Evidence map›Paper›PMID 39135025›Full record

Observational studyBMC public health2024

Material needs security and cardiovascular risk factors in rural South Africa.

Rebekah J Walker, Caitlin Magro, Rabia Amjad, Laura C Hawks, Sandra Iregbu, Leonard E Egede

Abstract readObservational Study
In one paragraph

Observational study in BMC public health, 2024. 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
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Rebekah J WalkerDivision of Population Health, Department of Medicine, Jacob's School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Buffalo, NY, D2-76, 14203, USA.
Caitlin MagroSchool of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Rabia AmjadCenter for Advancing Population Science (CAPS), Medical College of Wisconsin, Milwaukee, WI, USA.
Laura C HawksCenter for Advancing Population Science (CAPS), Medical College of Wisconsin, Milwaukee, WI, USA.
Sandra IregbuCenter for Advancing Population Science (CAPS), Medical College of Wisconsin, Milwaukee, WI, USA.
Leonard E EgedeDivision of Population Health, Department of Medicine, Jacob's School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Buffalo, NY, D2-76, 14203, USA. legede@buffalo.edu.

Funding

HOME DM-BAT: Home-based Diabetes-Modified Behavioral Activation Treatment for Low Income Seniors with T2DM Diversity SupplementR01DK118038 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.5M
Financial Incentives And Nurse Coaching to Enhance Diabetes Outcomes (FINANCE-DM) - Diversity SupplementR01DK120861 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.4M
Lowering the Impact of Food insecurity in African American Adults with Type 2 Diabetes Mellitus (LIFT-DM) - Diversity SupplementR01MD013826 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E., WALKER, REBEKAH J · 2019 to 2023
$3.4M
Structural Racism and Disparities in Social Risk, Human Capital, Health Care Resources, and Health Outcomes: A Multi-level Analysis of Pathways and Policy Levers for ChangeR01MD017574 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Leonard E. Egede, Sebastian Linde · 2023 to 2026
$2.5M
Impact of structural racism on hospital/clinic closures, community assets, and health outcomes in urban communitiesR01MD018012 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Leonard E. Egede, Sebastian Linde · 2023 to 2026
$2.4M
MANAGe-DM: novel nurse case management to improve diabetes outcomes in Black men recently released from incarcerationK23DK132505 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI Laura C. Hawks · 2023 to 2026
$714k
NIDDK NIH HHS K23 DK132505NIDDK NIH HHS R01 DK118038NIDDK NIH HHS R01DK118038NIDDK NIH HHS R01 DK120861NIMHD NIH HHS R01 MD013826NIMHD NIH HHS R01MD013826NIMHD NIH HHS R01 MD017574NIMHD NIH HHS R01 MD018012
6 · The paper itself

Abstract

backgroundThe prevalence of cardiovascular disease is burgeoning in low- and middle-income countries (LMICs). In sub-Saharan Africa, the prevalence of cardiovascular risk factors is increasing, though rates of CVD diagnosis and management remain low. Awareness of the influence of social determinants of health (SDOH) on cardiovascular outcomes is growing, however, most work focuses on high-income countries. Material needs security is a measure of SDOH that may be particularly relevant for LMICs. This study investigated the relationship between material needs security and cardiovascular risk in older adults living in South Africa.

methodsThe analysis included 5059 respondents age ≥ 40 in the Health and Aging in Africa survey, an observational cohort study administered in 2014 in Mpumalanga Province, South Africa. Linear regression models tested the association between material needs and eight cardiovascular risk factors (waist-to-hip ratio, body mass index, blood pressure, glucose, cholesterol, LDL, and triglycerides). Adjusted linear regression models controlled for sociodemographic confounders.

resultsThere were significant adjusted associations found between increased material needs security and four cardiovascular risk factors, including waist-to-hip ratio (β = 0.001; 95% CI [0.00002,0.002]), BMI (β = 0.19; 95%CI=[0.14,0.24]), glucose (β = 0.46; 95%CI=[0.02,0.90]), and triglycerides (β = 0.26; 95%CI=[0.02,0.49]).

conclusionIncreased material needs security was associated with significantly increased cardiovascular risk in older adults in rural South Africa. These findings can inform the approach to treatment and management of cardiovascular disease in South Africa and similar LMICs. Future investigations should evaluate the implementation and efficacy of interventions that recognize the role of material needs security in cardiovascular risk.

Indexed as

Cardiovascular DiseasesHeart Disease Risk FactorsRural PopulationAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedRisk FactorsSocial Determinants of HealthSouth AfricaCardiovascular diseaseMaterial needs securityNon-communicable diseaseSouth Africa

Identifiers

PMID39135025
PMCPMC11318146

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LicenceCC BY-NC-ND
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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.