Dating age in Camaguey Cuba

These ages are virtually the same as Ar\ \Ar dating provided by the same The tectonostratigraphy of the Camagü ey region in central Cuba.
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Within each medical office, local staff mostly the family doctor, but on occasion local nurses or other trained health care workers visited households and invited all adults aged 30 and over to participate in the study.

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Map of Cuba showing the location of provinces surveyed shaded in the Cuba Prospective Study. Outline of provinces shown as they were at the time the baseline survey was conducted — Participants are being followed up indefinitely for cause-specific mortality through Cuban death registries.

In Cuba, all adult deaths are certified by a doctor, and the underlying and contributing causes of death are coded according to the International Classification of Diseases using version 9 for deaths from to , and version 10 for deaths from onwards.

Mortality records for deaths throughout Cuba are obtained annually from the Ministry of Public Health database and are matched electronically to study participants using personal identifying information national identification number, name, sex and date of birth. Partial matches e. Only 0. For a large study such as this to be practicable and economically feasible in a resource-poor setting, the procedures need to be simple and streamlined.

After giving written consent, participants provided their national identification number and information on age, sex, education, occupation, lifestyle factors including tobacco use and alcohol intake and medical history Box 1. Blood pressure was measured twice once towards the beginning of the interview and once towards the end with the participant seated, using a manual sphygmomanometer and standard techniques.

Participants were invited to attend the medical office for measurement of height and weight, using a stadiometer and mechanical scales, respectively. Interview data were entered manually into a computer in each province and sent to Oxford, where the datasets were merged. Identical copies of the combined dataset are held securely in Havana and Oxford. Box 1. Socioeconomic data Education. Personal health behaviours Smoking cigarette, cigars. General health-related data Disease history for 12 common conditions. Baseline characteristics of study participants of the Cuba Prospective Study, by age and sex.

Overall, about one-fifth of participants reported a history of one or more specific chronic diseases. The most prevalent conditions included ischaemic heart disease, stroke and diabetes which was about twice as common in women than men. Reports of pre-existing cancer were rare in both men and women, and at all ages. Table 3 reports the baseline distributions of selected factors by age and sex. The prevalence of ever smoking in men did not vary much by age, but was substantially higher in younger than older women. Most current smokers reported smoking cigarettes exclusively i.


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Prevalence of current smoking in the Cuba Prospective Study at baseline circa year , by sex, year of birth and type of smoking. Baseline distribution of selected risk factors for disease in study participants of the Cuba Prospective Study, by age and sex. Missing values: smoking status current or ex-smoker of ever smokers: men: 1. A striking characteristic of this cohort is the proportion of smokers who started in childhood. The effect on premature mortality of starting to smoke in early childhood has not been well characterized, and such analyses are planned for this cohort.

Overall, mean systolic blood pressure, diastolic blood pressure and body mass index SBP, DBP and BMI were similar in men and women, and were much lower than in most Western countries at this time. This is the largest prospective study that has been undertaken in Cuba, and one of the largest studies in Latin America. Questions were limited to several major risk factors only i. As the study was designed to assess the risks associated with tobacco use, there was reasonably detailed information collected on smoking including type of tobacco smoked, age started and age stopped, if relevant.

Unfortunately, no information was collected on reasons for quitting, such as ill health, which have been shown to be valuable in other cohorts. Paperless data collection including laptop- or internet-based methods would have been more efficient and reliable than paper-based collection, but costs and technical capacity in Cuba at the time made such methods inappropriate.

The study would also have benefited from collection and storage of biological specimens including blood and urine at baseline, but this was not possible owing to resource limitations.

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The resurvey of over 20 participants is a key strength of this study, and will allow correction of the prospective associations for within-person variability over time of the major risk factors measured at baseline. This is particularly important in Cuba, where economic disruptions are likely to have affected the distribution of many of the risk factors measured at baseline. Indeed, the baseline survey was conducted towards the end of an economic crisis in Cuba, which began in The Cuban health system was re-orientated in the s towards primary care and preventive medicine.

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Despite limited resources, this system has had some notable achievements in public health, including low infant mortality, but mortality from the chronic diseases of middle age remains high. This cohort has now accrued sufficient events for reliable prospective analyses, and publication of the major findings on the associations of risk factors with cause-specific mortality are expected over the next few years.

These findings will address uncertainties in the determinants of chronic disease in Cuba and will inform the ongoing efforts to prevent premature adult mortality in this population. Conflict of interest: Professor Lewington reports grants from the United Kingdom Medical Research Council during the conduct of the study. Dr Emberson reports grants from the UK Medical Research Council during the conduct of the study as well as grants from British Heart Foundation and from Boehringer Ingelheim outside the submitted work.

Health in Cuba. Int J Epidemiol ; 35 : — Google Scholar. Males Query! Can healthy volunteers participate? Yes Query! Key exclusion criteria. Purpose of the study. Allocation to intervention. Randomised controlled trial Query! Procedure for enrolling a subject and allocating the treatment allocation concealment procedures. Methods used to generate the sequence in which subjects will be randomised sequence generation. Intervention assignment. Other design features. Phase 4 Query! Type of endpoint s. Recruitment status. Completed Query! Date of first participant enrolment.

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Date of last participant enrolment. Date of last data collection. Sample size. Recruitment outside Australia. Country [1] 0. Cuba Query! Camaguey Query! Funding source category [1] 0. Other Query! Name [1] 0. World Health Organization Query! Address [1] 0. Switzerland Query!

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Primary sponsor type. Secondary sponsor category [1] 0. None Query! Other collaborator category [1] 0. Other Collaborative groups Query! Marianao 13, Ciudad de La Habana Query! Other collaborator category [2] 0. Name [2] 0. Address [2] 0. Cisneros , Camaguey Query! Country [2] 0. Approved Query! Ethics committee name [1] 0. What topic s do you want to know more about? Hairdryer Bathroom features shower, bathtub, etc. Policies Pet policies Cancellation policies Couples policies are unmarried individuals allowed?