The Prevalence of Cardiovascular Disease Risk Factors Among Adults Living in Extreme Poverty

The Prevalence of Cardiovascular Disease Risk Factors Among Adults Living in Extreme Poverty Publisher

Geldsetzer P^{1, 2} ; Tisdale RL^{3, 4} ; Stehr L⁵ ; Michalik F^{1, 5} ; Lemp J⁵ ; Aryal KK⁶ ; Damasceno A⁷ ; Houehanou C⁸ ; Jorgensen JMA⁹ ; Lunet N⁷ ; Mayige M¹⁰ ; Saeedi Moghaddam S¹¹ ; Mwangi KJ¹² ; Bommer C^{5, 13} Show All Authors

Geldsetzer P^{1, 2}
Tisdale RL^{3, 4}
Stehr L⁵
Michalik F^{1, 5}
Lemp J⁵
Aryal KK⁶
Damasceno A⁷
Houehanou C⁸
Jorgensen JMA⁹
Lunet N⁷
Mayige M¹⁰
Saeedi Moghaddam S¹¹
Mwangi KJ¹²
Bommer C^{5, 13}
Marcus ME^{13, 14}
Theilmann M⁵
Ebert C¹⁵
Atun R^{16, 17}
Davies JI^{18, 19, 20}
Flood D²¹
Mannegoehler J^{22, 23}
Seiglie J^{24, 25}
Barnighausen T^{5, 26}
Vollmer S^{13, 14}

Show Affiliations

1. Department of Medicine, Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, United States
2. Chan Zuckerberg Biohub â€“ San Francisco, San Francisco, CA, United States
3. Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United States
4. Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States
5. Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany
6. Department for International Development/Nepal Health Sector Programme 3/Monitoring Evaluation and Operational Research, Abt Associates, Kathmandu, Nepal
7. Department of Public and Forensic Health Sciences and Medical Education, Faculty of Medicine, University of Porto, Porto, Portugal
8. Laboratory of Epidemiology of Chronic and Neurological Diseases, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
9. Institute of Global Health, Dept of Public Health and Epidemiology, Copenhagen University, Copenhagen, Denmark
10. National Institute for Medical Research, Dar es Salaam, Tanzania
11. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
12. Division of Non-Communicable Diseases, Ministry of Health, Nairobi, Kenya
13. Centre for Modern Indian Studies, University of Goettingen, Gottingen, Germany
14. Department of Economics, University of Goettingen, Gottingen, Germany
15. RWI-Leibniz Institute for Economic Research, Essen (Berlin Office), Berlin, Germany
16. Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, United States
17. Department of Global Health and Social Medicine, Harvard Medical School, Harvard University, Boston, MA, United States
18. Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom
19. MRC/Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
20. Centre for Global Surgery, Department of Global Health, Stellenbosch University, Cape Town, South Africa
21. Division of Hospital Medicine, Department of Medicine, University of Michigan, Ann Arbor, MI, United States
22. Division of Infectious Diseases, Brigham and Womenâ€™s Hospital, Boston, MA, United States
23. Medical Practice Evaluation Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States
24. Diabetes Unit, Massachusetts General Hospital, Boston, MA, United States
25. Department of Medicine, Harvard Medical School, Boston, MA, United States
26. Harvard Center for Population and Development Studies, Cambridge, MA, United States

Source: Nature Human Behaviour Published:2024

Abstract

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. © The Author(s), under exclusive licence to Springer Nature Limited 2024.

Related Docs

View other Related Docs

1. The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries, Journal of the American College of Cardiology (2022)

2. Hypertension Care Cascades and Reducing Inequities in Cardiovascular Disease in Low- and Middle-Income Countries, Nature Medicine (2024)

3. The State of Diabetes Treatment Coverage in 55 Low-Income and Middle-Income Countries: A Cross-Sectional Study of Nationally Representative, Individual-Level Data in 680 102 Adults, The Lancet Healthy Longevity (2021)

4. Multiple Cardiovascular Risk Factor Care in 55 Low- and Middle-Income Countries: A Cross-Sectional Analysis of Nationally-Representative, Individual-Level Data From 280,783 Adults, PLOS Global Public Health (2024)

5. The Burden of Cardiovascular Disease Attributable to Modifiable Risk Factors and Cost-Effectiveness Analysis of Irapen Program in the General Population of Iran, Medical Journal of the Islamic Republic of Iran (2022)

6. Use of Statins for the Prevention of Cardiovascular Disease in 41 Low-Income and Middle-Income Countries: A Cross-Sectional Study of Nationally Representative, Individual-Level Data, The Lancet Global Health (2022)

7. Risk of Incident Cardiovascular Diseases at National and Subnational Levels in Iran From 2000 to 2016 and Projection Through 2030: Insights From Iran Steps Surveys, PLoS ONE (2023)

8. Adherence to Iran’S Package of Essential Noncommunicable Diseases (Irapen) Program for Regular Follow-Up to Reduce the Risk of Cardiovascular Disease in Healthcare Centers, Iranian Journal of Endocrinology and Metabolism (2020)

Experts (# of related papers)

View all Related Experts

Farshad Farzadfar (9)

Hossein Navid (2)

Style	Citing Format
MLA	Geldsetzer P, et al.. "The Prevalence of Cardiovascular Disease Risk Factors Among Adults Living in Extreme Poverty." Nature Human Behaviour, vol. , no. , 2024, pp. -.
APA	Geldsetzer P, Tisdale RL, Stehr L, Michalik F, Lemp J, Aryal KK, Damasceno A, Houehanou C, Jorgensen JMA, Lunet N, Mayige M, Saeedi Moghaddam S, Mwangi KJ, Bommer C, Marcus ME, Theilmann M, Ebert C, Atun R, Davies JI, ... Vollmer S (2024). The Prevalence of Cardiovascular Disease Risk Factors Among Adults Living in Extreme Poverty. Nature Human Behaviour, (), -.
Chicago	Geldsetzer P, Tisdale RL, Stehr L, Michalik F, Lemp J, Aryal KK, Damasceno A, et al.. "The Prevalence of Cardiovascular Disease Risk Factors Among Adults Living in Extreme Poverty." Nature Human Behaviour , no. (2024): -.
Harvard	Geldsetzer P et al. (2024) 'The Prevalence of Cardiovascular Disease Risk Factors Among Adults Living in Extreme Poverty', Nature Human Behaviour, (), pp. -.
Vancouver	Geldsetzer P, Tisdale RL, Stehr L, Michalik F, Lemp J, Aryal KK, et al.. The Prevalence of Cardiovascular Disease Risk Factors Among Adults Living in Extreme Poverty. Nature Human Behaviour. 2024;():-.
BibTex	@article{ author = {Geldsetzer P and Tisdale RL and Stehr L and Michalik F and Lemp J and Aryal KK and Damasceno A and Houehanou C and Jorgensen JMA and Lunet N and Mayige M and Saeedi Moghaddam S and Mwangi KJ and Bommer C and Marcus ME and Theilmann M and Ebert C and Atun R and Davies JI and Flood D and Mannegoehler J and Seiglie J and Barnighausen T and Vollmer S}, title = {The Prevalence of Cardiovascular Disease Risk Factors Among Adults Living in Extreme Poverty}, journal = {Nature Human Behaviour}, volume = {}, number = {}, pages = {-}, year = {2024} }
RIS	TY - JOUR AU - Geldsetzer P AU - Tisdale RL AU - Stehr L AU - Michalik F AU - Lemp J AU - Aryal KK AU - Damasceno A AU - Houehanou C AU - Jorgensen JMA AU - Lunet N AU - Mayige M AU - Saeedi Moghaddam S AU - Mwangi KJ AU - Bommer C AU - Marcus ME AU - Theilmann M AU - Ebert C AU - Atun R AU - Davies JI AU - Flood D AU - Mannegoehler J AU - Seiglie J AU - Barnighausen T AU - Vollmer S TI - The Prevalence of Cardiovascular Disease Risk Factors Among Adults Living in Extreme Poverty JO - Nature Human Behaviour VL - IS - SP - EP - PY - 2024 ER -

Science Communicator Platform

Authors

Authors Affiliations

Abstract