Online Program

Prevalence of hypertension in rural nicaraguan coffee farm workers

Sunday, November 3, 2013

Lydia Greiner, MSN, APRN, School of Nursing, Fairfield University, Fairfield, CT
Jessica Alicia Planas, PhD, RN, MPH, CHES, School of Nursing, Fairfield University, Fairfield, CT
Philip Greiner, DNSc RN, School of Nursing, San Diego State University, San Diego, CA
Background: Estimates of prevalence of adult hypertension range from 25-33% globally. There are limited data about adult hypertension prevalence in Nicaragua. One study of an urban sample in Managua suggests prevalence rates consistent with global estimates however data from a rural sample in southern Nicaragua indicates prevalence of 38% and 43% in men and women respectively. The purpose of this study was to determine prevalence of hypertension in a rural community in north central Nicaragua. Method: Demographic characteristics, health status, risk factors, access to health care, and treatment were measured in a convenience sample of adult non-migrant coffee farm workers. Blood pressure was measured using an established protocol. Hypertension was defined as systolic or diastolic of > 140 or > 90 respectively or treatment with antihypertensive medication. Pre-hypertension was defined as systolic or diastolic of 120-139 or 80-89 respectively. Results: Complete data were available on 184 of the approximately 300 workers. Participants were predominantly male (58%) with a mean age of 35 + 15; the majority (60%) reported at least one prior blood pressure measurement. Hypertension was detected in 16.67% of males and 26.32% of females (19.79% of the total). Pre-hypertension was detected in 59.26% of males and 27.63% of females (45.45% of the total). About half of the males (51.4%) reported smoking compared to 1.23% of females. Discussion: Results indicate a lower prevalence of hypertension in this population than in previous studies. Contributing factors may be the communal kitchen and ready access to health care available to these farm workers.

Learning Areas:

Chronic disease management and prevention

Learning Objectives:
Compare the prevalence of hypertension in a rural community and an urban center in Nicaragua.

Keyword(s): Hypertension, Chronic Diseases

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the PI on a federally funded (OMH) grant focused on reduction of adolescent violence. I have been engaged in CBPR in Nicaragua for the past 4 years. In the past year I have worked with a rural community to determine prevalance of hypertension and diabetes. I am certified as an Advanced Public Health Nurse and am currently a student in the DrPH program at Boston University SPH (all course work completed).
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.