The athletics competition in the 1974 Central American and Caribbean Games were held in Santo Domingo, Dominican Republic.
| 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 nations) | 35 | 35 | 35 | 105 | |
The athletics competition in the 1959 Central American and Caribbean Games were held in Caracas, Venezuela.
The athletics competition in the 1962 Central American and Caribbean Games was held in Kingston, Jamaica.
The athletics competition in the 1966 Central American and Caribbean Games were held in San Juan, Puerto Rico.
The athletics competition in the 1970 Central American and Caribbean Games were held in Panama City, Panama.
The athletics competition at the 1978 Central American and Caribbean Games was held in Medellín, Colombia.
The athletics competition in the 1982 Central American and Caribbean Games were held in Havana, Cuba.
The athletics competition in the 1986 Central American and Caribbean Games were held in Santiago de los Caballeros, Dominican Republic.
The track and field competition at the 1990 Central American and Caribbean Games was held in Mexico City, Mexico.
The track and field competition at the 1993 Central American and Caribbean Games was held in November at the Estadio Francisco Montaner in Ponce, Puerto Rico.
The track and field competition in the 1998 Central American and Caribbean Games was held in Maracaibo, Venezuela.
Esther Julia "Daysi" Duporty Torres is a retired female sprinter from Cuba, who competed at three consecutive Summer Olympics, starting in 1992. She set her personal best (50.61) in the women's 400 metres event on 6 September 1994 in Madrid.
Yojer Enrique Medina is a Venezuelan shot putter and discus thrower.
Aldo Bello is a male hammer thrower from Venezuela. His personal best throw is 67.63 metres, achieved in August 2005 in Armenia.
Athletics was a sport at the inaugural Central American Games in 1926 and it has remained part of the event's sporting programme throughout its history.
Genovevo Morejón is a Cuban former track and field athlete who competed in the hammer throw. His personal best was 70.22 m, set in Havana on 20 June 1980. His greatest honour was the gold medal at the Pan American Games in 1983, becoming the first Caribbean man to win that title.
Rubén Camino is a retired Cuban pole vaulter.
Jorge Montenegro is a retired Cuban shot putter.
Eladio Hernández is a retired Cuban hammer thrower.
Vicente Sánchez is a retired Cuban hammer thrower.
Miguel Valle is a retired Cuban decathlete.