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JP Duncan

Using the HIV Treatment Cascade to Identify Implementation Gaps in Hypertension Management in Jamaica

Hypertension is the single most important determinant of cardiovascular disease in the Caribbean. Applying the HIV treatment cascade to hypertension management helps highlight important hypertension research, treatment, and implementation gaps and can facilitate evaluation of the effectiveness of any interventions.


Objective: Hypertension is the biggest contributor to cardiovascular disease – the leading cause of death in Jamaica and the Caribbean.  In this paper, we utilized the HIV treatment cascade model to identify research, treatment and implementation gaps for hypertension in Jamaica 

12 Dec, 2017
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e-Published: 13 Dec, 2017


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Hypertension Control: The Caribbean Needs Intervention Studies to Learn How to Do Better

Prevalence of hypertension is high in the Caribbean while control of hypertension is low. Intervention trials are needed to establish low cost, sustainable approaches that work in this region.

Hypertension is an important risk factor for cardiovascular disease in the Caribbean and globally. It is responsible for 51% of deaths due to cerebrovascular disease (stroke) and 45% of deaths due to ischaemic heart disease, which are the leading causes of death in the Caribbean. The prevalence of hypertension in the Caribbean is high, affecting 21% of adults in Barbados and Trinidad and Tobago, 25% in Jamaica, and 35–38% in St Kitts, British Virgin Islands and Grenada, contributing to the large economic burden from this condition and its complications.

07 Mar, 2017
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e-Published: 08 Mar, 2017
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