Evidence map›Paper›PMID 33323436›Full record

ArticleBMJ open2020

Ideal cardiovascular health in urban Jamaica: prevalence estimates and relationship to community property value, household assets and educational attainment: a cross-sectional study.

Joette A McKenzie, Novie O Younger, Marshall Kerr Tulloch-Reid, Ishtar Govia, Nadia R Bennett, Shelly McFarlane, Renee Walters, Damian K Francis, Karen Webster-Kerr, Andriene Grant and 4 more

Abstract 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 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
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. CKD Prevalence and Associated Factors in Jamaica.Kidney international reports · 2025
    Article
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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

14 authors.

Joette A McKenzieEpidemiology Research Unit, Caribbean Institute for Health Research, University of the West Indies, Kingston, Jamaica.
Novie O YoungerEpidemiology Research Unit, Caribbean Institute for Health Research, University of the West Indies, Kingston, Jamaica.
Marshall Kerr Tulloch-ReidEpidemiology Research Unit, Caribbean Institute for Health Research, University of the West Indies, Kingston, Jamaica.
Ishtar GoviaEpidemiology Research Unit, Caribbean Institute for Health Research, University of the West Indies, Kingston, Jamaica.
Nadia R BennettEpidemiology Research Unit, Caribbean Institute for Health Research, University of the West Indies, Kingston, Jamaica.
Shelly McFarlaneTropical Metabolism Research Unit, Caribbean Institute for Health Research, University of the West Indies at Mona, Kingston, Saint Andrew, Jamaica.
Renee WaltersEpidemiology Research Unit, Caribbean Institute for Health Research, University of the West Indies, Kingston, Jamaica.
Damian K FrancisSchool of Health and Human Performance, Georgia College and State University, Milledgeville, Georgia, USA.
Karen Webster-KerrOffice of the Prinicpal Medical Officer, National Epidemiology Unit and Non-Communicable Diseases and Injuries Prevention Unit, Ministry of Health and Wellness, Kingston, Jamaica.
Andriene GrantOffice of the Prinicpal Medical Officer, National Epidemiology Unit and Non-Communicable Diseases and Injuries Prevention Unit, Ministry of Health and Wellness, Kingston, Jamaica.
Tamu DavidsonOffice of the Prinicpal Medical Officer, National Epidemiology Unit and Non-Communicable Diseases and Injuries Prevention Unit, Ministry of Health and Wellness, Kingston, Jamaica.
Rainford WilksEpidemiology Research Unit, Caribbean Institute for Health Research, University of the West Indies, Kingston, Jamaica.
David R WilliamsDepartment of Social and Behavioral Sciences, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Trevor S FergusonEpidemiology Research Unit, Caribbean Institute for Health Research, University of the West Indies, Kingston, Jamaica trevor.ferguson02@uwimona.edu.jm.ORCID 0000-0002-2393-1452

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIdeal cardiovascular health (ICH) is associated with greater longevity and reduced morbidity, but no research on ICH has been conducted in Jamaica. We aimed to estimate the prevalence of ICH in urban Jamaica and to evaluate associations between ICH and community, household, and individual socioeconomic status (SES).

designCross-sectional study.

settingUrban communities in Jamaica.

participants360 men and 665 women who were urban residents aged ≥20 years from a national survey, the Jamaica Health and Lifestyle Survey 2016-2017. EXPOSURES: Community SES, using median land values (MLV); household SES, using number of household assets; and individual SES, using education level. PRIMARY OUTCOME: The main outcome variable was ICH, defined as having five or more of seven ICH characteristics (ICH-5): current non-smoking, healthy diet, moderate physical activity, normal body mass index, normal blood pressure, normal glucose and normal cholesterol. Prevalence was estimated using weighted survey design and logistic regression models were used to evaluate associations.

resultsThe prevalence of overall ICH (seven characteristics) was 0.51%, while the prevalence of ICH-5 was 22.9% (male 24.5%, female 21.5%, p=0.447). In sex-specific multivariable models adjusted for age, education, and household assets, men in the lower tertiles of community MLV had lower odds of ICH-5 compared with men in the upper tertile (lowest tertile: OR 0.33, 95% CI 0.12 to 0.91, p=0.032; middle tertile: OR 0.46, 95% CI 0.20 to 1.04, p=0.062). Women from communities in the lower and middle tertiles of MLV also had lower odds of ICH-5, but the association was not statistically significant. Educational attainment was inversely associated with ICH-5 among men and positively associated among women.

conclusionLiving in poorer communities was associated with lower odds of ICH-5 among men in Jamaica. The association between education level and ICH-5 differed in men and women.

Indexed as

Cardiovascular DiseasesCardiovascular SystemCross-Sectional StudiesEducational StatusFemaleHumansJamaicaMaleMiddle AgedPrevalenceRisk FactorsSocial Classeducationhousehold assetsideal cardiovascular healthJamaicaneighbourhoodsocioeconomic statusurban health

Identifiers

PMID33323436
PMCPMC7745314

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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.