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...
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2025-06-01
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| Series: | Global Heart |
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| Online Access: | https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1435 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Lindsey K. Reif |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-7e62586520eb4a539f95cab6fffbc81e |
| institution | DOAJ |
| issn | 2211-8179 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Global Heart |
| spelling | doaj-art-7e62586520eb4a539f95cab6fffbc81e2025-08-20T03:12:45ZengUbiquity PressGlobal Heart2211-81792025-06-01201525210.5334/gh.14351416Cardiovascular Risk Factors Among Young People in Haiti: Implications for Low-Income CountriesLindsey K. Reif0https://orcid.org/0000-0003-3427-4475Vanessa Rouzier1https://orcid.org/0000-0002-9672-9474Lily D. Yan2https://orcid.org/0000-0001-6363-7920Shalom Sabwa3https://orcid.org/0000-0001-7121-1807Genevieve Hilaire4https://orcid.org/0000-0001-7296-427XMarie Jean Pierre5Rose Cardelle Riche6Robert Peck7https://orcid.org/0000-0002-4526-2480Anju Ogyu8https://orcid.org/0000-0002-7055-5509Rodney Sufra9https://orcid.org/0000-0002-2613-6462Jean W. Pape10https://orcid.org/0000-0002-2948-2774Daniel W. Fitzgerald11Margaret L. McNairy12https://orcid.org/0000-0001-7853-633XCenter for Global Health, Department of Medicine, Weill Cornell Medicine, NYCenter for Global Health, Department of Medicine, Weill Cornell Medicine, NY, US; GHESKIO Centers, Port-au-PrinceCenter for Global Health, Department of Medicine, Weill Cornell Medicine, NYCenter for Global Health, Department of Medicine, Weill Cornell Medicine, NYGHESKIO Centers, Port-au-PrinceGHESKIO Centers, Port-au-PrinceGHESKIO Centers, Port-au-PrinceCenter for Global Health, Department of Medicine, Weill Cornell Medicine, NYCenter for Global Health, Department of Medicine, Weill Cornell Medicine, NYGHESKIO Centers, Port-au-PrinceCenter for Global Health, Department of Medicine, Weill Cornell Medicine, NY, US; GHESKIO Centers, Port-au-PrinceCenter for Global Health, Department of Medicine, Weill Cornell Medicine, NYCenter for Global Health, Department of Medicine, Weill Cornell Medicine, NY; Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, NYIntroduction: 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.https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1435cvdyoung adultyouthhypertension |
| spellingShingle | 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 Cardiovascular Risk Factors Among Young People in Haiti: Implications for Low-Income Countries Global Heart cvd young adult youth hypertension |
| title | Cardiovascular Risk Factors Among Young People in Haiti: Implications for Low-Income Countries |
| title_full | Cardiovascular Risk Factors Among Young People in Haiti: Implications for Low-Income Countries |
| title_fullStr | Cardiovascular Risk Factors Among Young People in Haiti: Implications for Low-Income Countries |
| title_full_unstemmed | Cardiovascular Risk Factors Among Young People in Haiti: Implications for Low-Income Countries |
| title_short | Cardiovascular Risk Factors Among Young People in Haiti: Implications for Low-Income Countries |
| title_sort | cardiovascular risk factors among young people in haiti implications for low income countries |
| topic | cvd young adult youth hypertension |
| url | https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1435 |
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