1
|
Adza WK, Hursthouse AS, Miller J, Boakye D. Exploring the Joint Association of Road Traffic Noise and Air Quality with Hypertension Using QGIS. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2238. [PMID: 36767611 PMCID: PMC9915168 DOI: 10.3390/ijerph20032238] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Revised: 01/23/2023] [Accepted: 01/24/2023] [Indexed: 06/18/2023]
Abstract
There is growing evidence linking exposure to air pollution and traffic noise with hypertension. The aim of this study was to examine the associations of registered hypertension cases and hypertension rate with exposure to air pollution and road noise. In this cross-sectional study, we linked the information from the NHS Scotland database of 776,579 hypertension patients' registrations and rates per 13.80 people at the Scottish NHS Board, HSCP, Cluster, and GP practice levels. Based on the geospatial attributes, the data on residential areas were added by modelling annual average air pollutant concentrations, including particulate matter (PM10 and PM2.5), nitrogen dioxide (NO2), and road-traffic noise at different frequency components (Lden). The relationships between exposure to road noise, air pollution, and hypertension were examined using multiple regression and multivariate analysis. Traffic noise and air pollution at various frequency components positively and negatively predicted registered hypertension cases and hypertension rate. Based on the canonical loading technique, the variance explained by the canonical independent variable at a canonical correlation of 0.342 is 89%. There is a significant correlation between joint air pollution and noise at different frequency components and combined registered hypertension cases and hypertension rate. Exploring the combined effects of the two environmental exposures and the joint modelling of noise and air pollutants with hypertension in geospatial views provides an opportunity to integrate environmental and health data to support spatial assessment strategies in public and environmental health.
Collapse
Affiliation(s)
- Wisdom K. Adza
- School of Computing, Engineering & Physical Sciences, University of the West of Scotland, Paisley PA1 2BE, UK
| | - Andrew S. Hursthouse
- School of Computing, Engineering & Physical Sciences, University of the West of Scotland, Paisley PA1 2BE, UK
| | - Jan Miller
- School of Health & Life Sciences, University of the West of Scotland, Hamilton G72 0LH, UK
| | - Daniel Boakye
- School of Health & Life Sciences, University of the West of Scotland, Hamilton G72 0LH, UK
| |
Collapse
|
2
|
Piri N, Moradi Y, Gheshlagh RG, Abdullahi M, Fattahi E, Moradpour F. Validity of self-reported hypertension and related factors in the adult population: Preliminary results from the cohort in the west of Iran. J Clin Hypertens (Greenwich) 2023; 25:146-157. [PMID: 36625724 PMCID: PMC9903199 DOI: 10.1111/jch.14627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Revised: 12/13/2022] [Accepted: 12/13/2022] [Indexed: 01/11/2023]
Abstract
This study aimed to investigate the validity of self-reported hypertension and related factors in the Dehgolan Prospective Cohort Study (DehPCS). Data were obtained from 3996 participants aged 35-70 years in the enrolment phase of DehPCS. Self-reported hypertension and sociodemographic factors were collected by well-trained interviewers before hypertension diagnosis based on the reference criteria. The history of anti-hypertensive medication use and/or systolic blood pressure ≥140 (mmHg), or diastolic blood pressure ≥90 (mmHg) were considered as hypertension. Disagreement between self-reported and reference measures was assessed using sensitivity, specificity, positive, and negative predictive values (PPV and NPV), and kappa values. Binary and multinomial logistic regressions were used to investigate the correlates of validity of self-reported hypertension. The hypertension prevalence based on self-reports and the reference criteria was 19.49% and 21.60%, respectively. An acceptable percentage of kappa agreement value of 68.7% and relatively good overall agreement of 89.8% were found. Self-reported hypertension was guaranteed moderate sensitivity of 72.0% and high specificity of 94.5%, as well as the NPV and PPV of 92/7% and 77/9%, respectively. The chances of false-positive and false-negative reporting increased with older age, higher BMI, and a family history of hypertension. Being female, older age, higher BMI, concurrent diabetes, and stronger family ties to hypertension patients significantly increased the chance of reporting true positives relative to true negatives. Although, self-reported hypertension has an acceptable validity and can be used as a valid tool for screening epidemiological studies, it needs to be investigated because its validity is affected by age, gender, family history of hypertension, and other socio-demographic characteristics.
Collapse
Affiliation(s)
- Negar Piri
- Health Network of DehgolanKurdistan University of Medical SciencesSanandajIran
| | - Yousef Moradi
- Department of Epidemiology and BiostatisticsFaculty of MedicineKurdistan University of Medical SciencesSanandajIran
| | - Reza Ghanei Gheshlagh
- Spiritual Health Research CenterResearch Institute for Health DevelopmentKurdistan University of Medical SciencesSanandajIran
| | | | - Eghbal Fattahi
- Department of Internal MedicineTohid HospitalKurdistan University of Medical SciencesSanandajIran
| | - Farhad Moradpour
- Social Determinants of Health Research CenterResearch Institute for Health DevelopmentKurdistan University of Medical SciencesSanandajIran
| |
Collapse
|
3
|
Event dependent overall survival in the population-based LIFE-Adult-Study. PLoS One 2022; 17:e0278069. [PMID: 36454725 PMCID: PMC9714713 DOI: 10.1371/journal.pone.0278069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 11/08/2022] [Indexed: 12/03/2022] Open
Abstract
BACKROUND Information about the direct comparability of big data of epidemiological cohort studies and the general population still is lacking, especially regarding all-cause mortality rates. The aim of this study was to investigate the overall survival and the influence of several diagnoses in the medical history on survival time, adjusted to common risk factors in a populations-based cohort. METHODS From 10,000 subjects of the population-based cohort LIFE-Adult-Study (Leipzig Research Centre for Civilization Diseases), the medical history and typical risk factors such as age, smoking status and body-mass-index (BMI) were assessed. The survival status was identified from the saxonian population register. Univariate and multivariate analyses were used to determine the influence of the medical history and risk factors on overall survival. To develope an optimal model, the method by Collet [1] was used. RESULTS The mortality rate of the participants is approximately half the mortality rate expected for the german population. The selection bias in epidemiological studies needs to be considered whenever interpreting results of epidemiological cohort studies. Nevertheless we have shown that several diagnoses proved to have a negative influence on overall survival time even in this relatively healthy cohort. This study showed the significantly increased mortality risk if the following diseases are reported in medical history of the participants in a large population-based cohort study including adults aged 18 and over: diabetes mellitus (HR 1.533, p = 0.002), hypertension (HR 1.447, p = 0.005), liver cirrhosis (HR 4.251, p < 0.001), osteoporosis (HR 2.165, p = 0.011), chronic bronchitis (HR 2.179, p < 0.001), peptic ulcer disease (HR 1.531, p = 0.024) and cancer (HR 1.797, p < 0.001). Surprisingly, asthma has the opposite effect on survival time (HR 0.574, p = 0.024), but we believe this may be due to an overrepresentation of mild to moderate asthma and its management, which includes educating patients about a healthy lifestyle. CONCLUSION In the LIFE-Adult-Study, common risk factors and several diseases had relevant effect on overall survival. However, selection bias in epidemiological studies needs to be considered whenever interpreting results of epidemiological cohort studies. Nevertheless it was shown that the general cause-and-effect principles also apply in this relatively healthy cohort.
Collapse
|
4
|
Leao TSDS, Zanoni AV, Franzon R, Tomasi GH, Conzatti LP, Marrone LCP, Reynolds MA, Gomes MS. Number of teeth is independently associated with ischemic stroke: A case-control study. J Clin Neurosci 2021; 90:233-237. [PMID: 34275555 DOI: 10.1016/j.jocn.2021.05.059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2021] [Revised: 03/15/2021] [Accepted: 05/27/2021] [Indexed: 12/17/2022]
Abstract
Poor oral health has been suggested as a potential risk factor for the occurrence of cardiovascular events. The present study aimed to test the hypothesis that the number of permanent natural teeth (NT) is independently associated with the occurrence of ischemic stroke (IS) or transient ischemic attack (TIA) in a southern Brazilian population. This case-control study enrolled 458 subjects, 229 hospital patients diagnosed with IS or TIA (cases) and 229 patients with no history of cardiovascular disease (controls). NT was assessed through a head and neck multidetector computed tomography angiography (MDCTA) and panoramic radiographs. The participants were matched by age and sex. Sociodemographic and medical confounding variables were obtained from the hospital charts and through a structured questionnaire. Multivariate logistic regression analysis were carried out to estimate the association between NT and the occurrence of IS or TIA. The mean age was 58.37 ± 10.75 years, with 46.7% males. Adjusted analyses showed an independent association between IS or TIA and hypertension (OR = 6.34, 95%CI = 3.93-10.24), smoking (OR = 4.70, 95%CI = 2.76-7.99) and NT (lower quartile: ≤7 teeth) (OR = 5.59, 95%CI = 2.88-10.86). The number of permanent natural teeth was inversely and independently associated with the occurrence of IS or TIA in this population. Present findings suggest a gradient effect on the association between oral health and IS.
Collapse
Affiliation(s)
- Thayana Salgado de Souza Leao
- Graduate Program in Dentistry, School of Health and Life Sciences, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil; Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, United States.
| | - Aline Veloso Zanoni
- Graduate Program in Dentistry, School of Health and Life Sciences, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Raiane Franzon
- Graduate Program in Dentistry, School of Health and Life Sciences, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Gustavo Henrique Tomasi
- Department of Neurology, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Lucas Piccoli Conzatti
- Department of Neurology, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Luiz Carlos Porcelo Marrone
- Department of Neurology, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Mark Allan Reynolds
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, United States.
| | - Maximiliano Schünke Gomes
- Graduate Program in Dentistry, School of Health and Life Sciences, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil; Medical and Dental Center of the Military Police of Rio Grande do Sul, Brazil.
| |
Collapse
|
5
|
Delhey L, Shoults C, Johnson K, Orloff M, Faramawi MF, Delongchamp R. The difference between hypertension determined by self-report versus examination in the adult population of the USA: Continuous NHANES 1999-2016. J Public Health (Oxf) 2021; 43:316-324. [PMID: 31781770 DOI: 10.1093/pubmed/fdz132] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Revised: 08/08/2019] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Studies have considered the validity of self-reported hypertension relative to hypertension detected by examination; no study has explored trends in the difference between these two measures. Our objective was to calculate these differences overtime within subpopulations of the USA. METHODS We included non-Hispanic white, non-Hispanic black and Hispanic adults who participated in the National Health and Nutrition Examination Surveys from 1999 to 2016, in the analysis (N = 44 333). We subtracted self-reported hypertension from hypertension detected by examination to calculate blood pressure difference (BPD). We fit weighted linear regression models that included important covariates along with all combination of two- and three-way interactions to predict the BPD. We used the fitted lines of the models to depict the patterns of differences in the different subpopulations. RESULTS Age ≥ 45 years, lack of annual clinical visit, body mass index (BMI) < 25 and time were important factors associated with increased BPD. CONCLUSIONS People who are ≥ 45 years, have normal BMI, or do not have annual medical visits are more likely to have a bigger BPD. We can use the calculated BPD, to adjust estimates of the prevalence of self-reported hypertension.
Collapse
Affiliation(s)
- Leanna Delhey
- Department of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Catherine Shoults
- Department of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Kemmian Johnson
- Department of Internal Medicine, School of Medicine, Louisiana State University, New Orleans, LA 70112, USA
| | - Mohammed Orloff
- Department of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Mohammed F Faramawi
- Department of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.,Department of Internal Medicine, School of Medicine, Louisiana State University, New Orleans, LA 70112, USA
| | - Robert Delongchamp
- Department of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.,Department of Bioinformatics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| |
Collapse
|
6
|
Kumar S, Ram H, Atam I, Atam V, Sonkar SK, Patel ML, Kumar A. Detection of undiagnosed and inadequately treated high blood pressure in dentistry by screening. Natl J Maxillofac Surg 2020; 11:248-252. [PMID: 33897189 PMCID: PMC8051666 DOI: 10.4103/njms.njms_31_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Revised: 05/08/2020] [Accepted: 09/21/2020] [Indexed: 11/04/2022] Open
Abstract
Background Worldwide, hypertension is considered as an important health issue due to its unbearable complication of cardiovascular, renal, and nervous system diseases. Aims and Objective The aim was to find the prevalence and inadequately treated undiagnosed hypertension in the general population attending the Outpatient Department (OPD) of the Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow. Materials and Methods A total of 2500 patients were enrolled in the study within the age group of 20-60 years, attending dental clinics. For every patient, blood pressure (BP) was taken three times, and all the readings were grouped into four categories including normal, prehypertensive stage, Stage 1, and Stage 2 of hypertension. In the dental clinic, the BP assessment was done considering parameters such as sex, smoking and alcohol, the effect of local anesthesia, gutkha chewing, age group, and regular exercise. Results About 24.39% of undiagnosed hypertensive patients were found among all who attended the OPD of the department of oral and maxillofacial surgery. It was observed that the rise in BP was 16.71% and 2.35% in Stage 1 and Stage 2, respectively, after giving the local anesthesia. Conclusion This study reveals that early diagnosis of undiagnosed and inadequately treated hypertension among general people notified by dentists is an important role, and this should be promoted and emphasized to restrict fatal life complications.
