%0 Journal Article
%T Blacks and whites in the Cuba have equal prevalence of hypertension: confirmation from a new population survey
%A Pedro Ord¨²£żez
%A Jay S Kaufman
%A Mikhail Benet
%A Alain Morejon
%A Luis C Silva
%A David A Shoham
%A Richard S Cooper
%J BMC Public Health
%D 2013
%I BioMed Central
%R 10.1186/1471-2458-13-169
%X We report on a 2010--2011 stratified probability sample of those aged 15--74 years from the urban population of Cienfuegos in central Cuba. A total of 1496 adults (880 women and 616 men) were recruited and assessed for blood pressure and anthropometrics according to standardized protocols, as well as medication use, educational attainment and observed skin tone (dichotomized into "black" and "white"). Weighted tabular and regression analyses were conducted to estimate adjusted prevalences of hypertension (> 140/90 mmHg) and adjusted prevalence odds ratios for contrasts between the two skin color groups.Mean pressures were higher for men than for women, but overall did not differ importantly between racial groups. About half of all diagnosed hypertensive men were on medication, a proportion that did not vary by racial group. For women, however, adjusted prevalence was somewhat higher among blacks, and treatment and control rates were also somewhat advantaged for white women.Overall, skin color was unrelated to mean blood pressure or hypertensive status in this population, although among women specifically some racial advantage appears evident in adjusted prevalence and control, and should be investigated further. The overall null result suggests that Cuba may exemplify the social conditions in which racial excess in hypertension, characteristic of much of the western world, is not a necessary reality.
%U http://www.biomedcentral.com/1471-2458/13/169/abstract