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Comparison of community and clinic-based blood pressure measurements: A cross-sectional study from Haiti

Hypertension (HTN) is the leading modifiable cardiovascular disease (CVD) risk factor in low and middle-income countries, and accurate and accessible blood pressure (BP) measurement is essential for identifying persons at risk. Given the convenience and increased use of community BP screening progra...

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Autores principales: Smith, Caleigh E., Metz, Miranda, Pierre, Jean Lookens, Rouzier, Vanessa, Yan, Lily D., Sufra, Rodney, Dade, Eliezer, Preval, Fabyola, Ariste, Wilson, Rivera, Vanessa, Tymejczyk, Olga, Peck, Rob, Koenig, Serena, Deschamps, Marie Marcelle, Pape, William, McNairy, Margaret L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592070/
https://www.ncbi.nlm.nih.gov/pubmed/36285251
http://dx.doi.org/10.1371/journal.pgph.0001064
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author Smith, Caleigh E.
Metz, Miranda
Pierre, Jean Lookens
Rouzier, Vanessa
Yan, Lily D.
Sufra, Rodney
Dade, Eliezer
Preval, Fabyola
Ariste, Wilson
Rivera, Vanessa
Tymejczyk, Olga
Peck, Rob
Koenig, Serena
Deschamps, Marie Marcelle
Pape, William
McNairy, Margaret L.
author_facet Smith, Caleigh E.
Metz, Miranda
Pierre, Jean Lookens
Rouzier, Vanessa
Yan, Lily D.
Sufra, Rodney
Dade, Eliezer
Preval, Fabyola
Ariste, Wilson
Rivera, Vanessa
Tymejczyk, Olga
Peck, Rob
Koenig, Serena
Deschamps, Marie Marcelle
Pape, William
McNairy, Margaret L.
author_sort Smith, Caleigh E.
collection PubMed
description Hypertension (HTN) is the leading modifiable cardiovascular disease (CVD) risk factor in low and middle-income countries, and accurate and accessible blood pressure (BP) measurement is essential for identifying persons at risk. Given the convenience and increased use of community BP screening programs in low-income settings, we compared community and clinic BP measurements for participants in the Haiti CVD Cohort Study to determine the concordance of these two measurements. Participants were recruited using multistage random sampling from March 2019 to August 2021. HTN was defined as systolic BP (SBP) ≥ 140mmHg, diastolic BP (DBP) ≥ 90mmHg or taking antihypertensives according to WHO guidelines. Factors associated with concordance versus discordance of community and clinic BP measurements were assessed with multivariable Poisson regressions. Among 2,123 participants, median age was 41 years and 62% were female. Pearson correlation coefficients for clinic versus community SBP and DBP were 0.78 and 0.77, respectively. Using community BP measurements, 36% of participants screened positive for HTN compared with 30% using clinic BPs. The majority of participants had concordant measurements of normotension (59%) or HTN (26%) across both settings, with 4% having isolated elevated clinic BP (≥140/90 in clinic with normal community BP) and 10% with isolated elevated community BP (≥140/90 in community with normal clinic BP). These results underscore community BP measurements as a feasible and accurate way to increase HTN screening and estimate HTN prevalence for vulnerable populations with barriers to clinic access.
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spelling pubmed-95920702022-10-24 Comparison of community and clinic-based blood pressure measurements: A cross-sectional study from Haiti Smith, Caleigh E. Metz, Miranda Pierre, Jean Lookens Rouzier, Vanessa Yan, Lily D. Sufra, Rodney Dade, Eliezer Preval, Fabyola Ariste, Wilson Rivera, Vanessa Tymejczyk, Olga Peck, Rob Koenig, Serena Deschamps, Marie Marcelle Pape, William McNairy, Margaret L. PLOS Glob Public Health Research Article Hypertension (HTN) is the leading modifiable cardiovascular disease (CVD) risk factor in low and middle-income countries, and accurate and accessible blood pressure (BP) measurement is essential for identifying persons at risk. Given the convenience and increased use of community BP screening programs in low-income settings, we compared community and clinic BP measurements for participants in the Haiti CVD Cohort Study to determine the concordance of these two measurements. Participants were recruited using multistage random sampling from March 2019 to August 2021. HTN was defined as systolic BP (SBP) ≥ 140mmHg, diastolic BP (DBP) ≥ 90mmHg or taking antihypertensives according to WHO guidelines. Factors associated with concordance versus discordance of community and clinic BP measurements were assessed with multivariable Poisson regressions. Among 2,123 participants, median age was 41 years and 62% were female. Pearson correlation coefficients for clinic versus community SBP and DBP were 0.78 and 0.77, respectively. Using community BP measurements, 36% of participants screened positive for HTN compared with 30% using clinic BPs. The majority of participants had concordant measurements of normotension (59%) or HTN (26%) across both settings, with 4% having isolated elevated clinic BP (≥140/90 in clinic with normal community BP) and 10% with isolated elevated community BP (≥140/90 in community with normal clinic BP). These results underscore community BP measurements as a feasible and accurate way to increase HTN screening and estimate HTN prevalence for vulnerable populations with barriers to clinic access. Public Library of Science 2022-09-30 /pmc/articles/PMC9592070/ /pubmed/36285251 http://dx.doi.org/10.1371/journal.pgph.0001064 Text en © 2022 Smith et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Smith, Caleigh E.
Metz, Miranda
Pierre, Jean Lookens
Rouzier, Vanessa
Yan, Lily D.
Sufra, Rodney
Dade, Eliezer
Preval, Fabyola
Ariste, Wilson
Rivera, Vanessa
Tymejczyk, Olga
Peck, Rob
Koenig, Serena
Deschamps, Marie Marcelle
Pape, William
McNairy, Margaret L.
Comparison of community and clinic-based blood pressure measurements: A cross-sectional study from Haiti
title Comparison of community and clinic-based blood pressure measurements: A cross-sectional study from Haiti
title_full Comparison of community and clinic-based blood pressure measurements: A cross-sectional study from Haiti
title_fullStr Comparison of community and clinic-based blood pressure measurements: A cross-sectional study from Haiti
title_full_unstemmed Comparison of community and clinic-based blood pressure measurements: A cross-sectional study from Haiti
title_short Comparison of community and clinic-based blood pressure measurements: A cross-sectional study from Haiti
title_sort comparison of community and clinic-based blood pressure measurements: a cross-sectional study from haiti
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592070/
https://www.ncbi.nlm.nih.gov/pubmed/36285251
http://dx.doi.org/10.1371/journal.pgph.0001064
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