Collapse
Affiliation(s)
- Satish Kumar
- Department of Endocrinology, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Hari Ram
- Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Isha Atam
- Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Virendra Atam
- Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India
| | | | - Munna Lal Patel
- Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Ajay Kumar
- Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India
| |
Collapse
|
7
|
Folayan MO, Alimi P, Alade MO, Tantawi ME, Adeniyi AA, Finlayson TL. Validation of maternal report of early childhood caries status in Ile-Ife, Nigeria. BMC Oral Health 2020; 20:336. [PMID: 33238956 PMCID: PMC7687827 DOI: 10.1186/s12903-020-01288-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 10/18/2020] [Indexed: 12/25/2022] Open
Abstract
Background To determine the validity of maternal reports of the presence of early childhood caries (ECC), and to identify maternal variables that increase the accuracy of the reports.
Methods This secondary data analysis included 1155 mother–child dyads, recruited through a multi-stage sampling household approach in Ile-Ife Nigeria. Survey data included maternal characteristics (age, monthly income, decision-making ability) and maternal perception about whether or not her child (age 6 months to 5 years old) had ECC. Presence of ECC was clinically determined using the dmft index. Maternally reported and clinically determined ECC presence were compared using a chi-squared test. McNemar's test was used to assess the similarity of maternal and clinical reports of ECC. Sensitivity, specificity, positive and negative predictive values, absolute bias, relative bias and inflation factor were calculated. Statistical significance was determined at p < 0.05. Results The clinically-determined ECC prevalence was 4.6% (95% Confidence interval [CI]: 3.5–5.0) while the maternal-reported ECC prevalence was 3.4% (CI 2.4–4.6). Maternal reports underestimated the prevalence of ECC by 26.1% in comparison to the clinical evaluation. The results indicate low sensitivity (9.43%; CI 3.13–20.70) but high specificity (96.9%; CI 95.7–97.9). The positive predictive value was 12.8% (CI 4.3–27.4) while the negative predictive value was 95.7% (CI 94.3–96.8). The inflation factor for maternally reported ECC was 1.4. Sensitivity (50.0%; CI 6.8–93.2) and positive predictive value were highest (33.3%; CI 4.3–77.7) when the child had a history of visiting the dental clinic. Conclusions Mothers under-reported the presence of ECC in their children in this study population. The low sensitivity and positive predictive values of maternal report of ECC indicates that maternal reporting of presence of ECC may not be used as a valid tool to measure ECC in public health surveys. The high specificity and negative predictive values indicate that their report is a good measure of the absence of ECC in the study population. Child’s history of dental service utilization may be a proxy measure of presence of ECC.
Collapse
Affiliation(s)
| | - Peter Alimi
- Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Micheal O Alade
- Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
| | - Maha El Tantawi
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Abiola A Adeniyi
- Department of Preventive Dentistry, Lagos State University College of Medicine, Lagos, Nigeria
| | | |
Collapse
|
8
|
Saarinen AIL, Keltikangas-Järvinen L, Hintsa T, Pulkki-Råback L, Ravaja N, Lehtimäki T, Raitakari O, Hintsanen M. Does Compassion Predict Blood Pressure and Hypertension? The Modifying Role of Familial Risk for Hypertension. Int J Behav Med 2020; 27:527-538. [PMID: 32347444 PMCID: PMC7497423 DOI: 10.1007/s12529-020-09886-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Background This study investigated (i) whether compassion is associated with blood pressure or hypertension in adulthood and (ii) whether familial risk for hypertension modifies these associations. Method The participants (N = 1112–1293) came from the prospective Young Finns Study. Parental hypertension was assessed in 1983–2007; participants’ blood pressure in 2001, 2007, and 2011; hypertension in 2007 and 2011 (participants were aged 30–49 years in 2007–2011); and compassion in 2001. Results High compassion predicted lower levels of diastolic and systolic blood pressure in adulthood. Additionally, high compassion was related to lower risk for hypertension in adulthood among individuals with no familial risk for hypertension (independently of age, sex, participants’ and their parents’ socioeconomic factors, and participants’ health behaviors). Compassion was not related to hypertension in adulthood among individuals with familial risk for hypertension. Conclusion High compassion predicts lower diastolic and systolic blood pressure in adulthood. Moreover, high compassion may protect against hypertension among individuals without familial risk for hypertension. As our sample consisted of comparatively young participants, our findings provide novel implications for especially early-onset hypertension. Electronic supplementary material The online version of this article (10.1007/s12529-020-09886-5) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Aino I L Saarinen
- Research Unit of Psychology, University of Oulu, P.O. Box 2000 (Erkki Koiso-Kanttilan katu 1), 90014, Oulu, Finland.,Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | | | - Taina Hintsa
- Department of Educational Sciences and Psychology, University of Eastern Finland, Joensuu, Finland
| | - Laura Pulkki-Råback
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Niklas Ravaja
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Terho Lehtimäki
- Department of Clinical Chemistry, Fimlab Laboratories and Finnish Cardiovascular Research Center-Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Olli Raitakari
- Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.,Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland.,Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
| | - Mirka Hintsanen
- Research Unit of Psychology, University of Oulu, P.O. Box 2000 (Erkki Koiso-Kanttilan katu 1), 90014, Oulu, Finland.
| |
Collapse
|
9
|
Rydén L, Sigström R, Nilsson J, Sundh V, Falk Erhag H, Kern S, Waern M, Östling S, Wilhelmson K, Skoog I. Agreement between self-reports, proxy-reports and the National Patient Register regarding diagnoses of cardiovascular disorders and diabetes mellitus in a population-based sample of 80-year-olds. Age Ageing 2019; 48:513-518. [PMID: 31220207 PMCID: PMC6775759 DOI: 10.1093/ageing/afz033] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2018] [Revised: 01/19/2019] [Accepted: 03/18/2019] [Indexed: 11/27/2022] Open
Abstract
Background cognitive impairment is common among older adults, necessitating the use of collateral sources in epidemiological studies involving this age group. The objective of this study was to evaluate agreement between self- and proxy-reports of cardiovascular disorders and diabetes mellitus in a population-based sample of 80-year-olds. Further, both self- and proxy-reports were compared with hospital register data. Methods data were obtained from the Gothenburg H70 Birth Cohort Studies in Sweden. The study had a cross-sectional design and information was collected through semi-structured interviews in 2009–2012 from participants born in 1930 (N = 419) and their proxy informants. The National Patient Register provided diagnoses registered during hospital stays. Agreement was measured with Kappa values (K). Results agreement between self- and proxy-reports was substantial for diabetes mellitus (K = 0.79), atrial fibrillation (K = 0.61), myocardial infarction (K = 0.75), angina pectoris (K = 0.73) and hypertension (K = 0.62), and fair for intermittent claudication (K = 0.38) and heart failure (K = 0.40). Compared to the National Patient Register, a large proportion of those with a hospital discharge diagnosis were also self- and proxy-reported. Conclusions proxy informants can be an important source of information, at least for well-defined conditions such as myocardial infarction, angina pectoris and diabetes mellitus.
Collapse
Affiliation(s)
- Lina Rydén
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Sweden
| | - Robert Sigström
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Sweden
| | - Johan Nilsson
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Sweden
| | - Valter Sundh
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Sweden
| | - Hanna Falk Erhag
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Sweden
| | - Silke Kern
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Sweden
| | - Margda Waern
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Sweden
| | - Svante Östling
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Sweden
| | - Katarina Wilhelmson
- Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Sweden
- Department of Geriatrics, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Ingmar Skoog
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Sweden
| |
Collapse
|
10
|
Paalanen L, Koponen P, Laatikainen T, Tolonen H. Public health monitoring of hypertension, diabetes and elevated cholesterol: comparison of different data sources. Eur J Public Health 2019; 28:754-765. [PMID: 29462296 DOI: 10.1093/eurpub/cky020] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Background Three data sources are generally used in monitoring health on the population level. Health interview surveys (HISs) are based on participants' self-report. Health examination surveys (HESs) yield more objective data, and also persons who are unaware of their elevated risks can be detected. Medical records (MRs) and other administrative registers also provide objective data, but their availability, coverage and quality vary between countries. We summarized studies comparing self-reported data with (i) measured data from HESs or (ii) MRs. We aimed to describe differences in feasibility and comparability of different data sources for monitoring (i) elevated blood pressure or hypertension (ii) elevated blood glucose or diabetes and (iii) elevated total cholesterol. Methods We conducted a literature search to identify studies, which validated self-reported measures against objective measures. We found 30 studies published since the year 2000 fulfilling our inclusion criteria (targeted to adults and comparing prevalence among the same persons). Results Hypertension and elevated total cholesterol were prone to be under-estimated in HISs. The under-estimate was more pronounced, when the HIS data were compared with HES data, and lower when compared with MRs. For diabetes, the HISs and the objective methods resulted in fairly similar prevalence rates. Conclusion The three data sources measure different manifestations of the risk factors and cannot be expected to yield similar prevalence rates. Using HIS data only may lead to under-estimation of elevated risk factor levels or disease prevalence. Whenever possible, information from the three data sources should be evaluated and combined.
Collapse
Affiliation(s)
- Laura Paalanen
- Department of Public Health Solutions, National Institute for Health and Welfare (THL), Helsinki, Finland
| | - Päivikki Koponen
- Department of Public Health Solutions, National Institute for Health and Welfare (THL), Helsinki, Finland
| | - Tiina Laatikainen
- Department of Public Health Solutions, National Institute for Health and Welfare (THL), Helsinki, Finland.,Institute of Public Health and Clinical Nutrition, School of Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.,Siun Sote-Joint Municipal Authority for North Karelia Social and Health Services, Joensuu, Finland
| | - Hanna Tolonen
- Department of Public Health Solutions, National Institute for Health and Welfare (THL), Helsinki, Finland
| |
Collapse
|
11
|
Villarini M, Acito M, Gianfredi V, Berrino F, Gargano G, Somaini M, Nucci D, Moretti M, Villarini A. Validation of Self-Reported Anthropometric Measures and Body Mass Index in a Subcohort of the DianaWeb Population Study. Clin Breast Cancer 2019; 19:e511-e518. [PMID: 31182401 DOI: 10.1016/j.clbc.2019.04.008] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2019] [Revised: 04/02/2019] [Accepted: 04/07/2019] [Indexed: 12/30/2022]
Abstract
INTRODUCTION DianaWeb is a community-based participatory project open to Italian breast cancer patients. The aim of the study was to assess the effectiveness of a lifestyle intervention in improving the prognosis after patients received diagnosis and surgery/chemotherapy. The DianaWeb study uses an interactive Web site (www.dianaweb.org) to monitor patients' lifestyles, and to obtain clinical and anthropometric data. Although detailed instructions for measuring height, body weight, waist circumference, and blood pressure (BP) are provided, individuals might tend to overestimate or underestimate those parameters. The aims of the present study were: (1) to compare self-recorded data with those from standardized ambulatory measurements; (2) to determine the trueness of a subject classification in the overweight/obesity or hypertensive subgroup on the basis of the patients' own measurements and estimates; and (3) to identify confounding variables. PATIENTS AND METHODS We compared self-reported with ambulatory measurements in a subgroup of 200 randomly selected women of approximately 1000 enrolled in the DianaWeb study (from September 2016 to March 2018). RESULTS Bland-Altman analysis showed a close agreement for self-reported and ambulatory-measured height, weight, and body mass index (BMI). On the contrary, women overestimated waist circumference and underestimated BP. Cohen κ statistics showed fair agreement only for hypertension. Binary logistic regression analysis showed that BMI and diastolic BP self-measurements were biased according to age. CONCLUSION The results suggest that self-reported height, weight, and BMI are satisfactorily accurate for patients in the DianaWeb study, such as accuracies of overweight/obese and central obesity classification, and that these data can be useful for our research.
