HypertensionCohort study
Neighborhood Social Vulnerability and Premature Cardiovascular Disease in Haiti
- Population-based cohort study
- multistage random sampling
Authors' conclusion
In urban Haiti, individuals living in neighborhoods with the highest social vulnerability had greater prevalence of hypertension and HF.
Study context
- Population
- Adults in slum and urban neighborhoods of Port-au-Prince, Haiti (Haiti cardiovascular disease (CVD) Cohort Study), 2019–2021
- Participants
- 2,925 adults
- Exposure
- SVI-H quartile 4 vs quartile 1
- Outcome
- Prevalent hypertension and total CVD (HF, stroke, TIA, angina or MI)
Main finding
As reported in the abstract
Prevalent hypertension and total CVD
PR
- hypertension; age-adjusted
- 1.17 (95% CI 1.02–1.34)
- CVD; age-adjusted
- 1.48 (95% CI 1.16–1.89)
- Hypertension prevalence, quartiles 1 to 4
- 26.2% to 38.4% (95% CI 23.1%-29.3% to 34.8%-42.0%)
- CVD prevalence, quartiles 1 to 4
- 11.1% to 19.7% (95% CI 8.8%-13.3% to 16.8%-22.6%)
- Overall hypertension prevalence
- 32.8% (95% CI 31.1%-34.5%)
- Overall CVD prevalence
- 14.7% (95% CI 13.5%-16.0%)
Observational data: associations, not effects.
Further findings
CVD subtypes by SVI-H
- SVI-H significantly associated with heart failure (HF): PR
- 1.64 (95% CI 1.23-2.18)
- Not associated with combined stroke and transient ischemic attack (TIA) or combined angina and myocardial infarction (MI)
Original publication
Neighborhood Social Vulnerability and Premature Cardiovascular Disease in Haiti. JAMA Cardiol. Published 1 August 2024. doi:10.1001/jamacardio.2024.1286
Summarised from the published abstract; every number is checked against it