Lindsey K Reif, Vanessa Rouzier, Lily D Yan, Shalom Sabwa, Genevieve Hilaire, Marie Jean Pierre, Rose Cardelle Riche, Robert Peck, Anju Ogyu, Rodney Sufra, Jean W Pape, Daniel W Fitzgerald, Margaret L McNairy
{"title":"海地年轻人的心血管危险因素：对低收入国家的影响。","authors":"Lindsey K Reif, Vanessa Rouzier, Lily D Yan, Shalom Sabwa, Genevieve Hilaire, Marie Jean Pierre, Rose Cardelle Riche, Robert Peck, Anju Ogyu, Rodney Sufra, Jean W Pape, Daniel W Fitzgerald, Margaret L McNairy","doi":"10.5334/gh.1435","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular disease (CVD) is a leading cause of global mortality with >80% of the burden in low-income countries. We investigate population-based estimates of CVD risk factors among young people ages 18-30 in Haiti and provide insights for CVD prevention.</p><p><strong>Methods: </strong>This is a cross-sectional study within the Haiti Cardiovascular Cohort Study. CVD risk factors include: high blood pressure (BP), dyslipidemia, kidney disease, overweight and obese, and health behaviors. Multivariate logistic regression assessed associated independent factors.</p><p><strong>Results: </strong>Among 957 participants ages 18-30 years, 23.5% had high BP (95%CI: 20.9%-26.3%), 34.9% had dyslipidemia (95%CI: 31.8%-38.1%), 6.4% had kidney disease (95%CI: 4.8%-8.4%), 16.5% were overweight (95%CI: 14.2%-19.0%), and 6.8% were obese (95%CI: 5.3%-8.6%). More males had high BP (33.6% vs. 14.0%; p < 0.001) and more females had dyslipidemia (45.1% vs. 23.9% p < 0.001). Overweight and obese participants had higher odds of high BP (aOR: 2.05, 95%CI: [1.31-3.19]; aOR 2.15, 95%CI [1.11-4.04]) and dyslipidemia (aOR: 1.70, 95%CI [1.15-2.50]); aOR 2.82, 95%CI [1.63-4.98]) compared to those with normal BMI. Participants ages 25-30 had higher odds of high BP (aOR: 1.58, 95%CI: [1.14-2.18]) and dyslipidemia (aOR: 1.81, 95%CI: [1.35-2.43]) compared to participants ages 18-24.</p><p><strong>Discussion: </strong>Prevalence of high BP and dyslipidemia are alarmingly high in Haitian young adults, with higher rates of dyslipidemia in women and elevated BP in men. These data provide evidence for routine CVD screening in young people as early as 18 years and underscore the need to identify modifiable drivers of early-onset CVD.</p>","PeriodicalId":56018,"journal":{"name":"Global Heart","volume":"20 1","pages":"52"},"PeriodicalIF":3.1000,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164739/pdf/","citationCount":"0","resultStr":"{\"title\":\"Cardiovascular Risk Factors Among Young People in Haiti: Implications for Low-Income Countries.\",\"authors\":\"Lindsey K Reif, Vanessa Rouzier, Lily D Yan, Shalom Sabwa, Genevieve Hilaire, Marie Jean Pierre, Rose Cardelle Riche, Robert Peck, Anju Ogyu, Rodney Sufra, Jean W Pape, Daniel W Fitzgerald, Margaret L McNairy\",\"doi\":\"10.5334/gh.1435\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Cardiovascular disease (CVD) is a leading cause of global mortality with >80% of the burden in low-income countries. We investigate population-based estimates of CVD risk factors among young people ages 18-30 in Haiti and provide insights for CVD prevention.</p><p><strong>Methods: </strong>This is a cross-sectional study within the Haiti Cardiovascular Cohort Study. CVD risk factors include: high blood pressure (BP), dyslipidemia, kidney disease, overweight and obese, and health behaviors. Multivariate logistic regression assessed associated independent factors.</p><p><strong>Results: </strong>Among 957 participants ages 18-30 years, 23.5% had high BP (95%CI: 20.9%-26.3%), 34.9% had dyslipidemia (95%CI: 31.8%-38.1%), 6.4% had kidney disease (95%CI: 4.8%-8.4%), 16.5% were overweight (95%CI: 14.2%-19.0%), and 6.8% were obese (95%CI: 5.3%-8.6%). More males had high BP (33.6% vs. 14.0%; p < 0.001) and more females had dyslipidemia (45.1% vs. 23.9% p < 0.001). Overweight and obese participants had higher odds of high BP (aOR: 2.05, 95%CI: [1.31-3.19]; aOR 2.15, 95%CI [1.11-4.04]) and dyslipidemia (aOR: 1.70, 95%CI [1.15-2.50]); aOR 2.82, 95%CI [1.63-4.98]) compared to those with normal BMI. Participants ages 25-30 had higher odds of high BP (aOR: 1.58, 95%CI: [1.14-2.18]) and dyslipidemia (aOR: 1.81, 95%CI: [1.35-2.43]) compared to participants ages 18-24.</p><p><strong>Discussion: </strong>Prevalence of high BP and dyslipidemia are alarmingly high in Haitian young adults, with higher rates of dyslipidemia in women and elevated BP in men. These data provide evidence for routine CVD screening in young people as early as 18 years and underscore the need to identify modifiable drivers of early-onset CVD.</p>\",\"PeriodicalId\":56018,\"journal\":{\"name\":\"Global Heart\",\"volume\":\"20 1\",\"pages\":\"52\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-06-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164739/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Global Heart\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.5334/gh.1435\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global Heart","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5334/gh.1435","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Cardiovascular Risk Factors Among Young People in Haiti: Implications for Low-Income Countries.