Collapse
Affiliation(s)
- Milena Villarini
- Department of Pharmaceutical Sciences, University of Perugia, Perugia, Italy
| | - Mattia Acito
- Department of Pharmaceutical Sciences, University of Perugia, Perugia, Italy
| | - Vincenza Gianfredi
- Department of Pharmaceutical Sciences, University of Perugia, Perugia, Italy; School of Specialization in Hygiene and Preventive Medicine, Department of Experimental Medicine, University of Perugia, Perugia, Italy
| | | | - Giuliana Gargano
- Department of Research, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Matteo Somaini
- School of Specialization in Nutrition Science, University of Milano, Milano, Italy
| | - Daniele Nucci
- Digestive Endoscopy Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy
| | - Massimo Moretti
- Department of Pharmaceutical Sciences, University of Perugia, Perugia, Italy.
| | - Anna Villarini
- Department of Research, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
| |
Collapse
|
12
|
Abstract
BACKGROUND Daily aspirin use has been recommended for secondary prevention of cardiovascular disease, but its use for primary prevention remains controversial. METHODS We followed 440,277 men and women from the NIH-AARP Diet and Health Study (ages 50-71) and the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (ages 55-74) for mortality for 13 years on average. Frequency of aspirin use was ascertained through self-report, and cause of death by death certificates. We calculated multivariate hazard ratios (HRs) and 95% confidence intervals (CIs) for mortality using Cox proportional hazards models for each cohort and combined by meta-analysis. RESULTS We found a consistent U-shaped relationship between aspirin use and mortality in both studies, with differential risk patterns for cardiovascular mortality by disease history. Among individuals with a history of cardiovascular disease, daily aspirin use was associated with reduced cardiovascular mortality [HR = 0.78 (95% CI, 0.74, 0.82)]. However, among those without a previous history, we observed no protection for daily aspirin users [HR = 1.06 (1.02, 1.11)], and elevated risk of cardiovascular mortality for those taking aspirin twice daily or more [HR = 1.29 (1.19, 1.39)]. Elevated risk persisted even among participants who lived beyond 5 years of follow-up and used aspirin without other nonsteroidal antiinflammatory drugs [HR = 1.31 (1.17, 1.47)]. CONCLUSIONS Results from these 2 large population-based US cohorts confirm the utility of daily aspirin use for secondary prevention of cardiovascular mortality; however, our data suggest that caution should be exercised in more frequent use, particularly among individuals without a history of cardiovascular disease.
Collapse
|
13
|
Maita H, Kobayashi T, Osawa H, Kato H. Self-diagnosis of seasonal influenza in a rural primary care setting in Japan: A cross sectional observational study. PLoS One 2018; 13:e0197163. [PMID: 29746573 PMCID: PMC5944958 DOI: 10.1371/journal.pone.0197163] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Accepted: 04/27/2018] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To elucidate the accuracy and optimal cut-off point of self-diagnosis and clinical symptoms of seasonal influenza compared with rapid influenza diagnostic tests as the reference standard, we conducted a cross sectional observational study at a rural clinic in Japan. METHODS Data during three influenza seasons (December 2013 to April 2016) were retrospectively collected from the medical records and pre-examination sheets of 111 patients aged >11 years (mean age 48.1 years, men 53.2%) who were suspected of influenza infection and underwent rapid influenza diagnostic testing. Patients' characteristics (age, sex, and past medical history of influenza infection), clinical signs (axillary temperature, pulse rate, cough, joint and muscle pain, and history of fever [acute or sudden, gradual, and absence of fever]), duration from the onset of symptoms, severity of feeling sick compared with a common cold (severe, similar, and mild), self-reported likelihood of influenza (%), and results of rapid influenza diagnostic tests. RESULTS At the optimal cut-off point (30%) for estimation of self-diagnosis of seasonal influenza, the positive likelihood ratio (LR+) was 1.46 (95% confidence interval 1.07 to 2.00) and negative likelihood ratio (LR-) was 0.57 (0.35 to 0.93). At a 10% cut-off point, LR-was 0.33 (0.12 to 0.96). At an 80% cut-off point, LR+ was 2.75 (0.75 to 10.07). As for clinical signs, the combination of acute or sudden onset fever and cough had LR+ of 3.27 (1.68 to 6.35). Absence of cough showed LR-of 0.15 (0.04 to 0.61). CONCLUSIONS Self-diagnosis of influenza using the optimal cut-off point (30%) was not found useful for ruling in or ruling out an influenza diagnosis. However, it could be useful when patients self-report extremely high (80%) or low (10%) probability of having influenza. Clinically useful signs were the combination of history of fever and cough, and absence of cough.
Collapse
Affiliation(s)
- Hiroki Maita
- Development of Community Healthcare, Hirosaki University Graduate School of Medicine, Hirosaki-shi, Aomori, Japan
- General Medicine, Hirosaki University Graduate School of Medicine, Hirosaki-shi, Aomori, Japan
- * E-mail:
| | - Tadashi Kobayashi
- Department of General Medicine, Hirosaki University School of Medicine & Hospital, Hirosaki-shi, Aomori, Japan
| | - Hiroshi Osawa
- Department of General Medicine, Hirosaki University School of Medicine & Hospital, Hirosaki-shi, Aomori, Japan
| | - Hiroyuki Kato
- Development of Community Healthcare, Hirosaki University Graduate School of Medicine, Hirosaki-shi, Aomori, Japan
- General Medicine, Hirosaki University Graduate School of Medicine, Hirosaki-shi, Aomori, Japan
- Department of General Medicine, Hirosaki University School of Medicine & Hospital, Hirosaki-shi, Aomori, Japan
| |
Collapse
|
14
|
Jung Y, Junna MR, Mandrekar JN, Morgenthaler TI. The National Healthy Sleep Awareness Project Sleep Health Surveillance Questionnaire as an Obstructive Sleep Apnea Surveillance Tool. J Clin Sleep Med 2017; 13:1067-1074. [PMID: 28728624 DOI: 10.5664/jcsm.6724] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Accepted: 06/14/2017] [Indexed: 12/31/2022]
Abstract
STUDY OBJECTIVES To validate the previously published National Healthy Sleep Awareness Project (NHSAP) Surveillance and Epidemiology Workgroup questionnaire for ability to determine risk for moderate to severe obstructive sleep apnea (OSA). METHODS The NHSAP sleep questions, part of the next Behavioral Risk Factor Surveillance System (BRFSS), were constructed to mimic elements of the STOP sleep apnea questionnaire, and included number of days with sleep disruption and unintentional dozing and a history of snoring and apneas. The responses to four sleep questions from the BRFSS were collected from 352 adults undergoing in-laboratory polysomnography at Mayo Clinic, Rochester, Minnesota. Demographic and clinical information, including sex, age, body mass index (BMI), and presence of hypertension, which will be available in other parts of the complete BRFSS, were obtained by chart review. Univariate and logistic regression analyses were performed, and values of P < .05 were considered to be statistically significant. RESULTS Fifty-five percent of subjects were men and 45% were women with a median age of 58 years and BMI 32.2 kg/m2. Sixty percent had no or mild OSA, and 40% had moderate to severe OSA. No single question was superior in screening for moderate to severe OSA, although a history of snoring and witnessed apneas was more likely to predict moderate to severe OSA. Male sex, age ≥ 50 years, BMI ≥ 30 kg/m2, presence of hypertension, and a history of snoring and witnessed apneas were the most highly weighted factors in predicting moderate to severe OSA. When each variable was dichotomized to a single point, a cutoff of 5 points significantly predicted a high risk of moderate to severe OSA with an odds ratio of 3.87 (2.39-6.27). CONCLUSIONS Although many variables were positively associated with the apnea-hypopnea index, no single factor was superior in predicting moderate to severe OSA. Male sex, increased age, higher BMI, hypertension, and a history of snoring and witnessed apneas are the most highly predictive of moderate to severe OSA. Combined use of the NHSAP questionnaire and demographic and clinical characteristics could be considered for screening for moderate to severe OSA.
Collapse
Affiliation(s)
- Youngsin Jung
- Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.,Department of Neurology, Mayo Clinic, Rochester, Minnesota
| | - Mithri R Junna
- Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.,Department of Neurology, Mayo Clinic, Rochester, Minnesota
| | - Jayawant N Mandrekar
- Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota
| | - Timothy I Morgenthaler
- Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.,Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota
| |
Collapse
|
15
|
Kuate Defo B, Mbanya JC, Tardif JC, Ekundayo O, Perreault S, Potvin L, Cote R, Kengne AP, Choukem SP, Assah F, Kingue S, Richard L, Pongou R, Frohlich K, Saji J, Fournier P, Sobngwi E, Ridde V, Dubé MP, De Denus S, Mbacham W, Lafrance JP, Nsagha DS, Mampuya W, Dzudie A, Cloutier L, Zarowsky C, Tanya A, Ndom P, Hatem M, Rey E, Roy L, Borgès Da Silva R, Dagenais C, Todem D, Weladji R, Mbanya D, Emami E, Njoumemi Z, Monnais L, Dubois CA. Diagnosis, Prevalence, Awareness, Treatment, Prevention, and Control of Hypertension in Cameroon: Protocol for a Systematic Review and Meta-Analysis of Clinic-Based and Community-Based Studies. JMIR Res Protoc 2017; 6:e102. [PMID: 28554882 PMCID: PMC5468543 DOI: 10.2196/resprot.7807] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Revised: 04/27/2017] [Accepted: 04/28/2017] [Indexed: 12/27/2022] Open
Abstract
Background Hypertension holds a unique place in population health and health care because it is the leading cause of cardiovascular disease and the most common noncommunicable condition seen in primary care worldwide. Without effective prevention and control, raised blood pressure significantly increases the risk of stroke, myocardial infarction, chronic kidney disease, heart failure, dementia, renal failure, and blindness. There is an urgent need for stakeholders—including individuals and families—across the health system, researchers, and decision makers to work collaboratively for improving prevention, screening and detection, diagnosis and evaluation, awareness, treatment and medication adherence, management, and control for people with or at high risk for hypertension. Meeting this need will help reduce the burden of hypertension-related disease, prevent complications, and reduce the need for hospitalization, costly interventions, and premature deaths. Objective This review aims to synthesize evidence on the epidemiological landscape and control of hypertension in Cameroon, and to identify elements that could potentially inform interventions to combat hypertension in this setting and elsewhere in sub-Saharan Africa. Methods The full search process will involve several steps, including selecting relevant databases, keywords, and Medical Subject Headings (MeSH); searching for relevant studies from the selected databases; searching OpenGrey and the Grey Literature Report for gray literature; hand searching in Google Scholar; and soliciting missed publications (if any) from relevant authors. We will select qualitative, quantitative, or mixed-methods studies with data on the epidemiology and control of hypertension in Cameroon. We will include published literature in French or English from electronic databases up to December 31, 2016, and involving adults aged 18 years or older. Both facility and population-based studies on hypertension will be included. Two reviewers of the team will independently search, screen, extract data, and assess the quality of selected studies using suitable tools. Selected studies will be analyzed by narrative synthesis, meta-analysis, or both, depending on the nature of the data retrieved in line with the review objectives. Results This review is part of an ongoing research program on disease prevention and control in the context of the dual burden of communicable and noncommunicable diseases in Africa. The first results are expected in 2017. Conclusions This review will provide a comprehensive assessment of the burden of hypertension and control measures that have been designed and implemented in Cameroon. Findings will form the knowledge base relevant to stakeholders across the health system and researchers who are involved in hypertension prevention and control in the community and clinic settings in Cameroon, as a yardstick for similar African countries. Trial Registration PROSPERO registration number: CRD42017054950; http://www.crd.york.ac.uk/PROSPERO/ display_record.asp?ID=CRD42017054950 (Archived by WebCite at http://www.webcitation.org/6qYSjt9Jc)
Collapse
Affiliation(s)
- Barthelemy Kuate Defo
- Department of Social and Preventive Medicine, Department of Demography and Public Health Research Institute, Université de Montréal, Montreal, QC, Canada
| | - Jean Claude Mbanya
- Department of Internal Medicine and Specialities, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
| | | | - Olugbemiga Ekundayo
- Department of Public Health and Health Administration, College of Health Science and Public Health, Eastern Washington University, Spokane, WA, United States
| | - Sylvie Perreault
- Faculté de Pharmacie, Université de Montréal, Montreal, QC, Canada
| | - Louise Potvin
- Department of Social and Preventive Medicine, Université de Montréal, Montreal, QC, Canada
| | - Robert Cote
- Departments of Neurology, Neurosurgery and Medicine, McGill University, Montreal, QC, Canada
| | | | - Simeon Pierre Choukem
