Differential self-report error by socioeconomic status in hypertension and hypercholesterolemia: INSEF 2015 study.
Background This study aimed to compare self-reported and examination-based prevalence of hypertension and hypercholesterolemia in Portugal in 2015 and to identify factors associated with the measurement error in self-reports. Methods We used data from the Portuguese National Health Examination Surve...
| Publicado en: | European Journal of Public Health Vol. 29; no. 2; pp. 273 - 279 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Apr2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135444457&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135444457 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Apr2019 vid: 29 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 135444457 135444457 135444457 10.1093/eurpub/cky228 135444457 ppf: 273 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Differential self-report error by socioeconomic status in hypertension and hypercholesterolemia: INSEF 2015 study. aug: au: Kislaya, Irina Tolonen, Hanna Rodrigues, Ana Paula Barreto, Marta Gil, Ana Paula Gaio, Vânia Namorado, Sónia Santos, Ana João Dias, Carlos Matias Nunes, Baltazar affil: Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge, IP, Lisboa, PortugalCentro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, Universidade NOVA de Lisboa, Lisboa, Portugal sug: subj: Self Report Socioeconomic Factors Hypertension Epidemiology Hypercholesterolemia Epidemiology Measurement Error Hypertension Diagnosis Hypercholesterolemia Diagnosis Human Portugal Prevalence Surveys Interviews Blood Culture Physical Examination Sensitivity and Specificity Poisson Distribution Regression Sex Factors Age Factors Educational Status Income Physicians, Family Referral and Consultation Adult Middle Age Population Characteristics Health Status Disparities Adult: 19-44 years Middle Aged: 45-64 years ab: Background This study aimed to compare self-reported and examination-based prevalence of hypertension and hypercholesterolemia in Portugal in 2015 and to identify factors associated with the measurement error in self-reports. Methods We used data from the Portuguese National Health Examination Survey (n = 4911), that combines personal interview, blood collection and, physical examination. Sensitivity and specificity of self-reported hypertension and hypercholesterolemia were calculated. Poisson regression was used to estimate prevalence ratios (PRs) of underreport of hypertension and hypercholesterolemia according to sex, age, socioeconomic status (education and income) and general practitioner (GP) consultation in the past year. Results Sensitivity of self-reports was 69.8% for hypertension and 38.2% for hypercholesterolemia. Underreport of hypertension was associated with male gender (PR = 1.54), lack of GP consultation (PR = 1.70) and being 25–44 years old (PR = 2.45) or 45–54 years old (PR = 2.37). Underreport of hypercholesterolemia was associated with lack of GP consultation (PR = 1.15), younger age (PR = 1.83 for 25–44 age group and PR = 1.52 for 45–54 age group), secondary (PR = 1.30) and higher (PR = 1.27) education. Conclusion Self-reported data underestimate prevalence of hypertension and hypercholesterolemia. Magnitude of measurement error in self-reports varies by health conditions and population characteristics. Adding objective measurements to self-reported questionnaires improve data accuracy allowing better understanding of socioeconomic inequalities in health. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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