Evidence map›Paper›PMID 38084495›Full record

ArticleBMJ global health2023

Multimorbidity in African ancestry populations: a scoping review.

Michelle Kamp, Okechinyere Achilonu, Isaac Kisiangani, Daniel Maina Nderitu, Phelelani Thokozani Mpangase, Girmaw Abebe Tadesse, Kayode Adetunji, Samuel Iddi, Skyler Speakman, Scott Hazelhurst and 3 more

Abstract readScoping Review
In one paragraph

Article in BMJ global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Neuropsychiatry genetics in Africa.Nature communications · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. The Value Proposition of Coordinated Population Cohorts Across Africa.Annual review of biomedical data science · 2024
    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

13 authors.

Michelle KampDivision of Human Genetics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID 0000-0002-4334-6883
Okechinyere AchilonuSydney Brenner Institute for Molecular Bioscience, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID 0000-0003-2911-0011
Isaac KisianganiAfrican Population and Health Research Center (APHRC), APHRC Campus, Nairobi, Kenya.ORCID 0000-0002-1107-4334
Daniel Maina NderituAfrican Population and Health Research Center (APHRC), APHRC Campus, Nairobi, Kenya.ORCID 0000-0001-9800-2431
Phelelani Thokozani MpangaseSydney Brenner Institute for Molecular Bioscience, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID 0000-0001-8280-8940
Girmaw Abebe TadesseIBM Research Africa, Nairobi, Kenya.ORCID 0000-0002-2648-9102
Kayode AdetunjiSydney Brenner Institute for Molecular Bioscience, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Samuel IddiAfrican Population and Health Research Center (APHRC), APHRC Campus, Nairobi, Kenya.ORCID 0000-0002-2366-2774
Skyler SpeakmanIBM Research Africa, Nairobi, Kenya.
Scott HazelhurstSydney Brenner Institute for Molecular Bioscience, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID 0000-0002-0581-149X
Gershim AsikiAfrican Population and Health Research Center (APHRC), APHRC Campus, Nairobi, Kenya.ORCID 0000-0002-9966-1153
Michèle RamsayDivision of Human Genetics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa Michele.Ramsay@wits.ac.za.ORCID 0000-0002-4156-4801
as members of the MADIVA Research Hub and the DS-I Africa Consortium

Funding

MADIVA (Multimorbidity in Africa: Digital innovation, visualisation and application)U54TW012077 · FIC · WITS HEALTH CONSORTIUM (PTY), LTD · PI Scott Hazelhurst, Stephen Tollman · 2021 to 2026
$6.9M
FIC NIH HHS U54 TW012077
6 · The paper itself

Abstract

objectivesMultimorbidity (MM) is a growing concern linked to poor outcomes and higher healthcare costs. While most MM research targets European ancestry populations, the prevalence and patterns in African ancestry groups remain underexplored. This study aimed to identify and summarise the available literature on MM in populations with African ancestry, on the continent, and in the diaspora.

designA scoping review was conducted in five databases (PubMed, Web of Science, Scopus, Science Direct and JSTOR) in July 2022. Studies were selected based on predefined criteria, with data extraction focusing on methodology and findings. Descriptive statistics summarised the data, and a narrative synthesis highlighted key themes.

resultsOf the 232 publications on MM in African-ancestry groups from 2010 to June 2022-113 examined continental African populations, 100 the diaspora and 19 both. Findings revealed diverse MM patterns within and beyond continental Africa. Cardiovascular and metabolic diseases are predominant in both groups (80% continental and 70% diaspora). Infectious diseases featured more in continental studies (58% continental and 16% diaspora). Although many papers did not specifically address these features, as in previous studies, older age, being women and having a lower socioeconomic status were associated with a higher prevalence of MM, with important exceptions. Research gaps identified included limited data on African-ancestry individuals, inadequate representation, under-represented disease groups, non-standardised methodologies, the need for innovative data strategies, and insufficient translational research.

conclusionThe growing global MM prevalence is mirrored in African-ancestry populations. Recognising the unique contexts of African-ancestry populations is essential when addressing the burden of MM. This review emphasises the need for additional research to guide and enhance healthcare approaches for African-ancestry populations, regardless of their geographic location.

Indexed as

Health Care CostsMultimorbidityAfricaFemaleHumansMaleSocial ClassEpidemiologyPublic Health

Identifiers

PMID38084495
PMCPMC10711865

What OpenQuestion holds

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LicenceCC BY-NC
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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.