- Department of Internal Medicine and Paediatrics, Faculty of Health Sciences, University of Buea, Buea, Cameroon
| | - Felix Assah
- Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
| | - Samuel Kingue
- Department of Cardiology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
| | - Lucie Richard
- Faculté des sciences infirmières, Université de Montréal, Montreal, QC, Canada
| | - Roland Pongou
- Department of Economics, University of Ottawa, Ottawa, ON, Canada
| | - Katherine Frohlich
- Department of Social and Preventive Medicine, Université de Montréal, Montreal, QC, Canada
| | - Jude Saji
- Public Health Research Institute, School of Public Health, Université de Montréal, Montreal, QC, Canada
| | - Pierre Fournier
- Department of Social and Preventive Medicine, Université de Montréal, Montreal, QC, Canada
| | - Eugene Sobngwi
- Department of Internal Medicine and Specialities, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
| | - Valery Ridde
- Department of Social and Preventive Medicine, Université de Montréal, Montreal, QC, Canada
| | - Marie-Pierre Dubé
- Montreal Heart Institute, Université de Montréal, Montreal, QC, Canada
| | - Simon De Denus
- Montreal Heart Institute, Université de Montréal, Montreal, QC, Canada
| | - Wilfred Mbacham
- Department of Biochemistry and Physiology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
| | - Jean-Philippe Lafrance
- Faculté de médecine et Faculté de pharmacologie, Université de Montréal, Montreal, QC, Canada
| | - Dickson Shey Nsagha
- Department of Public Health Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon
| | - Warner Mampuya
- Faculté de Médecine, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Anastase Dzudie
- Faculty of Health Sciences, University of Buea, Buea, Cameroon
| | - Lyne Cloutier
- Département des sciences infirmières, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada
| | - Christina Zarowsky
- Department of Social and Preventive Medicine, Université de Montréal, Montreal, QC, Canada
| | - Agatha Tanya
- College of Technology, University of Bamenda, Bamenda, Cameroon
| | - Paul Ndom
- Department of Oncology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
| | - Marie Hatem
- Department of Social and Preventive Medicine, Université de Montréal, Montreal, QC, Canada
| | - Evelyne Rey
- Faculty of Medicine and CHU Sainte-Justine, Université de Montréal, Montreal, QC, Canada
| | - Louise Roy
- Service de néphrologie (CHUM-Saint-Luc) & Faculté de médecine, Université de Montréal, Montreal, QC, Canada
| | | | - Christian Dagenais
- Département de psychologie, Université de Montréal, Montreal, QC, Canada
| | - David Todem
- Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, United States
| | - Robert Weladji
- Department of Biology, Concordia University, Montreal, QC, Canada
| | - Dora Mbanya
- Department of Haematology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
| | - Elham Emami
- Faculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada
| | - Zakariaou Njoumemi
- Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
| | - Laurence Monnais
- Département d'histoire, Université de Montréal, Montreal, QC, Canada
| | - Carl-Ardy Dubois
- Faculté des sciences infirmières, Université de Montréal, Montreal, QC, Canada
| |
Collapse
|
16
|
Shizuma Y, Zaitsu T, Ueno M, Ohnuki M, Kawaguchi Y. Relationship between self-assessment and clinical evaluation of dental plaque and gingival condition in Japanese adolescents. Int J Dent Hyg 2017; 16:144-150. [DOI: 10.1111/idh.12281] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Y Shizuma
- Department of Oral Health Promotion; Tokyo Medical and Dental University; Tokyo Japan
| | - T Zaitsu
- Department of Oral Health Promotion; Tokyo Medical and Dental University; Tokyo Japan
| | - M Ueno
- Department of Oral Health Promotion; Tokyo Medical and Dental University; Tokyo Japan
| | - M Ohnuki
- Department of Oral Health Promotion; Tokyo Medical and Dental University; Tokyo Japan
| | - Y Kawaguchi
- Department of Oral Health Promotion; Tokyo Medical and Dental University; Tokyo Japan
| |
Collapse
|
17
|
Du Y, Shih M, Lightstone AS, Baldwin S. Hypertension among Asians in Los Angeles County: Findings from a multiyear survey. Prev Med Rep 2017; 6:302-306. [PMID: 28435783 PMCID: PMC5393159 DOI: 10.1016/j.pmedr.2017.03.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Revised: 03/16/2017] [Accepted: 03/20/2017] [Indexed: 11/30/2022] Open
Abstract
Few studies have examined the prevalence of hypertension among Asians living in the United States. Multiyear data from the Los Angeles County Health Survey were used to investigate the prevalence of hypertension among Asians and Asian subgroups, and risk factors associated with the disease, using descriptive analysis and multivariate logistic regression. Age-adjusted prevalence of hypertension in Asians was 23.4%. Among Asian subgroups, age-adjusted prevalence of hypertension was lowest among Chinese (20.0%), and highest among Filipinos (32.7%), and several factors were identified as associated with hypertension. Hypertension among Asian-Americans is a serious public health concern, requiring culturally sensitive best practices, and evidence-based approaches to improve prevention and control among Asians. The prevalence of hypertension among Asians was 23.4% in Los Angeles County. The prevalence of hypertension varied among Asian subgroups. Several risk factors were identified as associated with hypertension among Asians. Evidence based intervention should consider culturally sensitive approaches.
Collapse
Affiliation(s)
- Yajun Du
- Los Angeles County Department of Public Health, Office of Health Assessment & Epidemiology, Los Angeles, CA 90012, United States
| | - Margaret Shih
- Los Angeles County Department of Public Health, Office of Health Assessment & Epidemiology, Los Angeles, CA 90012, United States
| | - Amy S Lightstone
- Los Angeles County Department of Public Health, Office of Health Assessment & Epidemiology, Los Angeles, CA 90012, United States
| | - Susie Baldwin
- Los Angeles County Department of Public Health, Division of HIV and STD Programs, Los Angeles, CA 90005, United States
| |
Collapse
|
18
|
Neuhauser H, Kuhnert R, Born S. 12-Month prevalence of hypertension in Germany. JOURNAL OF HEALTH MONITORING 2017; 2:51-57. [PMID: 37151301 DOI: 10.17886/rki-gbe-2017-016issn2511-2708] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Hypertension is among the most important risk factors for cardiovascular diseases and therefore a significant determinant of the most frequent causes of death in adults. According to the GEDA 2014/2015-EHIS survey nearly one in three adults in Germany have self-reported physician-diagnosed hypertension. Men are affected more in the age group of under 65 year olds. Nearly two thirds of all men and women aged 65 and over have hypertension. An educational gradient is particularly evident among women, with a higher prevalence of self-reported hypertension among women with low levels of education. Compared to the German average, prevalence of self-reported hypertension among men is higher in Mecklenburg-Western Pomerania and Saxony-Anhalt and among women in all East German federal states with the exception of Berlin. Only in Bremen is the prevalence among men lower than the national average.
Collapse
Affiliation(s)
- Hannelore Neuhauser
- Robert Koch Institute, Department for Epidemiology and Health Monitoring, Berlin, Germany
| | - Ronny Kuhnert
- Robert Koch Institute, Department for Epidemiology and Health Monitoring, Berlin, Germany
| | - Sabine Born
- Robert Koch Institute, Department for Epidemiology and Health Monitoring, Berlin, Germany
| |
Collapse
|
19
|
Lobo LAC, Canuto R, Dias-da-Costa JS, Pattussi MP. Tendência temporal da prevalência de hipertensão arterial sistêmica no Brasil. CAD SAUDE PUBLICA 2017; 33:e00035316. [DOI: 10.1590/0102-311x00035316] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Accepted: 07/28/2016] [Indexed: 11/21/2022] Open
Abstract
Analisar as prevalências de hipertensão arterial referida por adultos brasileiros acima de 20 anos, e verificar as variáveis socioeconômicas associadas em três períodos de tempo. Os dados são da Pesquisa Nacional por Amostra de Domicílios (PNAD) realizada pelo Instituto Brasileiro de Geografia e Estatística (IBGE) nos anos de 1998 (196.439 participantes), 2003 (231.921) e 2008 (250.664). O desfecho era hipertensão arterial referida. As exposições principais eram renda em Reais e escolaridade em anos de estudos. A análise dos dados foi feita usando-se regressão de Poisson com variância robusta com controle para amostras complexas. Maiores prevalências de hipertensão arterial foram encontradas em pessoas com menor escolaridade, independentemente dos anos estudados e do sexo. Baixa renda esteve associada a maiores prevalências de hipertensão arterial independentemente dos anos estudados na amostra total e nas mulheres. Dentre os homens, esse efeito não foi verificado nos anos de 1998 e 2003. Já em 2008, homens de alta renda apresentaram maiores prevalências de hipertensão arterial, sugerindo modificação de efeito. Dessa forma, o presente trabalho apontou o aumento das prevalências de hipertensão arterial nos períodos estudados, destacando sua associação negativa com aspectos socioeconômicos.
Collapse
Affiliation(s)
| | - Raquel Canuto
- Universidade do Vale do Rio dos Sinos, Brazil; Universidade Federal do Rio Grande do Sul, Brazil
| | | | | |
Collapse
|
20
|
Krakowiak P, Walker CK, Tancredi DJ, Hertz-Picciotto I. Maternal Recall Versus Medical Records of Metabolic Conditions from the Prenatal Period: A Validation Study. Matern Child Health J 2016; 19:1925-35. [PMID: 25656730 DOI: 10.1007/s10995-015-1723-0] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
To assess validity of maternally-reported diabetes and hypertensive disorders, and reliability of BMI measurements during periconception and pregnancy compared with medical records when mothers are interviewed 2-5 years after delivery. To investigate whether reporting accuracy differed by child's case status (autism, delays, typical development). Participants were mothers of 2-5 year old children with and without neurodevelopmental disorders from the CHARGE (CHildhood Autism Risks from Genetics and the Environment) Study who had both prenatal/delivery records and telephone interviews. Sensitivity and specificity of self-report in telephone interview was assessed by comparison with medical records; agreement was evaluated by kappa statistics. Deviations in reported BMI were evaluated with Bland-Altman plots and concordance correlation coefficient (CCC). Mothers of children with neurodevelopmental disorders (autism or developmental delay) reported metabolic conditions slightly more accurately than control mothers. For diabetes, sensitivity ranged from 73 to 87% and specificity was ≥98% across groups. For hypertensive disorders, sensitivity ranged from 57 to 77% and specificity from 93 to 98%. Reliability of BMI was high (CCC = 0.930); when grouped into BMI categories, a higher proportion of mothers of delayed children were correctly classified (κ(wt) = 0.93) compared with the autism group and controls (κ(wt) = 0.85 and κ(wt) = 0.84, respectively; P = 0.05). Multiparity was associated with higher discrepancies in BMI and misreporting of hypertensive disorders. For purposes of etiologic studies, self-reported diabetes and hypertensive disorders during periconception and pregnancy show high validity among mothers irrespective of child's case status. Recall of pre-pregnancy BMI is reliable compared with self-reported values in medical records.
Collapse
Affiliation(s)
- Paula Krakowiak
- Divisions of Epidemiology and of Environmental and Occupational Health, Department of Public Health Sciences, School of Medicine, University of California, Davis, CA, USA,
| | | | | | | |
Collapse
|
21
|
Yi SW, Ohrr H. Low systolic blood pressure and mortality from all causes and vascular diseases among older middle-aged men: Korean Veterans Health Study. J Prev Med Public Health 2015; 48:105-10. [PMID: 25857648 PMCID: PMC4398154 DOI: 10.3961/jpmph.15.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2015] [Accepted: 02/23/2015] [Indexed: 12/18/2022] Open
Abstract
Objectives: Recently, low systolic blood pressure (SBP) was found to be associated with an increased risk of death from vascular diseases in a rural elderly population in Korea. However, evidence on the association between low SBP and vascular diseases is scarce. The aim of this study was to prospectively examine the association between low SBP and mortality from all causes and vascular diseases in older middle-aged Korean men. Methods: From 2004 to 2010, 94 085 Korean Vietnam War veterans were followed-up for deaths. The adjusted hazard ratios (aHR) were calculated using the Cox proportional hazard model. A stratified analysis was conducted by age at enrollment. SBP was self-reported by a postal survey in 2004. Results: Among the participants aged 60 and older, the lowest SBP (<90 mmHg) category had an elevated aHR for mortality from all causes (aHR, 1.9; 95% confidence interval [CI], 1.2 to 3.1) and vascular diseases (International Classification of Disease, 10th revision, I00-I99; aHR, 3.2; 95% CI, 1.2 to 8.4) compared to those with an SBP of 100 to 119 mmHg. Those with an SBP below 80 mmHg (aHR, 4.5; 95% CI, 1.1 to 18.8) and those with an SBP of 80 to 89 mmHg (aHR, 3.1; 95% CI, 0.9 to 10.2) also had an increased risk of vascular mortality, compared to those with an SBP of 90 to 119 mmHg. This association was sustained when excluding the first two years of follow-up or preexisting vascular diseases. In men younger than 60 years, the association of low SBP was weaker than that in those aged 60 years or older. Conclusions: Our findings suggest that low SBP (<90 mmHg) may increase vascular mortality in Korean men aged 60 years or older.
