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JP Duncan

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

DOI: 
10.7727/wimj.2017.140
Synopsis: 
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.

ABSTRACT

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 

Accepted: 
12 Dec, 2017
Journal Sections: 
e-Published: 13 Dec, 2017

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Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

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

Issue: 
DOI: 
10.7727/wimj.2017.073
Pages: 
1–3
Synopsis: 
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.

Accepted: 
07 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 08 Mar, 2017
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