{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T07:59:43Z","timestamp":1785311983179,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Hypertension (HTN) is the leading cause of death worldwide, yet only 8% of individuals have controlled blood pressure (BP) in low\u2010 and middle\u2010income countries, with particular challenges in humanitarian crisis settings including Haiti. The Haiti Cardiovascular Disease Cohort, an observational population\u2010based cohort in Port\u2010au\u2010Prince, offers a unique opportunity to evaluate the HTN Care Continuum in a setting of extreme poverty and civil unrest. From 2019 to 2021, 3005 adults were enrolled, with BP measured every 6 months and free clinical care provided. HTN was defined as SBP \u2265 140, DBP \u2265 90, or antihypertensive medication use. We assessed screening, awareness, treatment, and BP control (BP &lt; 140\/90 on antihypertensives) at enrollment and 24 months. Multivariable Poisson regression identified sociodemographic factors associated with BP control. Of 3005 adults, 878 had HTN at enrollment (median age 57; 62% female; 71% earned &lt; $1\/day). Among 568 hypertensive participants with 24\u2010month follow\u2010up, awareness increased from 67% to 95%, treatment from 40% to 71%, and BP control from 11% to 32%. Median BP decreased from 150\/91 to 138\/82 mmHg. Across visits, 67% had \u2265 1 controlled BP and 35% had control at more than half of visits. Younger age (18\u201339 vs. \u226560 years) was associated with lower BP control (PR: 0.40, 95% CI: 0.18\u20130.77). Substantial improvements in HTN care, including a threefold rise in BP control and a mean SBP decrease of 12 mmHg, are achievable even in settings of extreme adversity and humanitarian crises.<\/jats:p><jats:p><jats:bold>Trial Registration<\/jats:bold>: ClinicalTrials.gov identifier: NCT03892265<\/jats:p>","DOI":"10.1111\/jch.70153","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T15:14:01Z","timestamp":1758726841000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Improvements in Blood Pressure Control and the Hypertension Care Continuum Over 2 Years in Urban Haiti Amidst Civil Unrest"],"prefix":"10.1111","volume":"27","author":[{"given":"Miranda","family":"Metz","sequence":"first","affiliation":[{"name":"Center For Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodney","family":"Sufra","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anju","family":"Ogyu","sequence":"additional","affiliation":[{"name":"Center For Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Rouzier","sequence":"additional","affiliation":[{"name":"Center For Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"},{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reichling St.","family":"Sauveur","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Celestin","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guyrlaine","family":"Forrestal","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabyola","family":"Preval","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirline","family":"Jean","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne Edwidge","family":"Marcelin","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Auguste","family":"Sarine","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Bennett","sequence":"additional","affiliation":[{"name":"Center For Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Koenig","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine Department of Medicine Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Jamerson","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean William","family":"Pape","sequence":"additional","affiliation":[{"name":"Center For Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"},{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily D.","family":"Yan","sequence":"additional","affiliation":[{"name":"Center For Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"},{"name":"Division of General Internal Medicine Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret L.","family":"McNairy","sequence":"additional","affiliation":[{"name":"Center For Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"},{"name":"Division of General Internal Medicine Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.120.318729"},{"key":"e_1_2_9_3_1","unstructured":"World Health Organization.Noncommunicable Diseases Country Profiles[Internet]. (2018) https:\/\/iris.who.int\/handle\/10665\/274512."},{"key":"e_1_2_9_4_1","volume-title":"Global Report on Hypertension the Race Against a Silent Killer","year":"2023"},{"key":"e_1_2_9_5_1","unstructured":"United States Department of State.U.S. Security Assistance to Haiti Government of Haiti Efforts to Support Displaced Survivors of Urban and Gang Violence and U.S. Interagency Efforts to Counter Kidnapping and Armed Violence in Haiti[Internet] https:\/\/www.state.gov\/wp\u2010content\/uploads\/2022\/11\/Appendix\u2010E\u2010Developments\u2010in\u2010Haiti\u2010004977.pdf."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13031-024-00612-6"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13031-021-00342-z"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12242"},{"issue":"2","key":"e_1_2_9_9_1","article-title":"Population\u2010Based Epidemiology of Heart Failure in a Low\u2010Income Country: The Haiti Cardiovascular Disease Cohort","volume":"16","author":"Kingery J. 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J.Carrenard E.Auguste et\u00a0al. The Transnational Mental Health Burden of Haiti's Alleged Collapse: Preliminary Findings From the Haitian Well\u2010Being Study[Internet]. 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