Collapse
Affiliation(s)
- Sang-Wook Yi
- Department of Preventive Medicine and Public Health, Catholic Kwandong University College of Medicine, Gangneung, Korea ; Institute for Clinical and Translational Research, Catholic Kwandong University, Gangneung, Korea
| | - Heechoul Ohrr
- Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea ; Institute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Korea
| |
Collapse
|
22
|
Gee ME, Campbell N, Sarrafzadegan N, Jafar T, Khalsa TK, Mangat B, Poulter N, Prabhakaran D, Sonkodi S, Whelton PK, Woodward M, Zhang XH. Standards for the Uniform Reporting of Hypertension in Adults Using Population Survey Data: Recommendations From the World Hypertension League Expert Committee. J Clin Hypertens (Greenwich) 2014; 16:773-81. [DOI: 10.1111/jch.12387] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2014] [Accepted: 07/08/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Marianne E. Gee
- Health Promotion and Chronic Disease Prevention Branch; Public Health Agency of Canada; Ottawa ON Canada
| | - Norm Campbell
- Medicine; University of Calgary; Calgary AB Canada
- World Hypertension League; Vancouver, BC Canada
| | - Nizal Sarrafzadegan
- Cardiology; Isfahan Cardiovascular Research Center; Cardiovascular Research Institute (WHO Collaborating Center); Isfahan University of Medical Sciences; Isfahan Iran
| | - Tazeen Jafar
- Health Services & Systems Research; Duke-NUS; Singapore Singapore
- Renal Medicine; Singapore General Hospital; Singapore Singapore
- Nephrology; Tufts Medical Center; Boston MA
- Nephrology & Community Health Sciences; Aga Khan University; Karachi Pakistan
| | - Tej K. Khalsa
- World Hypertension League and Resident in Internal Medicine; The University of Calgary; Calgary AB Canada
| | - Birinder Mangat
- World Hypertension League and Fellow in Internal Medicine; The University of Calgary; Calgary AB Canada
| | - Neil Poulter
- Preventive Cardiovascular Medicine; Imperial College London; London UK
| | - Dorairaj Prabhakaran
- Centre for Chronic Disease Control; New Delhi India
- Chronic Disease Epidemiology; Public Health Foundation of India; New Delhi India
| | - Sandor Sonkodi
- First Department of Medicine; Nephrology-Hypertension Center Faculty of Medicine; Szeged Scientific University; Szeged Hungary
| | - Paul K. Whelton
- Global Public Health; Tulane University School of Public Health and Tropical Medicine; New Orleans LA
| | - Mark Woodward
- Statistics and Epidemiology; University of Oxford; Oxford UK
- Biostatistics; George Institute; University of Sydney; Sydney NSW Australia
- Epidemiology; Johns Hopkins University; Baltimore MD
| | - Xin-Hua Zhang
- World Hypertension League; Vancouver, BC Canada
- Medicine; Beijing Hypertension League Institute; Beijing China
| |
Collapse
|
23
|
Thawornchaisit P, De Looze F, Reid CM, Seubsman SA, Sleigh A. Validity of self-reported hypertension: findings from the Thai Cohort Study compared to physician telephone interview. Glob J Health Sci 2013; 6:1-11. [PMID: 24576360 PMCID: PMC3939357 DOI: 10.5539/gjhs.v6n2p1] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2013] [Accepted: 10/22/2013] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND Surveys for chronic diseases, and large epidemiological studies of their determinants, often acquire data through self-report since it is feasible and efficient. We examined validity and associations of self-reported hypertension, as verified by physician telephone interview among participants in a large ongoing Thai Cohort Study (TCS). METHODS The TCS investigates the health-risk transition among distance learning Open University students living all over Thailand. It began in 2005 and at 4-year follow-up, 60 569 self-reported having or not having doctor diagnosed hypertension. Two hundred and forty participants were randomly selected from each of the "hypertension" and "normotension" self-report groups. A Thai physician conducted a structured telephone interview with the sampled participants and classified them as having hypertension or normotension. The sensitivity, specificity, positive and negative predictive value (PPV and NPV) and overall accuracy of self-report were calculated. RESULTS The sensitivity of self-reported hypertension was 82.4% and the specificity was 70.7%. As true prevalence was simulated to vary from 1% to 50% the overall accuracy of self-report varied little from 71% to 75%. High sensitivity and negative predictive value related to female gender, younger age (?40 years), higher education attainment and not visiting a physician in the last 12 months. High specificity and positive predictive value related to female gender, older age, higher education attainment and visiting a doctor in the previous year. CONCLUSION Self-report of hypertension had high sensitivity and good overall accuracy. This is acceptable for use in large studies of hypertension, and for estimating its population prevalence to help formulate health policy in Thailand.
Collapse
|
24
|
Dave GJ, Bibeau DL, Schulz MR, Aronson RE, Ivanov LL, Black A, Spann L. Predictors of congruency between self-reported hypertension status and measured blood pressure in the stroke belt. ACTA ACUST UNITED AC 2013; 7:370-8. [PMID: 23706250 DOI: 10.1016/j.jash.2013.04.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2013] [Revised: 04/10/2013] [Accepted: 04/11/2013] [Indexed: 01/13/2023]
Abstract
BACKGROUND Few studies have comprehensively investigated the validity of self-reported hypertension (HTN) and assessed predictors of HTN status in the stroke belt. This study evaluates validity self-reporting as a tool to screen large study populations and determine predictors of congruency between self-reported HTN and clinical measures. METHODS Community Initiative to Eliminate Stroke project (n = 16,598) was conducted in two counties of North Carolina in 2004 to 2007, which included collection of self-reported data and clinical data of stroke-related risk factors. Congruency between self-reported HTN status and clinical measures was based on epidemiological parameters of sensitivity, specificity, and predictive values. McNemar's test and Kappa agreement levels assessed differences in congruency, while odds ratios and logistic regression determined significant predictors of congruency. RESULTS Sensitivity of self-reported HTN was low (33.3%), but specificity was high (89.5%). Prevalence of self-reported HTN was 16.15%. Kappa agreement between self-report and clinical measures for blood pressure was fair (k = 0.25). Females, whites, and young adults were most likely to be positively congruent, whereas individuals in high risk categories for total blood cholesterol, low density lipoproteins, triglycerides, and diabetes were least likely to accurately capture their HTN status. CONCLUSION Self-report HTN information should be used with caution as an epidemiological investigation tool.
Collapse
Affiliation(s)
- Gaurav J Dave
- North Carolina Translational and Clinical Sciences (NC TraCS) Institute, University of North Carolina, Chapel Hill, NC, USA.
| | | | | | | | | | | | | |
Collapse
|
25
|
Huerta JM, Chirlaque MD, Tormo MJ, Gavrila D, Arriola L, Moreno-Iribas C, Amiano P, Ardanaz E, Barricarte A, Dorronsoro M, Egüés N, Larrañaga N, Molina-Montes E, Quirós JR, Sánchez MJ, González CA, Navarro C. Physical Activity and Risk of Cerebrovascular Disease in the European Prospective Investigation Into Cancer and Nutrition-Spain Study. Stroke 2013; 44:111-8. [DOI: 10.1161/strokeaha.112.670612] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background and Purpose—
Large-scale prospective epidemiological data testing the association between physical activity (PA) and cerebrovascular diseases (CVDs) are scarce, particularly in Europe. The objective was to assess the risk of CVD according to PA levels in adults.
Methods—
We included a total of 13 576 men and 19 416 women aged 29 to 69 years and participating in the European Prospective Investigation into Cancer and Nutrition cohort in Spain, recruited between 1992 and 1996 and followed-up until 2006 to ascertain incident CVD events. The validated European Prospective Investigation into Cancer and Nutrition PA questionnaire was used to assess metabolic equivalent × hours per week dedicated to different types of PA. Hazard ratios of CVD by PA levels were estimated using multivariate Cox regression. Extensive baseline data collected on diet, lifestyle habits, medical history, and anthropometry were available to adjust for.
Results—
A total of 210 transient ischemic attacks and 442 stroke cases (80% ischemic, 10% hemorrhagic, 7% subarachnoid hemorrhage, and 3% mixed or unspecified) were registered after 12.3 years of mean follow-up. Recreational activity was inversely associated with risk of CVD in women but not in men. Women walking for ≥3.5 hours per week were at lower risk of stroke than those who did not engage in regular walking. No significant associations were found for other leisure time activities or vigorous PA with CVD in either sex.
Conclusions—
Recreational PA of moderate intensity was inversely associated with stroke incidence in women, whereas PA showed no effect on CVD risk in men. Increasing time dedicated to activities such as walking would be expected to help to reduce the stroke burden in women.
Collapse
Affiliation(s)
- José María Huerta
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - María-Dolores Chirlaque
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - María-José Tormo
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Diana Gavrila
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Larraitz Arriola
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Conchi Moreno-Iribas
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Pilar Amiano
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Eva Ardanaz
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Aurelio Barricarte
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Miren Dorronsoro
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Nerea Egüés
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Nerea Larrañaga
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Esther Molina-Montes
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - José Ramón Quirós
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - María-José Sánchez
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Carlos A. González
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| | - Carmen Navarro
- From the Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., C.N.); CIBER Epidemiología y Salud Pública, Madrid, Spain ((J.M.H., M.-D.C., M.-J.T., D.G., L.A., C.M.-I., P.A., E.A., A.B., M.D., N.L., E.M.-M., M.-J.S., C.N.); Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain (M.-J.T., C.N.); Public Health Department of Gipuzkoa, Basque Government, Donostia-San Sebastián, Spain (L.A., P.A., M.D., N.L.); Public Health
| |
Collapse
|
26
|
Mentz G, Schulz AJ, Mukherjee B, Ragunathan TE, Perkins DW, Israel BA. Hypertension: development of a prediction model to adjust self-reported hypertension prevalence at the community level. BMC Health Serv Res 2012; 12:312. [PMID: 22967264 PMCID: PMC3483283 DOI: 10.1186/1472-6963-12-312] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2011] [Accepted: 08/16/2012] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Accurate estimates of hypertension prevalence are critical for assessment of population health and for planning and implementing prevention and health care programs. While self-reported data is often more economically feasible and readily available compared to clinically measured HBP, these reports may underestimate clinical prevalence to varying degrees. Understanding the accuracy of self-reported data and developing prediction models that correct for underreporting of hypertension in self-reported data can be critical tools in the development of more accurate population level estimates, and in planning population-based interventions to reduce the risk of, or more effectively treat, hypertension. This study examines the accuracy of self-reported survey data in describing prevalence of clinically measured hypertension in two racially and ethnically diverse urban samples, and evaluates a mechanism to correct self-reported data in order to more accurately reflect clinical hypertension prevalence. METHODS We analyze data from the Detroit Healthy Environments Partnership (HEP) Survey conducted in 2002 and the National Health and Nutrition Examination (NHANES) 2001-2002 restricted to urban areas and participants 25 years and older. We re-calibrate measures of agreement within the HEP sample drawing upon parameter estimates derived from the NHANES urban sample, and assess the quality of the adjustment proposed within the HEP sample. RESULTS Both self-reported and clinically assessed prevalence of hypertension were higher in the HEP sample (29.7 and 40.1, respectively) compared to the NHANES urban sample (25.7 and 33.8, respectively). In both urban samples, self-reported and clinically assessed prevalence is higher than that reported in the full NHANES sample in the same year (22.9 and 30.4, respectively). Sensitivity, specificity and accuracy between clinical and self-reported hypertension prevalence were 'moderate to good' within the HEP sample and 'good to excellent' within the NHANES sample. Agreement between clinical and self-reported hypertension prevalence was 'moderate to good' within the HEP sample (kappa =0.65; 95% CI = 0.63-0.67), and 'good to excellent' within the NHANES sample (kappa = 0.75; 95%CI = 0.73-0.80). Application of a 'correction' rule based on prediction models for clinical hypertension using the national sample (NHANES) allowed us to re-calibrate sensitivity and specificity estimates for the HEP sample. The adjusted estimates of hypertension in the HEP sample based on two different correction models, 38.1% and 40.5%, were much closer to the observed hypertension prevalence of 40.1%. CONCLUSIONS Application of a simple prediction model derived from national NHANES data to self-reported data from the HEP (Detroit based) sample resulted in estimates that more closely approximated clinically measured hypertension prevalence in this urban community. Similar correction models may be useful in obtaining more accurate estimates of hypertension prevalence in other studies that rely on self-reported hypertension.
