Evidence map›Paper›PMID 27924618›Full record

Trial reportJournal of racial and ethnic health disparities2017

Cardiovascular Disease Risk Factors and Health Outcomes Among American Indians in Oklahoma: the THRIVE Study.

Valarie Blue Bird Jernigan, Marianna Wetherill, Jordan Hearod, Tvli Jacob, Alicia L Salvatore, Tamela Cannady, Mandy Grammar, Joy Standridge, Jill Fox, Jennifer Spiegel and 3 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of racial and ethnic health disparities, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03311217 (Tribal Health and Resilience in Vulnerable Environments), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03311217 nacompletednot on this map

Tribal Health and Resilience in Vulnerable Environments

TypeinterventionalSponsorUniversity of OklahomaRan2016 to 2017Enrolled1,634ConditionsObesityArmsHealthy retail strategies
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Cardiovascular Disease Risk Factors in the Native American Population.Journal of cardiovascular development and disease · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Multilevel and Community-Level Interventions with Native Americans: Challenges and Opportunities.Prevention science : the official journal of the Society for Prevention Research · 2020
    Article
  14. Article
  15. Article
  16. Social Support and Physical Activity Among American Indians in Oklahoma: Results From a Community-based Participatory Research Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2019
    Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Valarie Blue Bird JerniganCollege of Public Health, University of Oklahoma Health Sciences Center, 4502 E 41st St., Tulsa, OK, 74105, USA. Valarie-Jernigan@ouhsc.edu.
Marianna WetherillCollege of Public Health, University of Oklahoma Health Sciences Center, 4502 E 41st St., Tulsa, OK, 74105, USA.
Jordan HearodCollege of Public Health, University of Oklahoma Health Sciences Center, 4502 E 41st St., Tulsa, OK, 74105, USA.
Tvli JacobCollege of Public Health, University of Oklahoma Health Sciences Center, 4502 E 41st St., Tulsa, OK, 74105, USA.
Alicia L SalvatoreCollege of Public Health, University of Oklahoma Health Sciences Center, 4502 E 41st St., Tulsa, OK, 74105, USA.
Tamela CannadyChoctaw Nation of Oklahoma Health Services Authority, One Choctaw Way, Talihina, OK, 74571, USA.
Mandy GrammarChoctaw Nation of Oklahoma Health Services Authority, One Choctaw Way, Talihina, OK, 74571, USA.
Joy StandridgeChickasaw Nation Nutrition Services Department, 518 E. Arlington, Ada, OK, 74820, USA.
Jill FoxChickasaw Nation Nutrition Services Department, 518 E. Arlington, Ada, OK, 74820, USA.
Jennifer SpiegelChickasaw Nation Nutrition Services Department, 518 E. Arlington, Ada, OK, 74820, USA.
AnDina WileyChickasaw Nation Nutrition Services Department, 518 E. Arlington, Ada, OK, 74820, USA.
Carolyn NoonanInitiative for Research and Education to Advance Community Health (IREACH), Washington State University, 1100 Olive Way, Suite 1200, Seattle, WA, 98101, USA.
Dedra BuchwaldInitiative for Research and Education to Advance Community Health (IREACH), Washington State University, 1100 Olive Way, Suite 1200, Seattle, WA, 98101, USA.
University of Oklahoma Health Sciences Center · USCherokee Nation · USOklahoma Health Care Authority · USWashington State University · US

Funding

Tribal Health and Resilience in Vulnerable Environment (Thrive) StudyR01HL117729 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI JERNIGAN, VALARIE BLUE BIRD · 2013 to 2017
$3.1M
NHLBI NIH HHS HL117729NHLBI NIH HHS R01 HL117729
6 · The paper itself

Abstract

introductionLimited available data document higher prevalences of cardiovascular disease (CVD) risk factors and health outcomes among American Indians (AIs) compared to other racial/ethnic groups.

methodsAs part of a randomized control trial to improve tribal food and physical activity environments, our tribal-academic partnership surveyed a cross-sectional sample of American Indian adults (n = 513) to assess the prevalence of type 2 diabetes, obesity, hypertension, tobacco use, physical activity, and vegetable and fruit intake. Surveys were collected from April through May 2015. We used logistic regression to examine the association between CVD-related risk factors and health outcomes.

resultsThe prevalence of CVD-related outcomes was high, ranging from 25% for diabetes to 75% for low vegetable intake. The prevalence of diabetes, obesity, and hypertension tended to be higher among participants with any tobacco use compared to no tobacco use, but findings were not statistically significant. The prevalence of diabetes (prevalence ratio 2.1, 95% CI 1.4-3.2) and obesity (prevalence ratio 1.5, 95% CI 1.2-1.8) was higher among participants with low physical activity levels compared to recommended physical activity levels.

conclusionsCVD risk factors and health outcomes persist among American Indians even as some risks (e.g., smoking) appear to be stabilizing or even declining in the general US population. Efforts to include American Indians in national health surveys, implement broad reaching environmental and policy interventions, and address the social determinants of health are critical to the elimination of these disparities.

Indexed as

Health Status DisparitiesAdolescentAdultAgedCardiovascular DiseasesCross-Sectional StudiesFemaleHealth SurveysHumansIndians, North AmericanMaleMiddle AgedOklahomaPrevalenceRisk FactorsYoung AdultAmerican IndianCardiovascular diseaseCommunity-based participatory researchDiabetesNative AmericanObesityVegetable and fruit intake

Identifiers

PMID27924618
PMCPMC5461209
OpenAlexW2566538747

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.