ArticleJournal of clinical hypertension (Greenwich, Conn.)2022
Hypertension continuum of care: Blood pressure screening, diagnosis, treatment, and control in a population-based cohort in Haiti.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03892265 (A Longitudinal Cohort Study to Evaluate Cardiovascular Risk Factors and Disease in Haiti), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Longitudinal Cohort Study to Evaluate Cardiovascular Risk Factors and Disease in Haiti
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis.International journal of public health · 2023Pooled it
- Blood Pressure Trajectories Among Adults Living in Extreme Poverty: A Population-Based Cohort in Port-au-Prince, Haiti.Hypertension (Dallas, Tex. : 1979) · 2026Article
- Prevalence and incidence of non-communicable diseases among older adults living with HIV on antiretroviral therapy in Northern Haiti: A retrospective cohort study.PLOS global public health · 2026Article
- Improvements in Blood Pressure Control and the Hypertension Care Continuum Over 2 Years in Urban Haiti Amidst Civil Unrest.Journal of clinical hypertension (Greenwich, Conn.) · 2025Observational
- Left ventricular hypertrophy among adults in a population-based cohort in Haiti.Scientific reports · 2025Article
- Cardiovascular Disease Multimorbidity and Decreased Health-Related Quality of Life in Haiti: A Cross-Sectional Study.Journal of the American Heart Association · 2025Observational
- Stakeholder perspectives on barriers and facilitators to hypertension control in urban Haiti: a qualitative study to inform a community-based hypertension management intervention.BMC public health · 2025Article
- Text message reminders for visit adherence among non-communicable disease patients in Haiti: A pilot study.PLOS global public health · 2025Article
- Capturing metabolic syndrome in low-resource settings: a case study in urban Haiti.Frontiers in endocrinology · 2025Article
- Prevalence of Cooking with Polluting Fuels and Association with Elevated Blood Pressure Among Adults in Port au Prince, Haiti: A Cross-Sectional Analysis.Global heart · 2025Article
- Implementation of a Virtual Cardiology Curriculum to Address the Deficit of Cardiovascular Education in Haiti.JACC. Advances · 2024Article
- Effectiveness of community-based hypertension management on hypertension in the urban slums of Haiti: A mixed methods study.Journal of clinical hypertension (Greenwich, Conn.) · 2024Article
- Spectrum of prevalent cardiovascular diseases in urban Port-au-Prince, Haiti: a population-based cross-sectional study.Lancet regional health. Americas · 2024Article
- Article
- Understanding Gaps in the Hypertension and Diabetes Care Cascade: Systematic Scoping Review.JMIR public health and surveillance · 2024Article
- Effectiveness of a hypertension management protocol in rural Haitian adults and pregnant women.Dialogues in health · 2023Article
- Uncovering Endemic Heart Failure and Hypertension in Low- and Middle-Income Countries: Challenges and Opportunities.Circulation. Cardiovascular quality and outcomes · 2023Article
- Challenges for the prevention of hypertension among international migrants in Latin America: prioritizing the health of migrants in healthcare systems.Frontiers in public health · 2023Review
- Hypertension continuum of care: Blood pressure screening, diagnosis, treatment, and control in a population-based cohort in Haiti.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Polypill for atherosclerotic cardiovascular disease prevention in Haiti: Eligibility estimates in a low-income country.Frontiers in epidemiology · 2022Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
Cardiovascular disease (CVD) is the number one cause of death in low-income countries including Haiti, with hypertension (HTN) being the leading risk factor. This study aims to identify gaps in the HTN continuum of screening, diagnosis, treatment, and blood pressure (BP) control. Sociodemographic and clinical data were collected from a population-based sample of adults ≥18 years in Port-au-Prince (PAP) from March 2019 to April 2021. HTN was defined as systolic BP ≥ 140 mmHg, diastolic BP ≥ 90 mmHg, or use of antihypertensive medication. Screening was defined as ever having had a BP measurement; diagnosis as previously being informed of a HTN diagnosis; treatment as having taken antihypertensives in the past 2 weeks; and controlled as taking antihypertensives and having BP < 140/90 mmHg. Factors associated with attaining each step in the continuum were assessed using Poisson multivariable regressions. Among 2737 participants, 810 (29% age-standardized) had HTN, of whom 97% had been screened, 72% diagnosed, 45% treated, and 13% controlled. There were no significant differences across age groups or sex. Obesity (BMI ≥ 30) was a significant factor associated with receiving treatment compared to normal weight (BMI < 25), with a prevalence ratio (PR) of 1.5 (95% CI 1.1-2.0). Having secondary or higher education was associated with higher likelihood of controlled BP (PR 1.9 [95% CI 1.1-3.3]). In this urban Haitian population, the greatest gaps in HTN care are treatment and control. Targeted interventions are needed to improve these steps, including broader access to affordable treatment, timely distribution of medications, and patient adherence to HTN medication.
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