The Wider Caribbean Region is an important tourist destination where agricultural, industrial and shipping activities are also carried on. Coastal zones are heavily populated and receive a high human pressure; however, few monitoring programmes allow assessing long-term anthropogenic impact trends in these areas, which are especially useful for integrated management programs. Through the support of the International Atomic Energy Agency (project RLA/7/012), sediment core activities of 210Pb and 137Cs were used to evaluate changes in sedimentation rates in 11 relevant coastal areas of the region, where environmental information is scarce, but needed to support national environmental policies. Most 210Pb activity profiles were atypical, attributed to non-steady sedimentation conditions; whereas 137Cs activity profiles, showing very low values, were of little help for 210Pb-dating corroboration. Results evidenced conspicuous changes in mass accumulation rates (MAR), specially through the Anthropocene (i.e. since ~1950s) in most cases, attributed to deforestation and land erosion (one of the clearest indicators of global change), and the input of urban and industrial untreated wastes. The recent MAR decrease in Havana Bay (Cuba) was attributed to the implementation of environmental policies, which showed that 210Pb-derived reconstruction of environmental changes is also useful to verify the effectiveness of management programs to control land-derived erosion and siltation issues. Since siltation can be detrimental to valuable coastal resources around the world, retrospective evaluations of sedimentation rates, based on 210Pb-dated cores, are highly recommended to assist integrated coastal zone management programs in the region and elsewhere.