Evidence map›Paper›PMID 39593183›Full record

ArticleJournal of health, population, and nutrition2024

Economic and healthcare influences on circulatory diseases in Kazakhstan: a retrospective ecological study.

Olzhas Zhamantayev, Nurlan Smagulov, Gulmira Tykezhanova, Maira Kenzhekeyeva, Gulden Karshalova

Abstract read
In one paragraph

Article in Journal of health, population, and nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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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

5 authors.

Olzhas ZhamantayevSchool of Public Health, Karaganda Medical University, 40 Gogol Str, Karaganda, 100000, Kazakhstan. zhamantaev@qmu.kz.
Nurlan SmagulovFaculty of Biology and Geography, Karaganda Buketov University, 28 Universitet Str, Karaganda, 100028, Kazakhstan.
Gulmira TykezhanovaFaculty of Biology and Geography, Karaganda Buketov University, 28 Universitet Str, Karaganda, 100028, Kazakhstan.
Maira KenzhekeyevaSchool of Public Health, Karaganda Medical University, 40 Gogol Str, Karaganda, 100000, Kazakhstan.
Gulden KarshalovaSchool of Public Health, Karaganda Medical University, 40 Gogol Str, Karaganda, 100000, Kazakhstan.

Funding

Committee of Science of the Ministry of Science and Higher Education of the Republic of Kazakhstan IRN AP14871897
6 · The paper itself

Abstract

backgroundHealth is a key driver of the United Nations Sustainable Development Goals. This study examined the relationships between economic indicators, demographic metrics, and health system factors and morbidity due to non-communicable diseases, such as diseases of the circulatory system, in Kazakhstan.

methodsThis retrospective ecological study utilized regionally aggregated data from 2010 to 2020 for all 14 regions in Kazakhstan. Data on incidence rates of diseases of the circulatory system (DCS) and socioeconomic, demographic, and healthcare variables were sourced from the Bureau of National Statistics and the Ministry of Health. Variables included gross regional product per capita, population density, living wage, unemployment rates, average monthly salary, Gini coefficient, income below subsistence level, housing space per capita, average monthly wage in healthcare, doctor and nurse densities per 10,000 population, and number of hospital beds. A correlation analysis was performed followed by stepwise regression to identify significant predictors.

resultsThe analysis identified that higher living wages (β = 0.7), population density (β = 0.275), nurse density (β = 0.212), and average monthly salary (β = 0.502) were positively associated with higher DCS incidence rates. Conversely, gross regional product per capita (β = -0.68), housing space per capita (β = -0.441), and income below the subsistence level (β = -0.161) were negatively associated with DCS incidence. The model explained approximately 63.7% of variance in DCS incidence.

conclusionsSocioeconomic and healthcare factors significantly influence the incidence of circulatory diseases in Kazakhstan. Policies aimed at improving economic conditions such as increasing living wages and reducing unemployment may help lower DCS morbidity. Additionally, equitable distribution of healthcare resources like nurses could enhance early detection and management of circulatory diseases, contributing to better public health outcomes in a middle-income country setting.

Indexed as

Cardiovascular DiseasesSocioeconomic FactorsDelivery of Health CareFemaleHumansIncidenceIncomeKazakhstanMalePopulation DensityRetrospective StudiesSalaries and Fringe BenefitsUnemploymentCardiovascular diseasesCirculatory systemHealthcareKazakhstanNon-communicable diseasesPublic healthSocioeconomic factors

Identifiers

PMID39593183
PMCPMC11590314

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.