| Host City | Xalapa |
|---|---|
| Country | |
| Held | 25 – 28 August 1978 |
| Events | 36 |
| Competitors | 100 |
| Countries | 9 |
| Event | Gender | Held | Status | Competitors | Countries |
|---|---|---|---|---|---|
| 100 m, Men | Men | — | Medal | 3 | 3 |
| 200 m, Men | Men | — | Medal | 3 | 3 |
| 400 m, Men | Men | — | Medal | 3 | 3 |
| 800 m, Men | Men | — | Medal | 3 | 3 |
| 1,500 m, Men | Men | — | Medal | 3 | 2 |
| 5,000 m, Men | Men | — | Medal | 3 | 2 |
| 10,000 m, Men | Men | — | Medal | 3 | 3 |
| 110 m Hurdles, Men | Men | — | Medal | 3 | 3 |
| 400 m Hurdles, Men | Men | — | Medal | 3 | 3 |
| 3,000 m Steeplechase, Men | Men | — | Medal | 3 | 3 |
| 4 x 100 m Relay, Men | Men | — | Medal | 12 | 3 |
| 4 x 400 m Relay, Men | Men | — | Medal | 12 | 3 |
| 10 km Walk, Men | Men | — | Medal | 3 | 2 |
| High Jump, Men | Men | — | Medal | 3 | 3 |
| Pole Vault, Men | Men | — | Medal | 3 | 2 |
| Long Jump, Men | Men | — | Medal | 3 | 3 |
| Triple Jump, Men | Men | — | Medal | 3 | 3 |
| Shot Put, Men | Men | — | Medal | 3 | 3 |
| Discus Throw, Men | Men | — | Medal | 3 | 3 |
| Hammer Throw, Men | Men | — | Medal | 3 | 2 |
| Javelin Throw, Men | Men | — | Medal | 3 | 3 |
| Decathlon, Men | Men | — | Medal | 3 | 2 |
| 100 m, Women | Women | — | Medal | 3 | 3 |
| 200 m, Women | Women | — | Medal | 3 | 2 |
| 400 m, Women | Women | — | Medal | 3 | 3 |
| 800 m, Women | Women | — | Medal | 3 | 2 |
| 1,500 m, Women | Women | — | Medal | 3 | 3 |
| 100 m Hurdles, Women | Women | — | Medal | 3 | 2 |
| 4 x 100 m Relay, Women | Women | — | Medal | 12 | 3 |
| 4 x 400 m Relay, Women | Women | — | Medal | 12 | 3 |
| High Jump, Women | Women | — | Medal | 3 | 2 |
| Long Jump, Women | Women | — | Medal | 3 | 2 |
| Shot Put, Women | Women | — | Medal | 3 | 3 |
| Discus Throw, Women | Women | — | Medal | 3 | 2 |
| Javelin Throw, Women | Women | — | Medal | 3 | 2 |
| Pentathlon, Women | Women | — | Medal | 3 | 2 |
| Pos | Country | 🥇 Gold | 🥈 Silver | 🥉 Bronze | Total | |
|---|---|---|---|---|---|---|
| 1 | Cuba | 12 | 13 | 5 | 30 | |
| 2 | Mexico | 8 | 5 | 12 | 25 | |
| 3 | Jamaica | 6 | 3 | 7 | 16 | |
| 4 | Puerto Rico | 4 | 0 | 0 | 4 | |
| 5 | Bahamas | 2 | 3 | 3 | 8 | |
| 6 | Barbados | 2 | 2 | 0 | 4 | |
| 7 | Venezuela | 1 | 5 | 7 | 13 | |
| 8 | Costa Rica | 1 | 2 | 2 | 5 | |
| 9 | Guatemala | 0 | 3 | 0 | 3 | |