Collapse
Affiliation(s)
- Graciela Mentz
- Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Amy J Schulz
- Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Bhramar Mukherjee
- Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Trivellore E Ragunathan
- Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Denise White Perkins
- Institute of Multicultural Health, Henry Ford Health System, and Department of Family Practice, Henry Ford Hospital, Detroit, MI, USA
| | - Barbara A Israel
- Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA
| |
Collapse
|
27
|
Unfavourable life-course social gradient of coronary heart disease within Spain: a low-incidence welfare-state country. Int J Public Health 2012; 58:65-77. [PMID: 22674376 DOI: 10.1007/s00038-012-0374-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2011] [Revised: 04/19/2012] [Accepted: 05/21/2012] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE Social position has yet to be established as a risk factor of coronary heart disease (CHD). Our aim was to investigate an individual life-course social position gradient link with CHD incidence in the EPIC-Spain cohort. METHODS 41,066 participants, mostly 30-65 years old, and free of cardiovascular disease at baseline (1992-1996) were followed up for a mean of 10.4 years. A combined score of paternal occupation in childhood and own adult education was used to assess individual life-course risk accumulation. Hazard ratios of CHD were estimated using Cox models, stratifying by centre, and age, and adjusting for cardiovascular risk factors. RESULTS 583 participants (80 % men) developed a definite CHD event. Paternal occupational class IV was associated with CHD in all models in men. The educational gradient remained significant after adjusting for diet and physical activity (p = 0.01). All adjusted risk of incident CHD rose by 23 % (95 % CI 6-42 %) per category increase of life-course social position score in men. No significant associations were found in women. CONCLUSIONS Individual life-course social position gradient was adversely related to incident CHD in Spanish men.
Collapse
|
28
|
Gomes MS, Hugo FN, Hilgert JB, Padilha DMP, Simonsick EM, Ferrucci L, Reynolds MA. Validity of self-reported history of endodontic treatment in the Baltimore Longitudinal Study of Aging. J Endod 2012; 38:589-93. [PMID: 22515884 PMCID: PMC3331994 DOI: 10.1016/j.joen.2012.02.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2011] [Revised: 02/07/2012] [Accepted: 02/09/2012] [Indexed: 11/22/2022]
Abstract
INTRODUCTION Self-reported history of endodontic treatment (SRHET) has been used as a simplified method to estimate the history of endodontic disease and treatment. This study aimed to quantify the validity of SRHET, as reported in the Baltimore Longitudinal Study of Aging (BLSA), as a method to identify individuals who experienced endodontic treatment (ET) and to identify individuals who present with apical periodontitis (AP). METHODS SRHET was collected through the BLSA questionnaire in 247 participants. Data on ET and AP were determined from panoramic radiographs. The total number of ET, AP, and missing teeth were recorded for each individual. The validity of SRHET was determined based on ET and AP separately. Accuracy, efficiency, sensitivity, specificity, positive and negative predictive values (+PV and -PV), and positive and negative likelihood ratios (+LR and -LR) were calculated according to standard methods. RESULTS After exclusions, 229 participants were available for ET analysis and 129 for AP analysis. The SRHET validity values were sensitivity (ET = 0.915, AP = 0.782), specificity (ET = 0.891, AP = 0.689), +PV (ET = 0.824, AP = 0.353), -PV (ET = 0.949, AP = 0.936), +LR (ET = 8.394, AP = 2.514), and -LR (ET = 0.095, AP = 0.316). CONCLUSIONS SRHET was found to be a highly accurate method to predict ET but a weak predictor of the presence of AP among participants in the BLSA.
Collapse
Affiliation(s)
- Maximiliano Schünke Gomes
- School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
| | | | | | | | | | | | | |
Collapse
|
29
|
Guallar-Castillón P, Rodríguez-Artalejo F, Lopez-Garcia E, León-Muñoz LM, Amiano P, Ardanaz E, Arriola L, Barricarte A, Buckland G, Chirlaque MD, Dorronsoro M, Huerta JM, Larrañaga N, Marin P, Martínez C, Molina E, Navarro C, Quirós JR, Rodríguez L, Sanchez MJ, González CA, Moreno-Iribas C. Consumption of fried foods and risk of coronary heart disease: Spanish cohort of the European Prospective Investigation into Cancer and Nutrition study. BMJ 2012; 344:e363. [PMID: 22275385 PMCID: PMC3265571 DOI: 10.1136/bmj.e363] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/14/2011] [Indexed: 01/10/2023]
Abstract
OBJECTIVE To assess the association between consumption of fried foods and risk of coronary heart disease. DESIGN Prospective cohort study. SETTING Spanish cohort of the European Prospective Investigation into Cancer and Nutrition. PARTICIPANTS 40 757 adults aged 29-69 and free of coronary heart disease at baseline (1992-6), followed up until 2004. MAIN OUTCOME MEASURES Coronary heart disease events and vital status identified by record linkage with hospital discharge registers, population based registers of myocardial infarction, and mortality registers. RESULTS During a median follow-up of 11 years, 606 coronary heart disease events and 1135 deaths from all causes occurred. Compared with being in the first (lowest) quarter of fried food consumption, the multivariate hazard ratio of coronary heart disease in the second quarter was 1.15 (95% confidence interval 0.91 to 1.45), in the third quarter was 1.07 (0.83 to 1.38), and in the fourth quarter was 1.08 (0.82 to 1.43; P for trend 0.74). The results did not vary between those who used olive oil for frying and those who used sunflower oil. Likewise, no association was observed between fried food consumption and all cause mortality: multivariate hazard ratio for the highest versus the lowest quarter of fried food consumption was 0.93 (95% confidence interval 0.77 to 1.14; P for trend 0.98). CONCLUSION In Spain, a Mediterranean country where olive or sunflower oil is used for frying, the consumption of fried foods was not associated with coronary heart disease or with all cause mortality.
Collapse
Affiliation(s)
- Pilar Guallar-Castillón
- Department of Preventive Medicine and Public Health, School of Medicine, Autonomous University of Madrid, Spain.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
30
|
de Burgos-Lunar C, Salinero-Fort MA, Cárdenas-Valladolid J, Soto-Díaz S, Fuentes-Rodríguez CY, Abánades-Herranz JC, del Cura-González I. Validation of diabetes mellitus and hypertension diagnosis in computerized medical records in primary health care. BMC Med Res Methodol 2011; 11:146. [PMID: 22035202 PMCID: PMC3215645 DOI: 10.1186/1471-2288-11-146] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2010] [Accepted: 10/28/2011] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Computerized Clinical Records, which are incorporated in primary health care practice, have great potential for research. In order to use this information, data quality and reliability must be assessed to prevent compromising the validity of the results.The aim of this study is to validate the diagnosis of hypertension and diabetes mellitus in the computerized clinical records of primary health care, taking the diagnosis criteria established in the most prominently used clinical guidelines as the gold standard against which what measure the sensitivity, specificity, and determine the predictive values.The gold standard for diabetes mellitus was the diagnostic criteria established in 2003 American Diabetes Association Consensus Statement for diabetic subjects. The gold standard for hypertension was the diagnostic criteria established in the Joint National Committee published in 2003. METHODS A cross-sectional multicentre validation study of diabetes mellitus and hypertension diagnoses in computerized clinical records of primary health care was carried out. Diagnostic criteria from the most prominently clinical practice guidelines were considered for standard reference.Sensitivity, specificity, positive and negative predictive values, and global agreement (with kappa index), were calculated. Results were shown overall and stratified by sex and age groups. RESULTS The agreement for diabetes mellitus with the reference standard as determined by the guideline was almost perfect (κ=0.990), with a sensitivity of 99.53%, a specificity of 99.49%, a positive predictive value of 91.23% and a negative predictive value of 99.98%.Hypertension diagnosis showed substantial agreement with the reference standard as determined by the guideline (κ=0.778), the sensitivity was 85.22%, the specificity 96.95%, the positive predictive value 85.24%, and the negative predictive value was 96.95%. Sensitivity results were worse in patients who also had diabetes and in those aged 70 years or over. CONCLUSIONS Our results substantiate the validity of using diagnoses of diabetes and hypertension found within the computerized clinical records for epidemiologic studies.
Collapse
Affiliation(s)
- Carmen de Burgos-Lunar
- Unidad de Epidemiología Clínica e Investigación, Hospital Carlos III, (C/Sinesio Delgado, 10), Madrid, (28029), Spain
| | - Miguel A Salinero-Fort
- Fundación de Investigación Biomédica, Hospital Carlos III, (C/Sinesio Delgado, 10), Madrid, (28029), Spain
| | - Juan Cárdenas-Valladolid
- Unidad de Apoyo Técnico, Gerencia Adjunta de Planificación y Calidad del Servicio Madrileño de Salud, (C/O'Donell, 55), Madrid, (28007), Spain
| | - Sonia Soto-Díaz
- Unidad de Apoyo Técnico, Gerencia Adjunta de Planificación y Calidad del Servicio Madrileño de Salud, (C/O'Donell, 55), Madrid, (28007), Spain
| | | | - Juan C Abánades-Herranz
- Unidad de Docencia e Investigación, Gerencia Adjunta de Planificación y Calidad del Servicio Madrileño de Salud, (C/Espronceda, 24), Madrid, (28003), Spain
| | - Isabel del Cura-González
- Unidad de Docencia e Investigación, Gerencia Adjunta de Planificación y Calidad del Servicio Madrileño de Salud, (C/Espronceda, 24), Madrid, (28003), Spain
- Departamento de Medicina Preventiva y Salud Pública, Universidad Rey Juan Carlos, (Avenida de Atenas s/n), Alcorcón, (28922), Spain
| |
Collapse
|
31
|
Tsai ACH, Chang TL. Quality issues of self-report of hypertension: analysis of a population representative sample of older adults in Taiwan. Arch Gerontol Geriatr 2011; 55:338-42. [PMID: 21993199 DOI: 10.1016/j.archger.2011.09.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2011] [Revised: 09/14/2011] [Accepted: 09/15/2011] [Indexed: 10/16/2022]
Abstract
The study was to evaluate the quality of self-report of hypertension and examine the factors associated with under- and over-reporting of hypertension in older Taiwanese. Data for this analysis were from the Social Environment and Biomarkers Study in Taiwan 2000, which involved a national sample of 1021 Taiwanese over 54 years of age. We performed binary classification tests to compare the prevalence rates of self-reported vs. clinically measured hypertension according to World Health Organization (WHO) (blood pressure ≥ 160/95 mm Hg or on hypertension medication) and JNC-6 (140/90 mm Hg or on hypertension medication) definitions. Logistic regression analysis was performed to analyze the potential factors associated with under- or over-reporting of blood pressure status. Results showed the test characteristics of self-reports were: sensitivity 73%, specificity 93%, and kappa = 0.68 (p < 0.001) based on the WHO definition; and sensitivity 51%, specificity 95% and kappa = 0.43 (p < 0.001) based on the JNC-6 definition. Old age was associated with over-reporting whereas having no health checkup during the past 12 months was associated with under-reporting. The relatively low agreement between self-reports and clinically measured hypertension (JNC-6 definition) was mainly due to the lack of a well-defined hypertension practice guideline and the failure of clinicians to clearly inform patients of their diagnoses. The consistency of hypertension practice guidelines and the effectiveness of informing the patients of their diagnoses are two main factors impacting the quality of self-report of hypertension in elderly Taiwanese. Better self-reports of health data can improve the efficiency of public health surveillance efforts.
Collapse
Affiliation(s)
- Alan Chung-Hong Tsai
- Department of Healthcare Administration, Asia University, 500 Liufeng Rd., Wufeng, Taichung 41354, Taiwan.
| | | |
Collapse
|
32
|
Innes KE, Selfe TK, Agarwal P. Restless legs syndrome and conditions associated with metabolic dysregulation, sympathoadrenal dysfunction, and cardiovascular disease risk: a systematic review. Sleep Med Rev 2011; 16:309-39. [PMID: 21733722 DOI: 10.1016/j.smrv.2011.04.001] [Citation(s) in RCA: 99] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2011] [Revised: 04/07/2011] [Accepted: 04/11/2011] [Indexed: 01/20/2023]
Abstract
Restless legs syndrome (RLS) is a distressing sleep and sensorimotor disorder that affects a large percentage of adults in the western industrialized world and is associated with profound reductions in quality of life. However, the etiology of RLS remains incompletely understood. Enhanced understanding regarding both the antecedents and sequelae of RLS could shed new light on the pathogenesis of RLS. Evidence from an emerging body of literature suggests associations between RLS and diabetes, hypertension, obesity, and related conditions linked to sympathetic activation and metabolic dysregulation, raising the possibility that these factors may likewise play a significant role in the development and progression of RLS, and could help explain the recently documented associations between RLS and subsequent cardiovascular disease. However, the relation between RLS and these chronic conditions has received relatively little attention to date, although potential implications for the pathogenesis and treatment of RLS could be considerable. In this paper, we systematically review the recently published literature regarding the association of RLS to cardiovascular disease and related risk factors characterized by sympathoadrenal and metabolic dysregulation, discuss potential underlying mechanisms, and outline some possible directions for future research.
