CKD Prevalence and Associated Factors in Jamaica

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Introduction: Jamaica has a high attributable burden of chronic kidney disease (CKD) but no population-based prevalence estimates. We aimed to estimate the prevalence of CKD and explore associated factors. Methods: , using the CKD Epidemiology Collaboration 2021 or Schwartz-Lyon equations, and/or urine albumin-to-creatinine ratio (UACR) ≥ 30 mg/g. Associated factors included age, sex, socioeconomic status (SES), education level, body mass index (BMI), hypertension, diabetes mellitus, and sickle cell trait (SCT). Weighted prevalence estimates were determined, accounting for survey design. Multivariable logistic regression was used to evaluate CKD associations. Results: < 0.001). In a multivariable regression model, hypertension (odds ratio [OR]: 2.14, 95% CI: 1.22-3.75), diabetes mellitus (OR: 2.39, 95% CI: 1.36-4.19), hemoglobin AC genotype (OR: 2.14, 95% CI: 0.64-7.13) were associated with higher odds of CKD, whereas higher education level with lower odds of CKD (OR: 0.47, 95% CI: 0.25-0.89) and (OR: 0.41, 95% CI: 0.18-0.96) for secondary and tertiary education, respectively. Conclusion: CKD prevalence was estimated at 15%. This may translate to increased burden on the Jamaican health system.

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