{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T01:55:08Z","timestamp":1789178108283,"version":"build-2803163510"},"reference-count":30,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,16]]},"abstract":"<title>ABSTRACT<\/title>\n                  <sec>\n                    <title>Objective.<\/title>\n                    <p>To determine the prevalence of hypertension control and its associated risk factors among adult patients using the HEARTS in the Americas treatment protocol.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Methods.<\/title>\n                    <p>A cross-sectional, interviewer-administered survey was conducted among adult hypertensive patients in North-Central Trinidad over a four-month period. Anthropometric and blood pressure measurements, and factors associated with hypertension control \u2013 alcohol use, smoking status, physical activity, nutrition, and treatment adherence \u2013 were assessed.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Results.<\/title>\n                    <p>\n                      Data from 287 respondents (M 107, F 180) were analyzed, with a response rate of 89.7%. The overall proportion of patients with optimally controlled blood pressure was 52.3% (95% CI [46.5, 58.0]), with a systolic and diastolic blood pressure (mean \u00b1 SD) of 139.6 \u00b1 18.1 mmHg and 81.9 \u00b1 10.6 mmHg, respectively; 54% of participants were on Step 1 of the HEARTS protocol (\n                      <italic>n<\/italic>\n                      = 155). Blood pressure control was associated with incomes of greater than TTD 10 000 per month (adjusted odds ratio [aOR] 3.536; 95% CI [1.255, 9.957];\n                      <italic>p<\/italic>\n                      = 0.017). Being overweight (aOR 0.459; 95% CI [0.229, 0.920];\n                      <italic>p<\/italic>\n                      = 0.028) was associated with lower odds of having optimally controlled blood pressure.\n                    <\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Conclusions.<\/title>\n                    <p>In North-Central Trinidad, over half of hypertensive patients achieved optimal blood pressure control under the HEARTS in the Americas protocol, the highest rate reported locally. Continued efforts should focus on strengthening adherence and monitoring to sustain and enhance hypertension control outcomes.<\/p>\n                  <\/sec>","DOI":"10.26633\/rpsp.2025.123","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T15:24:08Z","timestamp":1765898648000},"page":"1","source":"Crossref","is-referenced-by-count":1,"title":["Hypertension control applying the HEARTS in the Americas protocol in Trinidad: A cross-sectional study"],"prefix":"10.26633","volume":"49","author":[{"given":"Zahra","family":"Mendoza","sequence":"first","affiliation":[{"name":"North-Central Regional Health Authority, Champs Fleurs, Trinidad and Tobago"},{"name":"zahra.k.mendoza@gmail.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raveed","family":"Khan","sequence":"additional","affiliation":[{"name":"The University of the West Indies, St. Augustine, Trinidad and Tobago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan G.","family":"Maharaj","sequence":"additional","affiliation":[{"name":"The University of the West Indies, St. Augustine, Trinidad and Tobago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Shastri","family":"Motilal","sequence":"additional","affiliation":[{"name":"The University of the West Indies, St. Augustine, Trinidad and Tobago"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11167","reference":[{"key":"ref1","unstructured":"Pan American Health Organization. Noncommunicable Diseases. Washington, D.C.: PAHO; [cited 3 January 2022]. Available from: https:\/\/www.paho.org\/en\/topics\/noncommunicable-diseases."},{"key":"ref2","unstructured":"World Health Organization. Hypertension. Geneva: WHO; 2022 [cited 4 January 2022]. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/hypertension."},{"key":"ref3","unstructured":"Pan American Health Organization. Core indicators dashboard. Washington, D.C.: PAHO; [cited 20 January 2022]. Available from: https:\/\/opendata.paho.org\/en\/core-indicators\/core-indicators-dashboard."},{"key":"ref4","unstructured":"World Health Organization, Global Health Observatory. 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