ArticleBMC public health2013
Blacks and Whites in the Cuba have equal prevalence of hypertension: confirmation from a new population survey.
Article in BMC public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- [Hypertension-abdominal obesity phenotype as an indicator of dysglycaemia and insulin resistance].Revista de salud publica (Bogota, Colombia) · 2023Article
- Ethnodemographic characterization of stroke incidence and burden of disease in hospital discharge records in Ecuador.Frontiers in neurology · 2023Article
- Ethnic Differences in the Prevalence of Hypertension in Colombia: Association With Education Level.American journal of hypertension · 2022Article
- Editorial commentary: Racial and Ethnic Disparities in Hypertension Prevalence, Awareness, Treatment, and Control in the United States, 2013 to 2018.Hypertension (Dallas, Tex. : 1979) · 2021Article
- Socioeconomic position and the health gradient in Cuba: dimensions and mechanisms.BMC public health · 2020Article
- Prevalence, awareness, treatment and control of high blood pressure in the elderly according to the ethnic group. Colombian survey.Colombia medica (Cali, Colombia) · 2019Article
- Controlling hypertension and reducing its associated morbidity and mortality in the Caribbean: implications of race and ethnicity.Journal of clinical hypertension (Greenwich, Conn.) · 2017Article
- Recent advances in understanding hypertension development in sub-Saharan Africa.Journal of human hypertension · 2017Review
- Educational inequalities in hypertension: complex patterns in intersections with gender and race in Brazil.International journal for equity in health · 2016Article
- Research Needs to Improve Hypertension Treatment and Control in African Americans.Hypertension (Dallas, Tex. : 1979) · 2016Review
- Hypertension Prevention and Control in Latin America and the Caribbean.Journal of clinical hypertension (Greenwich, Conn.) · 2015Article
- Article
- The blood pressure sensitivity to changes in sodium intake is similar in Asians, Blacks and Whites. An analysis of 92 randomized controlled trials.Frontiers in physiology · 2015Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe excess burden of hypertension among blacks has been a prominent feature of the heath disparities literature, and many scientists presume it to be a stable and inevitable phenomenon. The underlying causes of this disparity can only be disentangled in a setting in which the population does not experience racial stratification of socioeconomic opportunities. While such conditions of racial equality remain uncommon, they may be approximated in Cuba, a country with a persistent policy of social inclusion over the last 5 decades.
methodsWe report on a 2010-2011 stratified probability sample of those aged 15-74 years from the urban population of Cienfuegos in central Cuba. A total of 1496 adults (880 women and 616 men) were recruited and assessed for blood pressure and anthropometrics according to standardized protocols, as well as medication use, educational attainment and observed skin tone (dichotomized into "black" and "white"). Weighted tabular and regression analyses were conducted to estimate adjusted prevalences of hypertension (> 140/90 mmHg) and adjusted prevalence odds ratios for contrasts between the two skin color groups.
resultsMean pressures were higher for men than for women, but overall did not differ importantly between racial groups. About half of all diagnosed hypertensive men were on medication, a proportion that did not vary by racial group. For women, however, adjusted prevalence was somewhat higher among blacks, and treatment and control rates were also somewhat advantaged for white women.
conclusionsOverall, skin color was unrelated to mean blood pressure or hypertensive status in this population, although among women specifically some racial advantage appears evident in adjusted prevalence and control, and should be investigated further. The overall null result suggests that Cuba may exemplify the social conditions in which racial excess in hypertension, characteristic of much of the western world, is not a necessary reality.
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