TITLE

Validation of self reported diagnosis of hypertension in a cohort of university graduates in Spain

AUTHOR(S)
Alonso, Alvaro; Beunza, Juan José; Delgado-Rodríguez, Miguel; Martínez-González, Miguel Angel
PUB. DATE
January 2005
SOURCE
BMC Public Health;2005, Vol. 5, p94
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The search for risk factors of hypertension requires the study of large populations. Sometimes, the only feasible way of studying these populations is to rely on self-reported data of the outcome. The objective of this study was to evaluate validity of self-reported diagnosis of hypertension in a cohort of university graduates in Spain. Methods: The Seguimiento Universidad de Navarra (SUN) Study is a cohort of more than 15,000 university graduates in Spain. We selected a random sample of 79 cohort participants who reported a diagnosis of hypertension and 48 participants who did not report such diagnosis (76% participation proportion). Then, we compared information on the self-reported diagnosis of hypertension and hypertension status as assessed through two personal blood pressure measurements and an interview. Additionally, we compared self-reported and measured blood pressure levels with intraclass correlation coefficients and the survival-agreement plot. Results: From those 79 reporting a diagnosis of hypertension, 65 (82.3%, 95% CI 72.8-92.8) were confirmed through conventional measurement of blood pressure and the interview. From those 48 that did not report a diagnosis of hypertension, 41 (85.4%, 95% CI 72.4-89.1) were confirmed as non hypertensives. Results were similar among men and women, but were worse for overweight and obese individuals, and for those with a family history of hypertension. The agreement between self-reported and measured blood pressure levels (as a continuous variable), as estimated by the intraclass correlation coefficient, was 0.35 for both systolic and diastolic blood pressure. Conclusion: Self-reported hypertension among highly educated participants in a cohort study is a relatively valid tool to assess the hypertensive status of participants. However, the investigators should be cautious when using self-reported blood pressure values.
ACCESSION #
29361854

 

Related Articles

  • Twenty year follow-up of a cohort based in general practices in 24 British towns. Walker, Mary; Shaper, A. G.; Lennon, Lucy; Whincup, Peter H. // Journal of Public Health Medicine;Dec2000, Vol. 22 Issue 4, p479 

    Background. A national prospective study of cardiovascular disease (CVD) was set up in 1978 to explain the reasons for the marked geographical variation in CVD rates in Great Britain. A total of 7735 males, aged 40-59 years (born between 1919 and 1939) randomly selected from one general practice...

  • All-cause and Cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study. Ronellenfitsch, Ulrich; Kyobutungi, Catherine; Becher, Heiko; Razum, Oliver // BMC Public Health;2006, Vol. 6, p16 

    Background: Migration is a phenomenon of particular Public Health importance. Since 1990, almost 2 million ethnic Germans (Aussiedler) have migrated from the former Soviet Union (FSU) to Germany. This study compares their overall and cardiovascular disease (CVD) mortality to that of Germany's...

  • Cardiovascular Health Score and the Risk of Cardiovascular Diseases. Miao, Congliang; Bao, Minghui; Xing, Aijun; Chen, Shuohua; Wu, Yuntao; Cai, Jun; Chen, Youren; Yang, Xinchun // PLoS ONE;7/8/2015, Vol. 10 Issue 7, p1 

    In 2010 the American Heart Association proposed a definition of ideal health behaviors and health factors to measure cardiovascular health, from which Huffman et al. created the Cardiovascular Health Score (CVH score) to estimate these metrics on an individual level. We performed a prospective...

  • Community Nurse Assessment of Cardiovascular Behavioural Risk Factors - A Qualitative Analysis within the CroHort Study. Andrić, Adriana; Vuletić, Silvije // Collegium Antropologicum;Jan2012 Supplement 1, Vol. 36, p27 

    The aim of our study was to identify major determinants of cardiovascular behavioural risk factors among subjects at increased risk of cardiovascular disease (CVD). The data for the qualitative analysis were obtained from the Croatian Adult Health Cohort Study (CroHort). The data analysis was...

  • Cohort Profile: Residential and non-residential environments, individual activity spaces and cardiovascular risk factors and diseases—The RECORD Cohort Study†. Chaix, Basile; Kestens, Yan; Bean, Kathy; Leal, Cinira; Karusisi, Noëlla; Meghiref, Karima; Burban, Julie; Fon Sing, Mélanie; Perchoux, Camille; Thomas, Frédérique; Merlo, Juan; Pannier, Bruno // International Journal of Epidemiology;Oct2012, Vol. 41 Issue 5, p1283 

    No abstract available.

  • Magnesium and the Risk of Cardiovascular Events: A Meta-Analysis of Prospective Cohort Studies. Qu, Xinhua; Jin, Fangchun; Hao, Yongqiang; Li, Huiwu; Tang, Tingting; Wang, Hao; Yan, Weili; Dai, Kerong // PLoS ONE;Mar2013, Vol. 8 Issue 3, p1 

    Background: Prospective studies that have examined the association between dietary magnesium intake and serum magnesium concentrations and the risk of cardiovascular disease (CVD) events have reported conflicting findings. We undertook a meta-analysis to evaluate the association between dietary...

  • Overweight in Childhood, Adolescence and Adulthood and Cardiovascular Risk in Later Life: Pooled Analysis of Three British Birth Cohorts. Park, Min Hae; Sovio, Ulla; Viner, Russell M.; Hardy, Rebecca J.; Kinra, Sanjay // PLoS ONE;Jul2013, Vol. 8 Issue 7, p1 

    Background: Overweight and obesity in adulthood are established risk factors for adverse cardiovascular outcomes, but the contribution of overweight in childhood to later cardiovascular risk is less clear. Evidence for a direct effect of childhood overweight would highlight early life as an...

  • Non-Communicable Diseases in Sub-Saharan Africa: The Case for Cohort Studies. Holmes, Michelle D.; Dalal, Shona; Volmink, Jimmy; Adebamowo, Clement A.; Njelekela, Marina; Fawzi, Wafaie W.; Willett, Walter C.; Adami, Hans-Olov // PLoS Medicine;May2010, Vol. 7 Issue 5, p1 

    The article discusses the need for longitudinal cohorts based in sub-Saharan Africa (SSA) to address the non-communicable diseases (NCDs), which cause a large and growing disease burden in the region. Facts about the problem include the international disparity in adults enrolled in long-term...

  • Changing Trends in Hypertension Detection and Control: The Chicago Experience. Berkson, David M.; Brown, Murray C.; Stanton, Henry; Masterson, James; Shireman, Larry; Ausbrook, Doris K.; Mikes, Diane; Whipple, Ira T.; Muriel, Hugo H. // American Journal of Public Health;Apr1980, Vol. 70 Issue 4, p389 

    Abstract: Of 177,692 persons screened in 1977 as part of an ongoing City-Wide Hypertension Screening Program in Chicago, 14,988 (8,4 per ¢) had diastolic blood pressure (BP) >/= 95 mm Hg as compared to 13.2 per ¢ of a similar population in 1976. Only 7 per ¢ (3,910) of the hypertensive...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics