Salim Yusuf, Shofiqul Islam, Clara K Chow, Sumathy Rangarajan et al.
Background Although most cardiovascular disease occurs in low-income and middle-income countries, little is nown about the use of effective secondary prevention medications in these communities. We aimed to assess use of proven effective secondary preventive drugs (antiplatelet drugs, β blocers, a...
Victoria Miller, Salim Yusuf, Clara K Chow, Mahshid Dehghan et al.
BACKGROUND: Several international guidelines recommend the consumption of two servings of fruits and three servings of vegetables per day, but their intake is thought to be low worldwide. We aimed to determine the extent to which such low intake is related to availability and affordability. METHODS:...
Rasha Khatib, Martin McKee, Harry S. Shannon, Clara K Chow et al.
BACKGROUND WHO has targeted that medicines to prevent recurrent cardiovascular disease be available in 80% of communities and used by 50% of eligible individuals by 2025. We have previously reported that use of these medicines is very low, but now aim to assess how such low use relates to their lack...
Marjan Walli-Attaei, Philip Joseph, Annika Rosengren, Clara K Chow et al.
BACKGROUND Some studies, mainly from high-income countries (HICs), report that women receive less care (investigations and treatments) for cardiovascular disease than do men and might have a higher risk of death. However, very few studies systematically report risk factors, use of primary or seconda...
Andrew Mente, Mahshid Dehghan, Sumathy Rangarajan, Matthew McQueen et al.
Background The relation between dietary nutrients and cardiovascular disease risk markers in many regions worldwide is unknown. In this study, we investigated the effect of dietary nutrients on blood lipids and blood pressure, two of the most important risk factors for cardiovascular disease, in low...
Marjan Walli-Attaei, Rasha Khatib, Martin McKee, Scott A. Lear et al.
BACKGROUND: Hypertension is considered the most important risk factor for cardiovascular diseases, but its control is poor worldwide. We aimed to assess the availability and affordability of blood pressure-lowering medicines, and the association with use of these medicines and blood pressure control...
Clara K Chow, Chinthanie Ramasundarahettige, Weihong Hu, Khalid F. AlHabib et al.
BACKGROUND Data are scarce on the availability and affordability of essential medicines for diabetes. Our aim was to examine the availability and affordability of metformin, sulfonylureas, and insulin across multiple regions of the world and explore the effect of these on medicine use. METHODS In th...
Allan W. Taylor, Dianna M. Blau, Quique Bassat, Dickens Onyango et al.
BACKGROUND: Sub-Saharan Africa and south Asia contributed 81% of 5·9 million under-5 deaths and 77% of 2·6 million stillbirths worldwide in 2015. Vital registration and verbal autopsy data are mainstays for the estimation of leading causes of death, but both are non-specific and focus on a single un...
Daniel J. Corsi, S. V. Subramanian, Clara K Chow, Martin McKee et al.
BACKGROUND The PURE study was established to investigate associations between social, behavioural, genetic, and environmental factors and cardiovascular diseases in 17 countries. In this analysis we compare the age, sex, urban/rural, mortality, and educational profiles of the PURE participants to na...
Clara K Chow, Tu Ngoc Nguyen, Simone Marschner, Rafael Díaz et al.
OBJECTIVES: We aimed to examine the relationship between access to medicine for cardiovascular disease (CVD) and major adverse cardiovascular events (MACEs) among people at high risk of CVD in high-income countries (HICs), upper and lower middle-income countries (UMICs, LMICs) and low-income countri...
Benjamin Palafox, Martin McKee, Dina Balabanova, Khalid F. AlHabib et al.
BACKGROUND: Effective policies to control hypertension require an understanding of its distribution in the population and the barriers people face along the pathway from detection through to treatment and control. One key factor is household wealth, which may enable or limit a household's ability to...
Adrianna Murphy, Benjamin Palafox, Owen O’Donnell, David Stückler et al.
BACKGROUND: There is little evidence on the use of secondary prevention medicines for cardiovascular disease by socioeconomic groups in countries at different levels of economic development. METHODS: We assessed use of antiplatelet, cholesterol, and blood-pressure-lowering drugs in 8492 individuals ...
Sheikh Mohammed Shariful Islam, Ashis Talukder, Md. Abdul Awal, Md. Muhammad Umer Siddiqui et al.
Background: Hypertension is the most common modifiable risk factor for cardiovascular diseases in South Asia. Machine learning (ML) models have been shown to outperform clinical risk predictions compared to statistical methods, but studies using ML to predict hypertension at the population level are...
Clara K Chow, Daniel J. Corsi, Anna Gilmore, Annamarie Kruger et al.
OBJECTIVES: This study examines in a cross-sectional study 'the tobacco control environment' including tobacco policy implementation and its association with quit ratio. SETTING: 545 communities from 17 high-income, upper-middle, low-middle and low-income countries (HIC, UMIC, LMIC, LIC) involved in...
Novie Safita, Sheikh Mohammed Shariful Islam, Clara K Chow, Louis Niessen et al.
BACKGROUND: Little is known about the association between diabetes and health related quality of life (HRQL) in lower-middle income countries. This study aimed to investigate HRQL among individuals with and without diabetes in Bangladesh. METHODS: The analysis is based on data of a case-control stud...