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Cardiovascular Health in a Single Community in Rural Haiti: A Cross-sectional Study

INTRODUCTION: There is a growing burden of cardiovascular disease in low- and middle-income countries and assessment of cardiovascular health (CVH) may identify populations at risk for poor CVH. METHODS: Between July 2014 and August 2014, we performed a household survey from a convenience sample amo...

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Autores principales: Polsinelli, Vincenzo B., Dantil, Ketheline Rock, DeGennaro, Vincent, Fénelon, Darius L., Louis, Dufens Pierre, Izzo, Joseph L., Kwan, Gene F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8494238/
https://www.ncbi.nlm.nih.gov/pubmed/34621104
http://dx.doi.org/10.48107/cmj.2021.07.01
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author Polsinelli, Vincenzo B.
Dantil, Ketheline Rock
DeGennaro, Vincent
Fénelon, Darius L.
Louis, Dufens Pierre
Izzo, Joseph L.
Kwan, Gene F.
author_facet Polsinelli, Vincenzo B.
Dantil, Ketheline Rock
DeGennaro, Vincent
Fénelon, Darius L.
Louis, Dufens Pierre
Izzo, Joseph L.
Kwan, Gene F.
author_sort Polsinelli, Vincenzo B.
collection PubMed
description INTRODUCTION: There is a growing burden of cardiovascular disease in low- and middle-income countries and assessment of cardiovascular health (CVH) may identify populations at risk for poor CVH. METHODS: Between July 2014 and August 2014, we performed a household survey from a convenience sample among adult community members in rural northern Haiti. We used a modified World Health Organization STEPwise approach to chronic disease questionnaire to capture self-reported data on tobacco, diet, physical activity, and diabetes, and measured blood pressure and body mass index. We used an adapted American Heart Association definition and thresholds for determining ideal, intermediate, and poor cardiovascular health. We used linear and logistic regression to examine associations between socio-demographic characteristics with CVH score and ideal CVH. RESULTS: Among 540 participants (mean [SD] age = 40.3 [17.1] years, 67% women), there was a high prevalence of poor CVH (n=476, 88.1%) compared with intermediate (n=56, 10.4%) and ideal (n=41, 7.6%) CVH. Ideal metrics for blood pressure (47%) and diet (26%) were least often met, while body weight (84%), physical activity (83%), and smoking (90%) were most often met. Men were associated with better CVH score (0.31, [0.04–0.59]; P=0.03), and being a farmer was associated with ideal CVH (P=0.006). CONCLUSION: In this community-based sample of a farming community in rural Haiti, very few adults had ideal CVH. Higher CVH score was associated with male sex, and farming as a primary occupation. Women and non-farmers may represent at-risk subgroups within this population. Blood pressure and diet may represent possible areas for improvement.
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spelling pubmed-84942382021-10-06 Cardiovascular Health in a Single Community in Rural Haiti: A Cross-sectional Study Polsinelli, Vincenzo B. Dantil, Ketheline Rock DeGennaro, Vincent Fénelon, Darius L. Louis, Dufens Pierre Izzo, Joseph L. Kwan, Gene F. Caribb Med J Article INTRODUCTION: There is a growing burden of cardiovascular disease in low- and middle-income countries and assessment of cardiovascular health (CVH) may identify populations at risk for poor CVH. METHODS: Between July 2014 and August 2014, we performed a household survey from a convenience sample among adult community members in rural northern Haiti. We used a modified World Health Organization STEPwise approach to chronic disease questionnaire to capture self-reported data on tobacco, diet, physical activity, and diabetes, and measured blood pressure and body mass index. We used an adapted American Heart Association definition and thresholds for determining ideal, intermediate, and poor cardiovascular health. We used linear and logistic regression to examine associations between socio-demographic characteristics with CVH score and ideal CVH. RESULTS: Among 540 participants (mean [SD] age = 40.3 [17.1] years, 67% women), there was a high prevalence of poor CVH (n=476, 88.1%) compared with intermediate (n=56, 10.4%) and ideal (n=41, 7.6%) CVH. Ideal metrics for blood pressure (47%) and diet (26%) were least often met, while body weight (84%), physical activity (83%), and smoking (90%) were most often met. Men were associated with better CVH score (0.31, [0.04–0.59]; P=0.03), and being a farmer was associated with ideal CVH (P=0.006). CONCLUSION: In this community-based sample of a farming community in rural Haiti, very few adults had ideal CVH. Higher CVH score was associated with male sex, and farming as a primary occupation. Women and non-farmers may represent at-risk subgroups within this population. Blood pressure and diet may represent possible areas for improvement. 2021-07-25 2021-09 /pmc/articles/PMC8494238/ /pubmed/34621104 http://dx.doi.org/10.48107/cmj.2021.07.01 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) which permits use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Article
Polsinelli, Vincenzo B.
Dantil, Ketheline Rock
DeGennaro, Vincent
Fénelon, Darius L.
Louis, Dufens Pierre
Izzo, Joseph L.
Kwan, Gene F.
Cardiovascular Health in a Single Community in Rural Haiti: A Cross-sectional Study
title Cardiovascular Health in a Single Community in Rural Haiti: A Cross-sectional Study
title_full Cardiovascular Health in a Single Community in Rural Haiti: A Cross-sectional Study
title_fullStr Cardiovascular Health in a Single Community in Rural Haiti: A Cross-sectional Study
title_full_unstemmed Cardiovascular Health in a Single Community in Rural Haiti: A Cross-sectional Study
title_short Cardiovascular Health in a Single Community in Rural Haiti: A Cross-sectional Study
title_sort cardiovascular health in a single community in rural haiti: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8494238/
https://www.ncbi.nlm.nih.gov/pubmed/34621104
http://dx.doi.org/10.48107/cmj.2021.07.01
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