The athletics competition in the 1974 Central American and Caribbean Games were held in Santo Domingo, Dominican Republic.

Medal summary

Men's events

Event	Gold		Silver		Bronze
100 metres	Silvio Leonard  Cuba	10.49	José Triana  Cuba	10.67	Pablo Montes  Cuba	10.77
200 metres	Silvio Leonard  Cuba	20.99	Pablo Bandomo  Cuba	21.37	José Triana  Cuba	21.54
400 metres	Alberto Juantorena  Cuba	45.52	Seymour Newman  Jamaica	46.34	Félix Mangual  Puerto Rico	46.42
800 metres	Leandro Civil  Cuba	1:48.43	Luis Medina  Cuba	1:48.68	Héctor López  Venezuela	1:48.99
1500 metres	Luis Medina  Cuba	3:44.18	José González  Venezuela	3:44.52	Carlos Martínez  Mexico	3:44.90
5000 metres	Víctor Mora  Colombia	13:54.20	Jairo Correa  Colombia	14:03.00	José Neri  Mexico	14:04.00
10,000 metres	Domingo Tibaduiza  Colombia	30:39.4	Rafael Pérez  Costa Rica	30:41.0	Pedro Miranda  Mexico	30:41.2
Marathon	Gilberto Serna  Colombia	02:28:08	Agustín Reyes  Puerto Rico	02:32:08	José Jesús  Puerto Rico	02:32:54
110 metres hurdles	Alejandro Casañas  Cuba	13.80w	Guillermo Núñez  Cuba	13.93w	Francisco Dumeng  Puerto Rico	14.10
400 metres hurdles	Fabio Zúñiga  Colombia	50.61	Guillermo Núñez  Cuba	50.87	Félix Mangual  Puerto Rico	51.65
3000 metre steeplechase	José Cobo  Cuba	8:50.8	Antonio Villanueva  Mexico	8:52.0	Lucirio Garrido  Venezuela	8:54.8
4 × 100 metres relay	Cuba José Triana Pablo Montes Pablo Bandomo Silvio Leonard	39.62	Dominican Republic Porfirio Veras Julio Meades Enrique Javier Gil Fortuna	40.35	Netherlands Antilles Elmer Vorn Edwin Nar Henry Braafhart Adsel Trumoet	41.79
4 × 400 metres relay	Cuba Eduardo García Eddy Gutiérrez Antonio Álvarez Alberto Juantorena	3:06.36	Venezuela Víctor Patines Héctor López Félix Mata Erick Phillips	3:07.23	Jamaica Noel Gray Seymour Newman Anthony Davis Clive Barriffe	3:07.52
20 kilometre road walk	Raúl González  Mexico	1:35:23	Pedro Aroche  Mexico	1:35:33	Ernesto Alfaro  Colombia	1:38:53
High jump	Richard Spencer  Cuba	2.10	Amado Olaguiber  Cuba	2.07	Gilberto Campbell  Cuba	2.04
Pole vault	Roberto Moré  Cuba	4.95	Juan Laza  Cuba	4.75	Edgardo Rivera  Puerto Rico	4.55
Long jump	Wilfredo Maisonave  Cuba	7.44	Milán Matos  Cuba	7.43	Francisco Gómez  Cuba	7.41
Triple jump	Pedro Pérez  Cuba	17.01w	Armando Herrera  Cuba	16.37w	Juvenal Pérez  Cuba	15.91
Shot put	José Carreño  Venezuela	16.20	Nicolás Hernández  Cuba	16.09	Pedro Serrano  Puerto Rico	15.85
Discus throw	Julián Morrinson  Cuba	58.10	Javier Moreno  Cuba	51.04	Ignacio Reinosa  Puerto Rico	49.30
Hammer throw	Pedro Garbey  Cuba	61.50	Víctor Suárez  Cuba	59.16	Genovevo Morejón  Cuba	57.58
Javelin throw	Raúl Fernández  Cuba	75.30	Juan Jarvis  Cuba	69.16	Salomón Robbins  Mexico	67.10
Decathlon	Jesús Mirabal  Cuba	7470	Rigoberto Salazar  Cuba	7305	Orlando Pedroso  Cuba	7060

Women's events

Event	Gold		Silver		Bronze
100 metres	Carmen Valdés  Cuba	11.55	Silvia Chivás  Cuba	11.65	Lelieth Hodges  Jamaica	11.75
200 metres	Carmen Valdés  Cuba	23.76	Asunción Acosta  Cuba	24.21	Diva Bishop  Panama	24.39
400 metres	Aurelia Pentón  Cuba	52.27	Carmen Trustée  Cuba	52.91	Asunción Acosta  Cuba	53.92
800 metres	Charlotte Bradley  Mexico	2:04.55	Aurelia Pentón  Cuba	2:05.43	Enriqueta Nava  Mexico	2:05.89
100 metres hurdles	Marlene Elejalde  Cuba	14.53	Mercedes Román  Mexico	14.69	Raquel Martínez  Cuba	14.74
4 × 100 metres relay	Cuba Marlene Elejalde Carmen Valdés Asunción Acosta Silvia Chivás	44.90	Panama Diva Bishop Margarita Martínez Maritza Escalona Beatriz Aparicio	47.42	Mexico Mercedes Román María Ángeles Cato Mireya Vázquez Corina Garduño	48.02
High jump	Lucía Duquet  Cuba	1.74	Elisa Ávila  Mexico	1.74	Maritza García  Cuba	1.71
Long jump	Marcia Garbey  Cuba	6.48	Ana Alexander  Cuba	6.07	Dora Thompson  Cuba	5.75
Shot put	María Elena Sarría  Cuba	14.60	Hilda Ramírez  Cuba	14.40	Caridad Romero  Cuba	13.82
Discus throw	Carmen Romero  Cuba	54.70	María Cristina Betancourt  Cuba	52.20	Salvadora Vargas  Cuba	41.92
Javelin throw	Tomasa Núñez  Cuba	47.58	María Beltrán  Cuba	47.46	Gladys González  Venezuela	46.58
Pentathlon	Francisca Janssen  Netherlands Antilles	4014	Angela Carbonell  Cuba	3867	Mercedes Román  Mexico	3827

Medal table

Rank	Nation	Gold	Silver	Bronze	Total
1	Cuba (CUB)	27	23	13	63
2	Colombia (COL)	4	1	1	6
3	Mexico (MEX)	2	4	7	13
4	Venezuela (VEN)	1	2	3	6
5	Netherlands Antilles (AHO)	1	0	1	2
6	Puerto Rico (PUR)	0	1	7	8
7	Jamaica (JAM)	0	1	2	3
8	Panama (PAN)	0	1	1	2
9	Costa Rica (CRC)	0	1	0	1
	Dominican Republic (DOM)	0	1	0	1
Totals (10 entries)		35	35	35	105