Evidence map›Paper›PMID 35115356›Full record

ArticleBMJ open2022

Older adults with pre-existing noncommunicable conditions and their healthcare access amid COVID-19 pandemic: a cross-sectional study in eastern Nepal.

Saruna Ghimire, Aman Shrestha, Uday Narayan Yadav, Sabuj Kanti Mistry, Bunsi Chapadia, Om Prakash Yadav, Arm Mehrab Ali, Lal B Rawal, Priyanka Yadav, Suresh Mehata and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 12 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 7 institutions in 4 countries.

Saruna GhimireDepartment of Sociology and Gerontology, Miami University, Oxford, Ohio, USA.
Aman ShresthaDepartment of Sociology and Gerontology, Miami University, Oxford, Ohio, USA.
Uday Narayan YadavNational Centre for Epidemiology & Population Health, The Australian National University, Canberra, ACT, Australia unyadav1@gmail.com.ORCID 0000-0002-6626-1604
Sabuj Kanti MistryCentre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0001-6100-6076
Bunsi ChapadiaDepartment of Microbiology, Miami University, Oxford, Ohio, USA.
Om Prakash YadavGovernment of Nepal Ministry of Health and Population, Kathmandu, Nepal.
Arm Mehrab AliARCED Foundation, Dhaka, Bangladesh.ORCID 0000-0001-5442-7147
Lal B RawalSchool of Health Medical and Applied Sciences, Central Queensland University, Sydney, New South Wales, Australia.ORCID 0000-0003-1106-0108
Priyanka YadavCentre for Reserach Policy and Implementation, Biratnagar, Nepal.
Suresh MehataGovernment of Nepal Ministry of Health and Population, Kathmandu, Nepal.
Mark HarrisCentre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0002-0705-8913
Miami University · USGovernment of Nepal · NPAustralian National University · AUCentral Queensland University · AUChild Health Research Foundation · BDDaffodil International University · BDUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has greatly impacted older adults with pre-existing noncommunicable conditions (hereafter called pre-existing conditions) in terms of their access to essential healthcare services. Based on the theory of vertical health equity, this study investigated access to healthcare by Nepali older adults with pre-existing conditions during the COVID-19 pandemic.

methodsA cross-sectional study surveyed 847 randomly selected older adults (≥60 years) in three districts of eastern Nepal. Survey questionnaires, administered by trained community health workers, collected information on participants reported difficulty obtaining routine care and medications during the pandemic, in addition to questions on demographics, socioeconomic factors and pre-existing conditions. Cumulative scores for pre-existing conditions were recoded as no pre-existing condition, single condition and multimorbidity for the analyses. χ

resultsNearly two-thirds of the participants had a pre-existing condition (43.8% single condition and 22.8% multimorbid) and reported experiencing difficulty obtaining routine care (52.8%) and medications (13.5%). Participants with single (OR 3.06, 95% CI 2.17 to 4.32) and multimorbid (OR 5.62, 95% CI 3.63 to 8.71) conditions had threefold and fivefold increased odds of experiencing difficulty accessing routine care. Findings were similar for difficulty obtaining medication (OR single: 3.12, 95% CI 1.71 to 5.69; OR multimorbid: 3.98, 95% CI 2.01 to 7.87) where odds were greater than threefolds.

conclusionsOlder adults with pre-existing conditions in Nepal, who require routine medical care and medication, faced significant difficulties obtaining them during the pandemic, which may lead to deterioration in their pre-existing conditions. Public health emergency preparedness should incorporate plans for both managing the emergency and providing continuing care.

Indexed as

COVID-19AgedCross-Sectional StudiesHealth Services AccessibilityHumansNepalPandemicsPreexisting Condition CoverageSARS-CoV-2COVID-19epidemiologyhealth policypublic health

Identifiers

PMID35115356
PMCPMC8814747
OpenAlexW4210256464

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.