Collapse
Affiliation(s)
- Kim E Innes
- Department of Community Medicine, West Virginia University School of Medicine, PO Box 9190, Morgantown, WV 26506-9190, USA.
| | | | | |
Collapse
|
33
|
Taylor A, Dal Grande E, Gill T, Pickering S, Grant J, Adams R, Phillips P. Comparing self-reported and measured high blood pressure and high cholesterol status using data from a large representative cohort study. Aust N Z J Public Health 2010; 34:394-400. [PMID: 20649780 DOI: 10.1111/j.1753-6405.2010.00572.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE To examine the relationship between self-reported and clinical measurements for high blood pressure (HBP) and high cholesterol (HC) in a random population sample. METHOD A representative population sample of adults aged 18 years and over living in the north-west region of Adelaide (n=1537) were recruited to the biomedical cohort study in 2002/03. In the initial cross-sectional component of the study, self-reported HBP status and HC status were collected over the telephone. Clinical measures of blood pressure were obtained and fasting blood taken to determine cholesterol levels. In addition, data from a continuous chronic disease and risk factor surveillance system were used to assess the consistency of self-reported measures over time. RESULT Self-report of current HBP and HC showed >98% specificity for both, but sensitivity was low for HC (27.8%) and moderate for HBP (49.0%). Agreement between current self-report and clinical measures was moderate (kappa 0.55) for HBP and low (kappa 0.30) for HC. Demographic differences were found with younger people more likely to have lower sensitivity rates. Self-reported estimates for the surveillance system had not varied significantly over time. CONCLUSION Although self-reported measures are consistent over time there are major differences between the self-reported measures and the actual clinical measurements. Technical aspects associated with clinic measurements could explain some of the difference. IMPLICATIONS Monitoring of these broad population measures requires knowledge of the differences and limitations in population settings.
Collapse
Affiliation(s)
- Anne Taylor
- Population Research and Outcomes Studies Unit, South Australia Health, Adelaide, South Australia.
| | | | | | | | | | | | | |
Collapse
|
34
|
Englert H, Müller-Nordhorn J, Seewald S, Sonntag F, Völler H, Meyer-Sabellek W, Wegscheider K, Windler E, Katus H, Willich SN. Is patient self-report an adequate tool for monitoring cardiovascular conditions in patients with hypercholesterolemia? J Public Health (Oxf) 2010; 32:387-94. [PMID: 20208067 DOI: 10.1093/pubmed/fdq013] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND To determine the accuracy of patient self-reports of specific cardiovascular diagnoses and to identify individual patient characteristics that influence the accuracy. METHODS This investigation was conducted as a part of the randomized controlled ORBITAL study. Patients with hypercholesterolemia were enrolled in 1961 primary-care centers all over Germany. Self-reported questionnaire data of 7640 patients were compared with patients' case report forms (CRFs) and medical records on cardiovascular diseases, using kappa statistics and binomial logit models. RESULTS kappa values ranged from 0.89 for diabetes to 0.04 for angina. The percentage of overreporting varied from 1% for diabetes to 17% for angina, whereas the percentage of underreporting varied from 8.0% for myocardial infarction to 57% for heart failure. Individual characteristics such as choice of individual general practitioner, male gender and age were associated with the accuracy of self-report data. CONCLUSION Since the agreement between patient self-report and CRFs/medical records varies with specific cardiovascular diagnoses in patients with hypercholesterolemia, the adequacy of this tool seems to be limited. However, the authors recommend additional data validation for certain patient groups and consideration of individual patient characteristics associated with over- and underreporting.
Collapse
Affiliation(s)
- Heike Englert
- Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medical Center, Berlin, Germany.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
35
|
|
36
|
Beunza JJ, Martínez-González MA, Bes-Rastrollo M, Núñez-Córdoba JM, Toledo E, Alonso A. Aspirin, non-aspirin analgesics and the risk of hypertension in the SUN cohort. Rev Esp Cardiol 2010; 63:286-293. [PMID: 20196989 DOI: 10.1016/s1885-5857(10)70061-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
INTRODUCTION AND OBJECTIVES The use of aspirin and non-aspirin analgesics has been associated with changes in blood pressure. The aim of this study was to investigate prospectively the association between the regular use of aspirin and non-aspirin analgesics and the incidence of hypertension. METHODS The SUN project is an ongoing, continuously expanding, prospective cohort of Spanish university graduates initially free of hypertension, cardiovascular disease, diabetes and cancer; 9986 (mean age 36 years) were recruited during 1999-2005 and followed up for a mean of 51 months. Regular aspirin and non-aspirin analgesic use and the presence of other risk factors for hypertension were assessed by questionnaire at baseline, and the incidence of hypertension was assessed using biennial follow-up questionnaires. RESULTS In total, 543 new cases of hypertension were identified during follow-up. Regular aspirin use (i.e. 2 or more days/week) was associated with a higher risk of hypertension (hazard ratio=1.45; 95% confidence interval, 1.02-2.04) after adjustment for various confounding factors. Regular use of non-aspirin analgesic drugs was also associated with a higher risk of hypertension (hazard ratio=1.69; 95% confidence interval, 1.28-2.23). CONCLUSIONS The regular use of aspirin and non-aspirin analgesics were both associated with an increased risk of developing hypertension, independently of other risk factors.
Collapse
Affiliation(s)
- Juan José Beunza
- Departamento de Medicina Preventiva y Salud Publica, Facultad de Medicina, Universidad de Navarra, Clinica Universidad de Navarra, Pamplona, Navarra, Spain.
| | | | | | | | | | | |
Collapse
|
37
|
Stein DJ, Scott K, Haro Abad JM, Aguilar-Gaxiola S, Alonso J, Angermeyer M, Demytteneare K, de Girolamo G, Iwata N, Posada-Villa J, Kovess V, Lara C, Ormel J, Kessler RC, Von Korff M. Early childhood adversity and later hypertension: data from the World Mental Health Survey. Ann Clin Psychiatry 2010; 22:19-28. [PMID: 20196979 PMCID: PMC3486699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
Abstract
BACKGROUND Although many studies have indicated that psychosocial factors contribute to hypertension, and that early childhood adversity is associated with long-term adverse mental and physical health sequelae, the association between early adversity and later hypertension is not well studied. METHOD Data from 10 countries participating in the World Health Organization (WHO) World Mental Health (WHM) Surveys (N = 18,630) were analyzed to assess the relationship between childhood adversity and adult-onset hypertension, as ascertained by self-report. The potentially mediating effect of early-onset depression-anxiety disorders, as assessed by the WHM Survey version of the International Diagnostic Interview (WMH-CIDI), on the relationship between early adversity and hypertension was also examined. RESULTS Two or more early childhood adversities, as well as early-onset depression-anxiety, were significantly associated with hypertension. A range of specific childhood adversities, as well as early-onset social phobia and panic/agoraphobia, were significantly associated with hypertension. In multivariate analyses, the presence of 3 or more childhood adversities was associated with hypertension, even when early-onset depression-anxiety or current depression-anxiety was included in the model. CONCLUSIONS Although caution is required in the interpretation of self-report data on adult-onset hypertension, the results of this study further strengthen the evidence base regarding the role of psychosocial factors in the pathogenesis of hypertension.
Collapse
Affiliation(s)
- Dan J Stein
- Department of Psychiatry, University of Cape Town, Groote Schur Hospital, Anzio Road, Cape Town, South Africa.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
38
|
Chrestani MAD, Santos IDSD, Matijasevich AM. Hipertensão arterial sistêmica auto-referida: validação diagnóstica em estudo de base populacional. CAD SAUDE PUBLICA 2009; 25:2395-406. [DOI: 10.1590/s0102-311x2009001100010] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2009] [Accepted: 09/01/2009] [Indexed: 11/21/2022] Open
Abstract
Com o objetivo de investigar a validade do auto-relato de hipertensão arterial, realizou-se estudo transversal, de base populacional, com indivíduos de 20 anos ou mais de idade, residentes em Pelotas, Rio Grande do Sul, Brasil, selecionados por amostragem probabilística em dois estágios. A pressão arterial foi medida duas vezes (cinco minutos de intervalo) em 2.949 participantes visitados em casa. Aqueles com pressão sistólica 140mmHg e/ou diastólica 90mmHg foram revisitados, e a pressão medida mais duas vezes. Conforme padrão-ouro, hipertensão foi definida pela média das pressões na segunda visita ou uso de medicação anti-hipertensiva. O auto-relato foi obtido por meio da pergunta: "Algum médico disse que o(a) Sr.(a) tem pressão alta?". A prevalência auto-referida foi 33,6%, e a medida, 29,5%. A sensibilidade foi 84,3% (IC95%: 81,7-86,7), especificidade 87,5% (IC95%: 86,0-88,9), valor preditivo positivo 73,9% (IC95%: 71,0-76,6) e negativo de 93,0% (IC95%: 91,8-94,1). O auto-relato mostrou-se válido para monitoração da prevalência de hipertensão, um dos mais importantes fatores de risco para as doenças crônicas não transmissíveis.
Collapse
|
39
|
Grimsrud A, Stein DJ, Seedat S, Williams D, Myer L. The association between hypertension and depression and anxiety disorders: results from a nationally-representative sample of South African adults. PLoS One 2009; 4:e5552. [PMID: 19440241 PMCID: PMC2678252 DOI: 10.1371/journal.pone.0005552] [Citation(s) in RCA: 77] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2009] [Accepted: 04/20/2009] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE Growing evidence suggests high levels of comorbidity between hypertension and mental illness but there are few data from low- and middle-income countries. We examined the association between hypertension and depression and anxiety in South Africa. METHODS Data come from a nationally-representative survey of adults (n = 4351). The Composite International Diagnostic Interview was used to measure DSM-IV mental disorders during the previous 12-months. The relationships between self-reported hypertension and anxiety disorders, depressive disorders and comorbid anxiety-depression were assessed after adjustment for participant characteristics including experience of trauma and other chronic physical conditions. RESULTS Overall 16.7% reported a previous medical diagnosis of hypertension, and 8.1% and 4.9% were found to have a 12-month anxiety or depressive disorder, respectively. In adjusted analyses, hypertension diagnosis was associated with 12-month anxiety disorders [Odds ratio (OR) = 1.55, 95% Confidence interval (CI) = 1.10-2.18] but not 12-month depressive disorders or 12-month comorbid anxiety-depression. Hypertension in the absence of other chronic physical conditions was not associated with any of the 12-month mental health outcomes (p-values all <0.05), while being diagnosed with both hypertension and another chronic physical condition were associated with 12-month anxiety disorders (OR = 2.25, 95% CI = 1.46-3.45), but not 12-month depressive disorders or comorbid anxiety-depression. CONCLUSIONS These are the first population-based estimates to demonstrate an association between hypertension and mental disorders in sub-Saharan Africa. Further investigation is needed into role of traumatic life events in the aetiology of hypertension as well as the temporality of the association between hypertension and mental disorders.
