Evidence map›Paper›PMID 34661118›Full record

ArticleHawai'i journal of health & social welfare2021

Assessment of Diabetes-Related Health Disparities among the Marshallese Living in the Republic of the Marshall Islands.

Pearl A McElfish, Jennifer A Andersen, Brett Rowland, Jack Niedenthal, Henry Otuafi, Sheldon Riklon, Ainrik George, Edlen Anzures, James Selig, Wana Bing and 1 more

Open access · greenAbstract read
In one paragraph

Article in Hawai'i journal of health & social welfare, 2021. 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
0.8field-weighted citation impact, top 26% 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, 5 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

11 authors at 3 institutions in 2 countries.

Pearl A McElfishCollege of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR (PAM, JAA, SR).
Jennifer A AndersenCollege of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR (PAM, JAA, SR).
Brett RowlandOffice of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR (BR, WB).
Jack NiedenthalRepublic of the Marshall Islands Ministry of Health & Human Services, Majuro, MH (JN, HO, AG, EA).
Henry OtuafiRepublic of the Marshall Islands Ministry of Health & Human Services, Majuro, MH (JN, HO, AG, EA).
Sheldon RiklonCollege of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR (PAM, JAA, SR).
Ainrik GeorgeRepublic of the Marshall Islands Ministry of Health & Human Services, Majuro, MH (JN, HO, AG, EA).
Edlen AnzuresRepublic of the Marshall Islands Ministry of Health & Human Services, Majuro, MH (JN, HO, AG, EA).
James SeligFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR (JS, HF).
Wana BingOffice of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR (BR, WB).
Holly FelixFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR (JS, HF).
University of Arkansas at Fayetteville · USMinistry of Health · OMUniversity of Arkansas for Medical Sciences · US

Funding

Expanding Translational Research in ArkansasU54TR001629 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2017 to 2017
$3.5M
NCATS NIH HHS U54 TR001629
6 · The paper itself

Abstract

There is a high prevalence of type 2 diabetes mellitus (T2DM) among the Marshallese in the Republic of the Marshall Islands (RMI). However, no prior literature has examined self-reported health indicators, self-management activities, barriers to care, diabetes knowledge, and family support for diabetes management. This study examined health indicators among participants with T2DM (n=41). Clinical measures included glycated hemoglobin (HbA1c) and fasting glucose level, blood pressure, pulse pressure, and cholesterol levels. Survey items included participants' self-reported health indicators, self-management activities, barriers to care, diabetes knowledge, and family support for diabetes management. Clinical health indicators demonstrate the poor health status of the participants, including uncontrolled fasting glucose levels and HbA1c levels (61.9% had an HbA1c ≥9.0%), high blood pressure, elevated pulse pressure (65.9% had pulse pressure >40 mmHg), and high total cholesterol. Participants report limited knowledge and participation in diabetes self-management behaviors, limited family support, and faced numerous barriers to medical care, medications, and supplies. This study provides insight into the T2DM disparities experienced by Marshallese in the RMI. This study is the first to document the self-reported health indicators, self-management activities, barriers to care, diabetes knowledge, and family support for diabetes management. The results highlight the need for T2DM management interventions and will be used to refine a culturally adapted intervention for delivery in the RMI.

Indexed as

Diabetes Mellitus, Type 2Self-ManagementCholesterolGlucoseGlycated HemoglobinHumansCholesterolGlucoseGlycated Hemoglobinbarriers to carediabetes knowledgefamily supporthealth indicatorsself-managementtype 2 diabetes mellitus

Identifiers

PMID34661118
PMCPMC8504294
OpenAlexW3205552390

What OpenQuestion holds

Textmetadata
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.