Adverse Pregnancy Outcomes and Prevalent Cardiovascular Disease Among an Urban Cohort in Haiti
Authors' conclusion
CVD was more common in women with a history of APO or grand multiparity, driven primarily by high heart failure prevalence in this relatively young sample of women living in urban Haiti.
Study context
- Population
- Female participants of the Haiti CVD Cohort who completed a reproductive health questionnaire, urban Haitiwomen, median age 44 years (IQR: 31–55 years)
- Participants
- 1,146 participants
- Exposure
- The relationship between APO and prevalent CVD
- APOn = 623
- Grand multiparityn = 230
- Outcome
- Heart failure
Methodological detailsHaiti CVD Cohort, Poisson regression models, adjusted for traditional risk factors
- Haiti CVD Cohort
- Poisson regression models, adjusted for traditional risk factors
Main finding
As reported in the abstract
APOPrevalence ratio (95% CI)
Age-adjusted
1.54(1.11–2.12)
Fully adjusted
1.44(1.04–1.99)
Observational data: associations, not effects.
Further findings
Prevalent stroke
| PR (95% CI) | ||
|---|---|---|
| APO | 1.05 (0.52–2.11) | |
| 0.512Prevalence ratio (log scale) |
CVD and heart failure, grand multiparity
| PR (95% CI) | ||
|---|---|---|
| Grand multiparityCVD, fully adjusted | 1.54 (1.14–2.07) | |
| Grand multiparityHeart failure, fully adjusted | 1.62 (1.17–2.24) | |
| 0.512Prevalence ratio (log scale) |
Participant characteristics
- Income <1 USD/day
- 68.0%
- Unemployment
- 67.0%
- Only primary education or less
- 46.0%
- At least 1 APO
- 61.7% (n = 623)
- Grand multiparity
- 20% [n = 230]
Original publication
Adverse Pregnancy Outcomes and Prevalent Cardiovascular Disease Among an Urban Cohort in Haiti. JACC Adv. Published 13 May 2026. doi:10.
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