Introduction: Cardiovascular disease (CVD) is a leading cause of global mortality with >80% of the burden in low-income countries. We investigate population-based estimates of CVD risk factors among young people ages 18-30 in Haiti and provide insights for CVD prevention.
Methods: This is a cross-sectional study within the Haiti Cardiovascular Cohort Study. CVD risk factors include: high blood pressure (BP), dyslipidemia, kidney disease, overweight and obese, and health behaviors. Multivariate logistic regression assessed associated independent factors.
Results: Among 957 participants ages 18-30 years, 23.5% had high BP (95%CI: 20.9%-26.3%), 34.9% had dyslipidemia (95%CI: 31.8%-38.1%), 6.4% had kidney disease (95%CI: 4.8%-8.4%), 16.5% were overweight (95%CI: 14.2%-19.0%), and 6.8% were obese (95%CI: 5.3%-8.6%). More males had high BP (33.6% vs. 14.0%; p < 0.001) and more females had dyslipidemia (45.1% vs. 23.9% p < 0.001). Overweight and obese participants had higher odds of high BP (aOR: 2.05, 95%CI: [1.31-3.19]; aOR 2.15, 95%CI [1.11-4.04]) and dyslipidemia (aOR: 1.70, 95%CI [1.15-2.50]); aOR 2.82, 95%CI [1.63-4.98]) compared to those with normal BMI. Participants ages 25-30 had higher odds of high BP (aOR: 1.58, 95%CI: [1.14-2.18]) and dyslipidemia (aOR: 1.81, 95%CI: [1.35-2.43]) compared to participants ages 18-24.
Discussion: Prevalence of high BP and dyslipidemia are alarmingly high in Haitian young adults, with higher rates of dyslipidemia in women and elevated BP in men. These data provide evidence for routine CVD screening in young people as early as 18 years and underscore the need to identify modifiable drivers of early-onset CVD.
Global HeartMedicine-Cardiology and Cardiovascular Medicine
CiteScore
5.70
自引率
5.40%
发文量
77
审稿时长
5 weeks
期刊介绍：
Global Heart offers a forum for dialogue and education on research, developments, trends, solutions and public health programs related to the prevention and control of cardiovascular diseases (CVDs) worldwide, with a special focus on low- and middle-income countries (LMICs). Manuscripts should address not only the extent or epidemiology of the problem, but also describe interventions to effectively control and prevent CVDs and the underlying factors. The emphasis should be on approaches applicable in settings with limited resources.
Economic evaluations of successful interventions are particularly welcome. We will also consider negative findings if important. While reports of hospital or clinic-based treatments are not excluded, particularly if they have broad implications for cost-effective disease control or prevention, we give priority to papers addressing community-based activities. We encourage submissions on cardiovascular surveillance and health policies, professional education, ethical issues and technological innovations related to prevention.
Global Heart is particularly interested in publishing data from updated national or regional demographic health surveys, World Health Organization or Global Burden of Disease data, large clinical disease databases or registries. Systematic reviews or meta-analyses on globally relevant topics are welcome. We will also consider clinical research that has special relevance to LMICs, e.g. using validated instruments to assess health-related quality-of-life in patients from LMICs, innovative diagnostic-therapeutic applications, real-world effectiveness clinical trials, research methods (innovative methodologic papers, with emphasis on low-cost research methods or novel application of methods in low resource settings), and papers pertaining to cardiovascular health promotion and policy (quantitative evaluation of health programs.
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