The prevalence of cardiovascular disease risk factors among adults living in extreme poverty
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The prevalence of cardiovascular disease risk factors among adults living in extreme poverty. / Geldsetzer, Pascal; Tisdale, Rebecca L; Stehr, Lisa; Michalik, Felix; Lemp, Julia; Aryal, Krishna K; Damasceno, Albertino; Houehanou, Corine; Jørgensen, Jutta Mari Adelin; Lunet, Nuno; Mayige, Mary; Saeedi Moghaddam, Sahar; Mwangi, Kibachio Joseph; Bommer, Christian; Marcus, Maja-Emilia; Theilmann, Michaela; Ebert, Cara; Atun, Rifat; Davies, Justine Ina; Flood, David; Manne-Goehler, Jennifer; Seiglie, Jacqueline; Bärnighausen, Till; Vollmer, Sebastian.
In: Nature Human Behaviour, 2024.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The prevalence of cardiovascular disease risk factors among adults living in extreme poverty
AU - Geldsetzer, Pascal
AU - Tisdale, Rebecca L
AU - Stehr, Lisa
AU - Michalik, Felix
AU - Lemp, Julia
AU - Aryal, Krishna K
AU - Damasceno, Albertino
AU - Houehanou, Corine
AU - Jørgensen, Jutta Mari Adelin
AU - Lunet, Nuno
AU - Mayige, Mary
AU - Saeedi Moghaddam, Sahar
AU - Mwangi, Kibachio Joseph
AU - Bommer, Christian
AU - Marcus, Maja-Emilia
AU - Theilmann, Michaela
AU - Ebert, Cara
AU - Atun, Rifat
AU - Davies, Justine Ina
AU - Flood, David
AU - Manne-Goehler, Jennifer
AU - Seiglie, Jacqueline
AU - Bärnighausen, Till
AU - Vollmer, Sebastian
N1 - © 2024. The Author(s), under exclusive licence to Springer Nature Limited.
PY - 2024
Y1 - 2024
N2 - 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.
AB - 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.
U2 - 10.1038/s41562-024-01840-9
DO - 10.1038/s41562-024-01840-9
M3 - Journal article
C2 - 38480824
JO - Nature Human Behaviour
JF - Nature Human Behaviour
SN - 2397-3374
ER -
ID: 386143423