Clin Hypertens.  2022;28(1):18. 10.1186/s40885-022-00203-8.

Association between ethnicity and hypertension in Northern Colombia in 2015

Affiliations
  • 1Department of Translational Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA.
  • 2American University of Antigua, Osbourn, Antigua and Barbuda.
  • 3Observatorio de Diabetes de Colombia, Organización para la Excelencia de la Salud, Bogotá, Colombia.
  • 4Department of Health Policy and Management, Robert Stempel College of Public Health and Social Work, Miami, FL, USA.
  • 5Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
  • 6Florida International University Herbert Wertheim College of Medicine, 11200 SW 8th Street, 33199 Miami, FL, USA.

Abstract

Background
Studies in the United States have shown a genetic predisposition to hypertension in individuals of African descent. However, studies on the associations between ethnic groups and hypertension in Latin America are lacking and the limited results have been inconsistent. The objective of this study is to determine whether AfroColombian ethnicity increases the risk of hypertension.
Methods
This study is a secondary data analysis of a cross-sectional study from five provinces in Northern Colombia. Randomly selected individuals (N = 2613; age-range 18–74 years) enrolled in a health care insurance company underwent physical examinations and completed questionnaires regarding ethnicity, lifestyle, and other risk factors. Hypertension in these patients was determined. Unadjusted and adjusted logistic regression analysis were calculated to determine the association between ethnicity and hypertension.
Results
No association between Afro-Colombian ethnicity and hypertension was found (odds ratio [OR], 0.85; 95% confidence interval [CI], 0.66–1.09). As expected, people with a body mass index (BMI) of 30 or higher were at a greater risk of having hypertension (OR, 3.12; 95% CI, 2.35–4.16) compared with those with a normal BMI.
Conclusions
Findings from this study suggest no independent association between Afro-Colombian ethnicity and hypertension. Further research should focus on genotyping or socioeconomic factors such as income level.

Keyword

Hypertension; Hispanic; Latino; Colombia
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