Comparison of community and clinic-based blood pressure measurements

A cross-sectional study from Haiti

Bibliographic Data

ID19591960
AuthorsCaleigh Smith (0000-0002-2392-4316, Cornell University), Miranda Metz (0000-0003-1719-3569, Cornell University, corresponding author), Jean Lookens Pierre (0000-0003-1422-8455, Gheskio Centers, corresponding author), Vanessa Rouzier (0000-0002-9672-9474, Cornell University), Lily D Yan (0000-0001-6363-7920, Cornell University), Rodney Sufra (0000-0002-2613-6462, Gheskio Centers), Eliezer Dade (0000-0002-3060-8434, Gheskio Centers), Fabyola Preval (Gheskio Centers), Wilson Ariste (Gheskio Centers), Vanessa Rivera (0000-0002-5046-1185, Cornell University), Olga Tymejczyk (0000-0002-8417-0650, City University of New York), Robert N Peck (0000-0002-4526-2480, Cornell University), Rob Peck, Serena P Koenig (0000-0001-7464-275X, Brigham and Women's Hospital), Marie Deschamps (Gheskio Centers), Marie Marcelle Deschamps, William Pape, W John Pape (Cornell University), Margaret L McNairy (0000-0001-7853-633X, Cornell University)
EditorsPrashanth Nuggehalli Srinivas (0000-0003-0968-0826)
Year2022
Volume2
Issue9
Pagese0001064
Publication date2022-09-30
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0001064
PMID36285251
OpenAlexW4298132210
LanguageEN
Citations received1
References cited33

Hypertension (HTN) is the leading modifiable cardiovascular disease (CVD) risk factor in low and middle-income countries, and accurate and accessible blood pressure (BP) measurement is essential for identifying persons at risk. Given the convenience and increased use of community BP screening programs in low-income settings, we compared community and clinic BP measurements for participants in the Haiti CVD Cohort Study to determine the concordance of these two measurements. Participants were recruited using multistage random sampling from March 2019 to August 2021. HTN was defined as systolic BP (SBP) ≥ 140mmHg, diastolic BP (DBP) ≥ 90mmHg or taking antihypertensives according to WHO guidelines. Factors associated with concordance versus discordance of community and clinic BP measurements were assessed with multivariable Poisson regressions. Among 2,123 participants, median age was 41 years and 62% were female. Pearson correlation coefficients for clinic versus community SBP and DBP were 0.78 and 0.77, respectively. Using community BP measurements, 36% of participants screened positive for HTN compared with 30% using clinic BPs. The majority of participants had concordant measurements of normotension (59%) or HTN (26%) across both settings, with 4% having isolated elevated clinic BP (≥140/90 in clinic with normal community BP) and 10% with isolated elevated community BP (≥140/90 in community with normal clinic BP). These results underscore community BP measurements as a feasible and accurate way to increase HTN screening and estimate HTN prevalence for vulnerable populations with barriers to clinic access

Blood pressure · Cohort · Community health · Concordance · Diastole · Environmental health · Pathology · Poisson regression · Population · Public health · Blood Pressure and Hypertension Studies · Cardiovascular Health and Disease Prevention · Demography · Heart Rate Variability and Autonomic Control · Medicine · Internal Medicine

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