Abstract
BackgroundTo determine the prevalence of hypertension and investigate sociodemographic correlates in an indigenous Kuna community living on the San Blas islands of Panama.MethodsData was collected from adults using a paper-based survey using a cross sectional study design. Blood pressure was measured, and hypertension defined at two cut-points: 130/80 mmHg and 140/90 mmHg. Individuals with undiagnosed hypertension had a blood pressure measurement that indicated hypertension, however, the individual had not been told by a doctor they had hypertension. Whereas individuals with diagnosed hypertension had been told by a healthcare provider that they had hypertension. Univariate tests compared diagnosed and undiagnosed hypertension by sociodemographic categories and logistic regression models tested individual correlates adjusting for all sociodemographic factors.ResultsTwo hundred and eleven adult indigenous Kuna participated in the study. Overall prevalence of hypertension was 6.2% (95%CI:3.32–10.30) as defined by 140/90 mmHg, and 16.6% (95%CI:11.83–22.31) as defined by 130/80 mmHg. Hypertension was significantly higher in men (31.6, 95% CI:19.90–45.24, compared to 11.0, 95% CI:6.56–17.09). Individuals with low income were 3 times more likely to be hypertensive (OR = 3.13, 95% CI:1.02–9.60) and 3.5 times more likely to have undiagnosed hypertension (OR = 3.42, 95% CI:1.01–11.52); while those with moderate income were 6 times more likely to be hypertensive (OR = 7.37, 95% CI:1.76–30.90) compared to those who were poor.ConclusionThe prevalence of diagnosed and undiagnosed hypertension is higher in men and those with higher income. Investigating these factors remains vitally important in helping improve the health of the Kuna through targeted interventions to address chronic disease.
Highlights
IntroductionWhile mortality due to cardiovascular disease has declined recently, Hanna et al BMC Public Health (2019) 19:843 socioeconomic transitions in countries globally, highlights the importance of understanding the prevalence and drivers of hypertension in communities [8]
To determine the prevalence of hypertension and investigate sociodemographic correlates in an indigenous Kuna community living on the San Blas islands of Panama
Indigenous populations in Latin America have been noted for a large poverty gap, with the probability of poverty increasing over the past decade [11]
Summary
While mortality due to cardiovascular disease has declined recently, Hanna et al BMC Public Health (2019) 19:843 socioeconomic transitions in countries globally, highlights the importance of understanding the prevalence and drivers of hypertension in communities [8]. Lack of access to healthcare is a common theme in indigenous research, which can result in additional burden due to undiagnosed hypertension [9,10,11]. This concern is especially prevalent in the indigenous populations of Latin America and the Caribbean, where many indigenous groups live in remote or inaccessible areas [11, 12, 16]. The highly variable nature of social, environmental, and cultural factors present in indigenous communities makes generalization between groups difficult and suggest the importance of understanding unique characteristics in each group [9, 10, 17]
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