The prevalence of cardiovascular disease risk factors among adults living in extreme poverty.

Autor: Geldsetzer P; Department of Medicine, Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, USA. pgeldsetzer@stanford.edu.; Chan Zuckerberg Biohub - San Francisco, San Francisco, CA, USA. pgeldsetzer@stanford.edu., Tisdale RL; Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.; Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA., Stehr L; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany., Michalik F; Department of Medicine, Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, USA.; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany., Lemp J; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany., Aryal KK; Department for International Development/Nepal Health Sector Programme 3/Monitoring Evaluation and Operational Research, Abt Associates, Kathmandu, Nepal., Damasceno A; Department of Public and Forensic Health Sciences and Medical Education, Faculty of Medicine, University of Porto, Porto, Portugal., Houehanou C; Laboratory of Epidemiology of Chronic and Neurological Diseases, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin., Jørgensen JMA; Institute of Global Health, Dept of Public Health and Epidemiology, Copenhagen University, Copenhagen, Denmark., Lunet N; Department of Public and Forensic Health Sciences and Medical Education, Faculty of Medicine, University of Porto, Porto, Portugal., Mayige M; National Institute for Medical Research, Dar es Salaam, Tanzania., Saeedi Moghaddam S; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran., Mwangi KJ; Division of Non-Communicable Diseases, Ministry of Health, Nairobi, Kenya., Bommer C; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.; Centre for Modern Indian Studies, University of Goettingen, Göttingen, Germany., Marcus ME; Centre for Modern Indian Studies, University of Goettingen, Göttingen, Germany.; Department of Economics, University of Goettingen, Göttingen, Germany., Theilmann M; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany., Ebert C; RWI-Leibniz Institute for Economic Research, Essen (Berlin Office), Berlin, Germany., Atun R; Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA.; Department of Global Health and Social Medicine, Harvard Medical School, Harvard University, Boston, MA, USA., Davies JI; Institute of Applied Health Research, University of Birmingham, Birmingham, UK.; MRC/Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.; Centre for Global Surgery, Department of Global Health, Stellenbosch University, Cape Town, South Africa., Flood D; Division of Hospital Medicine, Department of Medicine, University of Michigan, Ann Arbor, MI, USA., Manne-Goehler J; Division of Infectious Diseases, Brigham and Women's Hospital, Boston, MA, USA.; Medical Practice Evaluation Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA., Seiglie J; Diabetes Unit, Massachusetts General Hospital, Boston, MA, USA.; Department of Medicine, Harvard Medical School, Boston, MA, USA., Bärnighausen T; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.; Harvard Center for Population and Development Studies, Cambridge, MA, USA., Vollmer S; Centre for Modern Indian Studies, University of Goettingen, Göttingen, Germany.; Department of Economics, University of Goettingen, Göttingen, Germany.
Jazyk: angličtina
Zdroj: Nature human behaviour [Nat Hum Behav] 2024 May; Vol. 8 (5), pp. 903-916. Date of Electronic Publication: 2024 Mar 13.
DOI: 10.1038/s41562-024-01840-9
Abstrakt: Evidence on cardiovascular disease (CVD) risk factor prevalence among adults living below the World Bank's international line for extreme poverty (those with income <$1.90 per day) globally is sparse. Here we pooled individual-level data from 105 nationally representative household surveys across 78 countries, representing 85% of people living in extreme poverty globally, and sorted individuals by country-specific measures of household income or wealth to identify those in extreme poverty. CVD risk factors (hypertension, diabetes, smoking, obesity and dyslipidaemia) were present among 17.5% (95% confidence interval (CI) 16.7-18.3%), 4.0% (95% CI 3.6-4.5%), 10.6% (95% CI 9.0-12.3%), 3.1% (95% CI 2.8-3.3%) and 1.4% (95% CI 0.9-1.9%) of adults in extreme poverty, respectively. Most were not treated for CVD-related conditions (for example, among those with hypertension earning <$1.90 per day, 15.2% (95% CI 13.3-17.1%) reported taking blood pressure-lowering medication). The main limitation of the study is likely measurement error of poverty level and CVD risk factors that could have led to an overestimation of CVD risk factor prevalence among adults in extreme poverty. Nonetheless, our results could inform equity discussions for resource allocation and design of effective interventions.
(© 2024. The Author(s), under exclusive licence to Springer Nature Limited.)
Databáze: MEDLINE
Externí odkaz: