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September 18, 2020Open Access

Baseline screening of 6,174 individuals revealed a high cardiovascular risk burden: 38.8% current tobacco users, 76.1% sedentary, 15% newly detected hypertension, and 3.1% newly detected diabetes.

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Why the study?

To estimate the burden of high CVD risk and evaluate the feasibility of community health worker-based strategies in reducing CVD among adults living in urban slums.

Does a community health worker-based strategy effectively identify and manage cardiovascular risk factors in adults living in urban slums?

Population

6178 individuals in 14 urban slum clusters in Bhopal

Comparison

Community health worker-based screening and adherence promotion vs standard care

Design

Community-based study protocol and baseline summary

Authors

APAbhijit PakhareAll India Institute of Medical Sciences BhopalAJAnkur JoshiAll India Institute of Medical Sciences BhopalSKSagar KhadangaAll India Institute of Medical Sciences Bhopal

Discussion

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Member takes

Overview

Population-based screening for hypertension and diabetes in India may improve detection; leaves open impact on adherence and outcomes.

Structured PICO

Does a community health worker-based strategy effectively identify and manage cardiovascular risk factors in adults living in urban slums?

P
Population
6,174 adults aged 30 years or more living in urban slums in Bhopal, India, mean age 44.5, 56.1% women.
I
Intervention
Community health worker (CHW)-based strategies including home-based screening, risk stratification, lifestyle counseling, and linkage to public health facilities for treatment initiation and adherence promotion.
O
Outcome
Assessment of burden of high cardiovascular risk and its determinants

Community health worker-based screening in urban Indian slums is feasible and identifies a substantial burden of undiagnosed and uncontrolled cardiovascular risk factors.

Cite This Study

Pakhare et al. (2020) studied this question.

synapsesocial.com/papers/6a71eb63fe4101aa97e0b627https://doi.org/10.1101/2020.09.18.20189639
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