Evidence map›Paper›PMID 36447173›Full record

ArticleBMC public health2022

Cardiovascular (Framingham) and type II diabetes (Finnish Diabetes) risk scores: a qualitative study of local knowledge of diet, physical activity and body measurements in rural Rakai, Uganda.

Robert Ssekubugu, Fredrick Makumbi, Rocio Enriquez, Susanne R Lagerström, Ping Teresa Yeh, Caitlin E Kennedy, Ronald H Gray, Lilian Negesa, David M Serwadda, Godfrey Kigozi and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors at 3 institutions in 3 countries.

Robert SsekubuguRakai Health Sciences Program, Kalisizo, Uganda. rssekubugu@rhsp.org.
Fredrick MakumbiRakai Health Sciences Program, Kalisizo, Uganda.
Rocio EnriquezDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Susanne R LagerströmDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Ping Teresa YehRakai Health Sciences Program, Kalisizo, Uganda.
Caitlin E KennedyRakai Health Sciences Program, Kalisizo, Uganda.
Ronald H GrayRakai Health Sciences Program, Kalisizo, Uganda.
Lilian NegesaRakai Health Sciences Program, Kalisizo, Uganda.
David M SerwaddaRakai Health Sciences Program, Kalisizo, Uganda.
Godfrey KigoziRakai Health Sciences Program, Kalisizo, Uganda.
Anna Mia EkströmDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Helena NordenstedtDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Rakai Health Sciences Program · UGKarolinska Institutet · SEJohns Hopkins University · US

Funding

Multidisciplinary Research Training to Understand and Reduce HIV Incidence in UgandaD43TW010557 · FIC · JOHNS HOPKINS UNIVERSITY · PI CHANG, LARRY WILLIAM · 2018 to 2022
$1.6M
FIC NIH HHS D43 TW010557
6 · The paper itself

Abstract

backgroundNon-communicable diseases such as cardiovascular conditions and diabetes are rising in sub-Saharan Africa. Prevention strategies to mitigate non-communicable diseases include improving diet, physical activity, early diagnosis, and long-term management. Early identification of individuals at risk based on risk-score models - such as the Framingham Risk Score (FRS) for 10-year risk of cardiovascular disease and the Finnish type 2 Diabetes risk score (FINDRISC) for type 2 diabetes which are used in high-income settings - have not been well assessed in sub-Saharan Africa. The purpose of this study was to qualitatively assess local knowledge of components of these risk scores in a rural Ugandan setting.

methodsSemi-structured qualitative in-depth interviews were conducted with a purposively selected sample of 15 participants who had responded to the FRS and FINDRISC questionnaires and procedures embedded in the Rakai Community Cohort Study. Data were summarized and categorized using content analysis, with support of Atlas.ti.

resultsParticipants described local terms for hypertension ("pulessa") and type 2 diabetes ("sukaali"). Most participants understood physical activity as leisure physical activity, but when probed would also include physical activity linked to routine farm work. Vegetables were typically described as "plants", "leafy greens", and "side dish". Vegetable and fruit consumption was described as varying seasonally, with peak availability in December after the rainy season. Participants perceived themselves to have good knowledge about their family members' history of type 2 diabetes and hypertension.

conclusionsWhile most items of the FRS and FINDRISC were generally well understood, physical activity needs further clarification. It is important to consider the seasonality of fruits and vegetables, especially in rural resource-poor settings. Current risk scores will need to be locally adapted to estimate the 10-year risk of cardiovascular diseases and type 2 diabetes in this setting.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2HypertensionNoncommunicable DiseasesCohort StudiesDietExerciseFinlandHumansRisk FactorsUgandaVegetablesCardiovascularFinnish diabetes risk scoreFramingham risk scoreNCD 10-year risk scoresQualitativeType II diabetesUganda

Identifiers

PMID36447173
PMCPMC9706863
OpenAlexW4310988551

What OpenQuestion holds

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LicenceCC BY
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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.