Evidence map›Paper›PMID 37020195›Full record

SynthesisBMC cancer2023

Prevalence, trends and distribution of lifestyle cancer risk factors in Uganda: a 20-year systematic review.

Annet Nakaganda, Immaculate Mbarusha, Angela Spencer, Lesley Patterson, Isla Gemmell, Andrew Jones, Arpana Verma

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

7 authors at 2 institutions in 2 countries.

Annet NakagandaCancer Epidemiology and Clinical Trials Unit, Uganda Cancer Institute, Kampala, Uganda. annet.nakaganda@uci.or.ug.ORCID http://orcid.org/0000-0003-3986-2794
Immaculate MbarushaCancer Epidemiology and Clinical Trials Unit, Uganda Cancer Institute, Kampala, Uganda.
Angela SpencerDepartment of Public Health and Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Lesley PattersonDepartment of Public Health and Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Isla GemmellDepartment of Public Health and Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Andrew JonesDepartment of Public Health and Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Arpana VermaDepartment of Public Health and Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Manchester Academic Health Science Centre · GBUganda Cancer Institute · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer is becoming an important public health problem in Uganda. Cancer control requires surveillance of lifestyle risk factors to inform targeted interventions. However, only one national Non-Communicable Disease (NCD) risk factor survey has been conducted in Uganda. This review assessed the prevalence, trends and distribution of lifestyle risk factors in Uganda.

methodsThe review identified studies up to January 2019 by searching Medline, Embase, CINAL and Cochrane databases. Further literature was identified from relevant websites and journals; scanning reference lists of relevant articles; and citation searching using Google Scholar. To be eligible, studies had to have been conducted in Uganda, and report prevalence estimates for at least one lifestyle cancer risk factor. Narrative and systematic synthesis was used to analyse the data.

resultsTwenty-four studies were included in the review. Overall, unhealthy diet (88%) was the most prevalent lifestyle risk factor for both males and females. This was followed by harmful use of alcohol (range of 14.3% to 26%) for men, and being overweight (range of 9% to 24%) for women. Tobacco use (range of 0.8% to 10.1%) and physical inactivity (range of 3.7% to 4.9%) were shown to be relatively less prevalent in Uganda. Tobacco use and harmful use of alcohol were more common in males and more prevalent in Northern region, while being overweight (BMI > 25 kg/m2) and physical inactivity were more common in females and more prevalent in Central region. Tobacco use was more prevalent among the rural populations compared to urban, while physical inactivity and being overweight were more common in urban than in rural settings. Tobacco use has decreased overtime, while being overweight increased in all regions and for both sexes.

conclusionThere is limited data about lifestyle risk factors in Uganda. Apart from tobacco use, other lifestyle risk factors seem to be increasing and there is variation in the prevalence of lifestyle risk factors among the different populations in Uganda. Prevention of lifestyle cancer risk factors requires targeted interventions and a multi-sectoral approach. Most importantly, improving the availability, measurement and comparability of cancer risk factor data should be a top priority for future research in Uganda and other low-resource settings.

Indexed as

NeoplasmsOverweightFemaleHumansLife StyleMalePrevalenceRisk FactorsUgandaCancerControlLifestylePrevalenceRisk-factorsSurveillanceTrends

Identifiers

PMID37020195
PMCPMC10077672
OpenAlexW4362607671

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.