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Int Health. 2014 Sep;6(3):258-62. doi: 10.1093/inthealth/ihu033. Epub 2014 Jun 26.

Epidemiologic profile of patients seen in primary care clinics in an urban and a rural setting in Haiti, 2010-11.

Author information

1
Internal Medicine Department A, Rambam Medical Center, Ha'Aliya 6, Haifa, Israel, 31096.
2
Infectious Disease Unit, Rambam Medical Center, Ha'Aliya 6, Haifa, Israel, 31096 Internal Medicine Department B, Rambam Medical Center, Ha'Aliya 6, Haifa, Israel, 31096.
3
Intensive Care Unit, Rambam Medical Center, Ha'Aliya 6, Haifa, Israel, 31096.
4
The Center for Geographic Medicine and Department of Medicine C, The Chaim Sheba Medical Center, Tel Hashomer 52621, Israel Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel elischwa@post.tau.ac.il.

Abstract

BACKGROUND:

This study examined the demographic and epidemiological differences between patient populations presenting to a rural and an urban clinic in Haiti.

METHODS:

A primary health clinic was established in urban Leogane, and a once-weekly clinic was established in Magandou, a rural village. Patient data were recorded for all individuals presenting to each clinic.

RESULTS:

Over 7 months, 6632 patients (median age 25) were seen in the urban clinic, and 567 (median age 47) in the rural clinic. There was a female majority at both sites. Hypertension was diagnosed in 41.9% (238/567) of the rural population over 40 years of age, while 29.5% (1956/6632) of patients in the urban setting had the same diagnosis (p<0.001). Among women of reproductive age, 20.4% (1353/6632) were diagnosed with STDs in the urban setting versus 8.6% (49/567) at the rural clinic (p=0.004). Eighty-eight patients at the urban clinic had a vector-borne disease, while none were diagnosed among the rural population.

CONCLUSIONS:

Screening and treatment of hypertension in Haiti must address the wide rural prevalence. STDs are a major urban health issue requiring treatment for both patients and their partners. Vector-borne disease was unseen in the rural clinic, despite an altitude insufficient to prevent mosquito-borne illness.

KEYWORDS:

Haiti; Hypertension; Rural; STDs; Urban

PMID:
24969645
DOI:
10.1093/inthealth/ihu033
[Indexed for MEDLINE]

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