ArticleBMC public health2025
High rates of voluntary clinic attendance among community members screened with high cardiovascular disease risk scores in the rural and urban communities of Adama, Ethiopia.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Implementation of cardiovascular disease risk prediction scores in Sub-Saharan Africa: a scoping review.BMC health services research · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundCommunity level screening, referral and care intervention for the rising burden of cardiovascular diseases (CVD) and its risk factors in sub-Saharan Africa has been advocated. However, very low completed referral rates among those identified at risk has been reported. The goal of the current study was to use a citizen science-based approach to identify and refer those at high CVD risk to local health clinics, assess the referral rates in each community, and explore reasons for non-attendance by urban or rural location.
methodsTwelve trained health extension workers (HEWs) screened 772 community members aged ≥ 35 year from 10 randomly selected health clinic catchment areas in an urban and a rural community in Adama district and Addis Ababa, Ethiopia with a mobile app-based on the Framingham 10-year CVD risk algorithm. HEWs also provided simple educational tools to support communicating CVD risk and counselling, and referral of at-risk persons for further care. Participants were followed up for four weeks after referral.
resultsThe proportions of participants with high (> 20%), moderate (10-20%), and pooled moderate and high risk (> 10%) were 6.0%, 12.6%, and 18.5% respectively. The most common risk factors identified included hypertension, diabetes mellitus (DM), and tobacco use. Of the 143 at risk participants identified, 124 were interviewed at 4-weeks follow-up (86.7%), and 80/124 (64.5%) voluntarily attended a local clinic for further assessment and management; rural at-risk participants (n = 42) had higher rates of follow-up (72.4%) compared with urban (57.6%) dwellers (p = 0.08). Those without prior hypertension or diabetes had lower rates of follow-up (57.1%) compared to those with at least one of these risk factors (74.1%, p = 0.05). The most common reasons for not attending clinic were inconvenience (63.4%), feeling fine (24.4%), and financial challenge (12.2%).
conclusionsWe observed high rates of voluntary clinic attendance among community members screened with moderate to high CVD risk scores in both rural and urban communities of Ethiopia. These findings imply that this novel approach may be useful for scaling up CVD risk screening in regions of Ethiopia.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.