Evidence map›Paper›PMID 33644897›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2022

Profile of informal rural Appalachian caregivers of patients with chronic illnesses.

Jennifer L Smith, Misook L Chung, Jennifer L Miller, Martha Biddle, Donna L Schuman, Mary Kay Rayens, Terry A Lennie, Brittany Smalls, Muna Hammash, Gia Mudd-Martin and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. The relationship of health activation with risk of future cardiovascular disease among rural family caregivers of patients with chronic illnesses.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024
    Article
  4. Reimagining A Caregiver-friendly Society.Journal of Appalachian health · 2023
    Article
  5. Dementia Family Caregiving in Rural Appalachia: A Sociocultural Model of Care Decisions and Service Use.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    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

11 authors at 2 institutions in 2 countries.

Jennifer L SmithCollege of Nursing, University of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0002-2133-4822
Misook L ChungCollege of Nursing, University of Kentucky, Lexington, Kentucky, USA.
Jennifer L MillerCollege of Nursing, University of Kentucky, Lexington, Kentucky, USA.
Martha BiddleCollege of Nursing, University of Kentucky, Lexington, Kentucky, USA.
Donna L SchumanCollege of Social Work, University of Kentucky, Lexington, Kentucky, USA.
Mary Kay RayensCollege of Nursing, University of Kentucky, Lexington, Kentucky, USA.
Terry A LennieCollege of Nursing, University of Kentucky, Lexington, Kentucky, USA.
Brittany SmallsCollege of Medicine, University of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0003-3727-346X
Muna HammashSchool of Nursing, University of Louisville, Louisville, Kentucky, USA.
Gia Mudd-MartinCollege of Nursing, University of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0003-2585-5534
Debra K MoserCollege of Nursing, University of Kentucky, Lexington, Kentucky, USA.
University of Kentucky · USUniversity of Louisville · US

Funding

Rural Intervention for Caregivers' Heart Health (RICHH)R01NR016824 · NINR · UNIVERSITY OF KENTUCKY · PI CHUNG, MISOOK LEE, MOSER, DEBRA KAY · 2016 to 2020
$2.6M
Clinical Scholars In Cardiovascular ScienceT32HL091812 · NHLBI · UNIVERSITY OF KENTUCKY · PI SMYTH, SUSAN S. · 2008 to 2018
$2.3M
NHLBI NIH HHS T32 HL091812NINR NIH HHS R01 NR016824
6 · The paper itself

Abstract

purposeCaring for a family member with chronic illness increases cardiovascular disease (CVD) risk by 82%, and rurality imparts additional CVD disparities. The purpose of this study was to describe a profile of rural caregivers of patients with chronic illnesses to determine the prevalence of CVD risk factors, and psychosocial and socioeconomic burden, as well as to compare these variables across gender.

methodsBaseline data from a trial of CVD risk reduction in rural caregivers of patients with chronic illnesses were used. We measured depression and anxiety with the PHQ-9 and Brief Symptom Inventory; social, economic, and environmental factors using the MOS-Social Support and Economic and Environmental surveys; body mass index (BMI); blood pressure (BP); and lipid profile.

resultsOf 181 caregivers (age 53±14 years, 80% female), 69% were married; 88% were caring for a family member, including 46% caring for a spouse and 18% for a parent. A total of 51% were anxious, 25% depressed, and 25% reported lack of social support. Most (51%) caregivers had one or more types of CVD; and 49% were smokers. By examination, 76% had elevated BP; 35% had total cholesterol >200; 50% low-density lipoprotein >100; 56% triglycerides >150; and 79% high-density lipoprotein <60. Based on BMI, 91.5% were overweight or obese. Gender comparisons revealed that women reported higher levels of depressive symptoms than men.

conclusionsRural caregivers, regardless of gender, are at increased risk of CVD and struggle with factors that make caregiving burdensome and contribute to their own poor cardiac health.

Indexed as

CaregiversSocial SupportAdultAgedChronic DiseaseFamilyFemaleHumansMaleMiddle AgedRural Populationcardiovascular diseasecaregiversrisk factorsruralsocial determinants of health

Identifiers

PMID33644897
PMCPMC8397797
OpenAlexW3134860421

What OpenQuestion holds

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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.