

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

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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

9 authors at 4 institutions in 3 countries.

Yu-Hsuan ShihDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA.ORCID 0000-0002-9823-3771
Molly Scannell BryanInstitute for Minority Health Research, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.
Faruque ParvezDepartment of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, New York, USA.
Keriann Hunter UesugiDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA.
Mohammed ShahriarUChicago Research Bangladesh, Dhaka, Bangladesh.
Alauddin AhmedUChicago Research Bangladesh, Dhaka, Bangladesh.
Tariqul IslamUChicago Research Bangladesh, Dhaka, Bangladesh.
Habibul AhsanDepartment of Public Health Sciences, University of Chicago, Chicago, Illinois, USA.
Maria ArgosDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA argos@uic.edu.
University of Illinois Chicago · USUniversity of Chicago Research Bangladesh · BDChicago Department of Public Health · USColumbia University · US

Funding

Training CoreP42ES010349 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NAVAS-ACIEN, ANA · 2000 to 2020
$53.6M
True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
Molecular and clinical endocrine impacts of arsenic exposure in childrenR01ES024423 · NIEHS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI ARGOS, MARIA · 2014 to 2018
$1.7M
NIEHS NIH HHS P30 ES009089NIEHS NIH HHS P42 ES010349NIEHS NIH HHS R01 ES024423
6 · The paper itself

Abstract

objectivesDespite a hypothesised connection of reproductive history with hypertension and mortality, the nature of this association is poorly characterised. We evaluated the association of parity and gravidity with blood pressure, hypertension and all-cause mortality.

designProspective cohort study.

settingHealth Effects of Arsenic Longitudinal Study cohort in rural Bangladesh.

participantsThere were 21 634 Bangladeshi women recruited in 2000-2002, 2006-2008 and 2010-2014 included in the present analysis.

methodsReproductive history was ascertained through an interviewer-administered questionnaire at the baseline visit. Blood pressure was measured by a trained study physician following a standard protocol at the baseline visit. Vital status was ascertained at the biennial follow-up of study participants through June 2017. Linear and logistic regression models estimated the relationship between parity and gravidity with blood pressure and hypertension, respectively. Cox proportional hazards models estimated the relationship with all-cause mortality only among women aged >45 years.

resultsDiastolic blood pressure was lowest in women with parity one (reference) and elevated in nulliparous women (adjusted % change=3.12; 95% CI 1.93 to 4.33) and women with parity

conclusionsFor women in rural Bangladesh, nulliparity and nulligravidity appear to be associated with higher blood pressure and subsequent elevated risk of mortality.

Indexed as

GravidityBangladeshBlood PressureCohort StudiesFemaleHumansLongitudinal StudiesMiddle AgedParityPregnancyProportional Hazards ModelsProspective StudiesRisk Factorsepidemiologyhypertensionpublic health

Identifiers

PMID32847913
PMCPMC7451482
OpenAlexW3080668785

What OpenQuestion holds

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LicenceCC BY-NC
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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.