Blood Pressure Screening Campaign in Jamaica: May Measurement Month 2017

Author:

Nwokocha Magdalene1,Romero Cesar A23,Holder Cheryl4,Whylie Natalie5,Wong Hiu5,Lietch Joan6,Wilks Rohan7,Hosang Mark7,Francis Sheena8,Brown Paul D9,Paul Tomlin5,Abel Wendel5,Barton Everard10,Wilks Rainford7,Nwokocha Chukwuemeka R9ORCID

Affiliation:

1. Department of Pathology, The University of the West Indies, Mona, Jamaica

2. Internal Medicine, Hypertension and Vascular Research, Henry Ford Hospital, Detroit, Michigan, USA

3. Global Health Initiative, Henry Ford Hospital, Detroit, Michigan, USA

4. Department of Medicine, Family Medicine and Community Health, Herbert Wertheim College of Medicine, Florida International University, Miami, USA

5. Kingston Public Hospital, Kingston, Jamaica

6. Mona Information Technology, The University of the West Indies, Mona, Jamaica

7. Caribbean Institute for Health Research, The University of the West Indies, Mona Jamaica

8. Natural Products Institute, The University of the West Indies, Mona Jamaica

9. Department of Basic Medical Sciences, The University of the West Indies, Mona, Jamaica

10. Department of Medicine, The University of the West Indies, Mona Campus, Jamaica

Abstract

Abstract BACKGROUND Hypertension (HTN) is responsible for a significant disease burden in Jamaica. We are reporting the results of the 2017 blood pressure (BP) screening campaign May Measurement Month in Jamaica that aimed to increase the awareness of HTN. METHODS Adults, 18 years old and older, from different parishes of Jamaica were invited to participate during May to June 2017. Demographic data were collected. BP, weight, and height were measured and recorded. RESULTS Five hundred sixty-six participants (n = 566) were enrolled, 91.6% (519) from urban areas, and 72.6% (410) were females. The average age was 53.7 (18–95) years old and body mass index was 28.2 ± 6.6 kg/m2. The prevalence of HTN was 47.3% (267/566), without gender or living areas differences (both P > 0.1). Prevalence of HTN was lower in those who self-identified as Interracial ethnicity, in comparison with Afro-Caribbean (33% vs. 48.3%; P = 0.04). About third of the hypertensive patients were not aware of the high BP (89/267; 35.6%). Between hypertensive patients, 64.4% (172/267) were receiving antihypertensive drugs. The rate of BP control was 32% of the hypertensive patients and 50% of those receiving antihypertensive medication. Significant lower BP control was observed between diabetic vs. nondiabetic patients (34.3% vs. 60%; P < 0.001). CONCLUSION We found a high prevalence of HTN in this population, especially in patients with diabetes or previous cardiovascular diseases. We report an increase in HTN awareness in Jamaica but more advances need to be performed to increase HTN treatment and control.

Publisher

Oxford University Press (OUP)

Subject

Internal Medicine

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