Background Cardiovascular diseases represent the most common cause of death in the English-speaking Caribbean, and hypertension represents the most important predisposing condition.
However, direct between-country comparative studies in the Caribbean have not previously been undertaken.
Objective To obtain estimates of hypertension prevalence, awareness, treatment and control in three countries in the Caribbean.
Design Population-based samples of adults aged 25-74 years in St Lucia, Barbados and Jamaica were surveyed regarding their cardiovascular health and their blood pressures were measured using a highly standardized protocol.
A reference site was available from a collaborative study among blacks in metropolitan Chicago, Illinois, USA.
Results At the 160/95mmHg threshold, age-adjusted hypertension prevalence estimates for Jamaica, St Lucia and Barbados were 17.5,18.3 and 21.5%, respectively, and 24.7,26.9 and 27.9%, respectively, at the 140/90 mmHg threshold.
The corresponding estimate for the Chicago site at the 140/90 mmHg threshold was 33.2%. The gradient in prevalence resembled the gradient in body mass index (25.7 kg/m2 in Jamaica to 29.3 kg/m2 in the USA).
At the 160/95mmHg threshold, the proportion of all hypertensives who were aware of their disease, pharmacologically treated and controlled was highest in Barbados (90,85 and 72%, respectively) and lowest in St Lucia (74,59 and 35%, respectively).
Men, particularly those aged less than 55 years,...
Mots-clés Pascal : Hypertension artérielle, Prévalence, Jamaïque, Antilles, Amérique Centrale, Amérique, Epidémiologie, Homme, Barbade, Sainte Lucie, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Hypertension, Prevalence, Jamaica, West Indies, Central America, America, Epidemiology, Human, Barbados, Saint Lucia, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0298479
Code Inist : 002B12B05B. Création : 199608.