Collapse
Affiliation(s)
- Anna Grimsrud
- School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa
| | - Dan J. Stein
- Department of Psychiatry & Mental Health, University of Cape Town, Cape Town, South Africa
| | - Soraya Seedat
- Department of Psychiatry, University of Stellenbosch, Stellenbosch, South Africa
| | - David Williams
- Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Massachusetts, United States of America
| | - Landon Myer
- School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa
| |
Collapse
|
40
|
Accuracy of self-reported diabetes, hypertension and hyperlipidemia in the adult Spanish population. DINO study findings. Rev Esp Cardiol 2009; 62:143-52. [PMID: 19232187 DOI: 10.1016/s1885-5857(09)71532-4] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
INTRODUCTION AND OBJECTIVES The aim of this study was to determine the accuracy of self-reported diabetes, hypertension and hyperlipidemia in a representative sample of adults (719 men and 837 women) from the south of Spain. METHODS Self-reported data were gathered using a structured questionnaire. Biometric data recorded included blood glucose, total cholesterol and triglyceride concentrations and arterial systolic and diastolic blood pressures. The sensitivity, specificity, and positive and negative predictive values of self-reported diagnoses were calculated using the biometric data as the reference standard. The degree of overall agreement was determined using Cohen's kappa coefficient. RESULTS The kappa values obtained indicated good agreement for self-reported diabetes (kappa=0.78), moderate agreement for hypertension (kappa=0.51), and minimal agreement for hyperlipidemia (kappa=0.27). Using the information reported, around 70% of diabetic cases were detected, along with half of hypertensive cases and 35% of hyperlipidemic cases. The specificity was high overall (>96%). The factors associated with an accurate self-reported diagnosis in subjects with disease included female sex and obesity (for hypertension), older age (for hyperlipidemia), a family history of disease (for diabetes) and having undergone blood pressure measurement (for all three conditions) or blood lipid measurement (for hypertension and hyperlipidemia) in the past year. CONCLUSIONS The accuracy of self-reported diabetes was high, whereas that of self-reported hypertension or hyperlipidemia was lower. Further efforts are needed to increase awareness of these conditions among the population.
Collapse
|
41
|
Huerta JM, José Tormo M, Egea-Caparrós JM, Ortolá-Devesa JB, Navarro C. Validez del diagnóstico referido de diabetes, hipertensión e hiperlipemia en población adulta española. Resultados del estudio DINO. Rev Esp Cardiol 2009. [DOI: 10.1016/s0300-8932(09)70156-3] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
42
|
Nuñez-Cordoba JM, Alonso A, Beunza JJ, Palma S, Gomez-Gracia E, Martinez-Gonzalez MA. Role of vegetables and fruits in Mediterranean diets to prevent hypertension. Eur J Clin Nutr 2008; 63:605-12. [PMID: 18301434 DOI: 10.1038/ejcn.2008.22] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
BACKGROUND/OBJECTIVES Several studies support the effectiveness of increasing the consumption of fruits and vegetables (F&V) to prevent hypertension. However, none of them have been conducted in a Mediterranean setting. The aim of this study was to assess the association between F&V consumption and the risk of hypertension. SUBJECTS/METHODS A prospective Mediterranean study (the SUN cohort), including 8594 participants aged 20-95 years (mean, 41.1) with median follow-up of 49 months. RESULTS Analyses according to the joint classification by olive oil and F&V consumption showed a significant inverse relation between F&V consumption and the risk of hypertension only among participants with a low olive oil consumption (<15 g per day). Also, tests for trend were significant only in the low olive oil intake stratum. CONCLUSIONS We found a statistically significant interaction (P=0.01) between olive oil intake and F&V consumption. These data suggest a sub-additive effect of both food items.
Collapse
Affiliation(s)
- J M Nuñez-Cordoba
- Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain.
| | | | | | | | | | | |
Collapse
|
43
|
Tortosa A, Bes-Rastrollo M, Sanchez-Villegas A, Basterra-Gortari FJ, Nuñez-Cordoba JM, Martinez-Gonzalez MA. Mediterranean diet inversely associated with the incidence of metabolic syndrome: the SUN prospective cohort. Diabetes Care 2007; 30:2957-9. [PMID: 17712023 DOI: 10.2337/dc07-1231] [Citation(s) in RCA: 167] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- Arancha Tortosa
- Preventive Medicine and Public Health, University of Navarra, 31080 Pamplona, Spain
| | | | | | | | | | | |
Collapse
|
44
|
Basterra-Gortari FJ, Forga L, Bes-Rastrollo M, Alfredo Martínez J, Martínez-González MÁ. Validación de la diabetes mellitus, la hipertensión arterial y la hipercolesterolemia declaradas en la Encuesta Nacional de Salud. ACTA ACUST UNITED AC 2007. [DOI: 10.1016/s1575-0922(07)71485-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
45
|
Dawkins FW, Gordeuk VR, Snively BM, Lovato L, Barton JC, Acton RT, McLaren GD, Leiendecker-Foster C, McLaren CE, Adams PC, Speechley M, Harris EL, Jackson S, Thomson EJ. African Americans at risk for increased iron stores or liver disease. Am J Med 2007; 120:734.e1-9. [PMID: 17679134 DOI: 10.1016/j.amjmed.2006.05.049] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2006] [Accepted: 05/01/2006] [Indexed: 01/22/2023]
Abstract
PURPOSE We sought to determine the prevalence of elevated measures of iron status in African Americans and whether the combination of serum ferritin concentration >200 microg/L for women or >300 microg/L for men and transferrin saturation in the highest quartile represents increased likelihood of mutation of HFE, self-reported iron overload or self-reported liver disease. SUBJECTS AND METHODS A cross-sectional observational study of 27,224 African Americans > or =25 years of age recruited in a primary care setting was conducted as part of the multi-center, multi-ethnic Hemochromatosis and Iron Overload Screening (HEIRS) Study. Measurements included serum ferritin concentration, transferrin saturation, testing for HFE C282Y and H63D, and self-reported iron overload and liver disease. RESULTS Serum ferritin concentration >200 microg/L for women or >300 microg/L for men occurred in 5263 (19.3%) of African Americans, while serum ferritin concentration in this range with highest-quartile transferrin saturation (>29% women; >35% men) occurred in 1837 (6.7%). Adjusted odds of HFE mutation (1.76 women, 1.67 men), self-reported iron overload (1.97 women, 2.88 men), or self-reported liver disease (5.18 women, 3.73 men) were greater with elevated serum ferritin concentration and highest-quartile transferrin saturation than with nonelevated serum ferritin concentration (each P <.05). CONCLUSIONS Serum ferritin concentration >200 microg/L for women or >300 microg/L for men in combination with transferrin saturation >29% for women or >35% for men occurs in approximately 7% of adult African American primary care patients. Patients with this combination of iron test results should be evaluated for increased body iron stores or liver disease.
Collapse
Affiliation(s)
- Fitzroy W Dawkins
- Division of Hematology/Oncology, Department of Medicine, Howard University, Washington, DC, USA.
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
46
|
El Fakiri F, Bruijnzeels MA, Hoes AW. No evidence for marked ethnic differences in accuracy of self-reported diabetes, hypertension, and hypercholesterolemia. J Clin Epidemiol 2007; 60:1271-9. [PMID: 17998082 DOI: 10.1016/j.jclinepi.2007.02.014] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2005] [Revised: 01/31/2007] [Accepted: 02/28/2007] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To assess whether the accuracy of self-reported diabetes, hypertension, and hypercholesterolemia in high-risk groups differs according to ethnicity. STUDY DESIGN AND SETTING We analyzed data of 430 patients at high risk of cardiovascular disease from different ethnic origin, including Turkish, Surinamese, and Dutch. Risk factors based on self-reports were compared with data from medical records and with a gold standard based on clinical measurements. Proportions of concordance between self-reports and other methods and kappa statistics (kappa) were determined by ethnicity. RESULTS Concordance between self-reports and other data sources was highest in diabetes and lowest for hypercholesterolemia. Agreement of self-reports was substantial to almost perfect for diabetes (kappa: 0.84-0.76), substantial to moderate for hypertension (kappa: 0.63-0.51), and moderate for hypercholesterolemia (kappa: 0.55-0.48). There was no statistically significant association between ethnicity and concordance, except for self-reporting of diabetes among Surinamese vs. Dutch indigenous patients (odds ratio=0.37; 95% confidence interval: 0.14-0.97). CONCLUSION There are no marked ethnic differences in the accuracy of self-reports of diabetes, hypertension, and hypercholesterolemia in high-risk populations. Larger studies including multiple ethnic groups are needed to confirm these findings.
Collapse
Affiliation(s)
- Fatima El Fakiri
- Department of Health Policy and Management, Erasmus Medical Centre Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands.
| | | | | |
Collapse
|
47
|
Pinelli C, de Castro Monteiro Loffredo L. Reproducibility and validity of self-perceived oral health conditions. Clin Oral Investig 2007; 11:431-7. [PMID: 17610092 DOI: 10.1007/s00784-007-0133-0] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2006] [Accepted: 06/08/2007] [Indexed: 11/25/2022]
Abstract
The reproducibility and validity of self-perceived periodontal, dental, and temporomandibular joint (TMJ) conditions were investigated. A questionnaire was applied in interview to 200 adults aged from 35 to 44, who were attending as casual patients at Araraquara School of Dentistry, São Paulo State University, São Paulo, Brazil. Clinical examination was based on the guidelines of the World Health Organization manual. The interview and the clinical examination were performed in two occasions, by a calibrated examiner. Reproducibility and validity were, respectively, verified by kappa statistics (kappa) and sensitivity (Sen) and specificity (Spec) values, having clinical examination as the validation criterion. The results showed an almost perfect agreement for self-perceived TMJ (kappa = 0.85) and periodontal conditions (kappa = 0.81), and it was substantial for dental condition (kappa = 0.69). Reproducibility according to clinical examination showed good results (kappa = 0.73 for CPI index, kappa = 0.96 for dental caries, and kappa = 0.74 for TMJ conditions). Sensitivity and specificity values were higher for self-perceived dental (Sen = 0.84, Spec = 1.0) and TMJ conditions (Sen = 1.0, Spec = 0.8). With regard to periodontal condition, specificity was low (0.43), although sensitivity was very high (1.0). Self-perceived oral health was reliable for the examined conditions. Validity was good to detect dental conditions and TMJ disorders, and it was more sensitive than specific to detect the presence of periodontal disease.
Collapse
Affiliation(s)
- Camila Pinelli
- Department of Social Dentistry, Araraquara School of Dentistry, São Paulo State University, Rua Humaitá, 1680, Araraquara, São Paulo 14801-903, Brazil.
| | | |
Collapse
|
48
|
Lee TA, Fuhlbrigge AL, Sullivan SD, Finkelstein JA, Inui TS, Lozano P, Weiss KB. Agreement between caregiver reported healthcare utilization and administrative data for children with asthma. J Asthma 2007; 44:189-94. [PMID: 17454336 DOI: 10.1080/02770900701209723] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
In asthma, healthcare utilization is frequently an outcome measure and can come from several sources. Asthma-related hospitalizations, emergency department (ED) visits, oral steroid bursts, and outpatient visits were compared between caregiver report and administrative data over 2 years. The difference between sources (caregiver minus administrative) was as follows: hospitalizations = -0.02 (95% limits of agreement, -0.66 to 0.61), ED visits = 0.18 (-1.16 to 1.52), steroid bursts = 0.26 (-3.98 to 4.49), and outpatient visits = 0.29 (-6.10 to 6.64). The percent of individuals with disagreement between sources was hospitalizations = 6.1%; ED visits = 20.2%; steroid bursts = 34.3%; and outpatient visits = 83.6%. The data sources resulted in similar estimates on the population level; however, there were pronounced differences for outpatient visits on an individual level. Importantly, the individual level disagreement between the data sources could negatively affect the perceived quality of care provided by a physician and reduce their compensation in a pay-for-performance system when physicians are rated using administrative data, yet they provide treatment based on patient-reported information.
Collapse
Affiliation(s)
- Todd A Lee
- Midwest Center for Health Services and Policy Research, Hines VA Hospital, Hines, IL 60141, USA.
| | | | | | | | | | | | | |
Collapse
|
49
|
Airila-Månsson S, Bjurshammar N, Yakob M, Söder B. Self-reported oral problems, compared with clinical assessment in an epidemiological study. Int J Dent Hyg 2007; 5:82-6. [PMID: 17461959 DOI: 10.1111/j.1601-5037.2007.00231.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To study self-reported oral problems in relation to periodontal clinical findings in an epidemiological investigation. MATERIALS AND METHODS 1676 individuals, 828 men and 848 women, participated. The clinical examination comprised the number of remaining teeth excluding third molars, plaque index (PLI), gingival index (GI), bleeding on probing (BOP%), calculus index (CI) and the number of teeth with pocket depth (PD) > or =5 mm. Participants answered a questionnaire concerning smoking and snuffing habits and described in their own words any oral problems present. Analysis of variance (anova), unpaired t-test and chi-squared test were the statistical methods used. RESULTS The questionnaire was completed by 99.4% of participants. Problems of the teeth and mouth were reported by 28.9% of respondents comprising 31.8% females and 26.2% males. The difference between the sexes was statistically significant (P < 0.05). Of the reported oral problems, 57.4% was of periodontal origin. The differences between subjects with and without self-reported mobile teeth showed significant clinical outcome in PLI (P < 0.001), CI (P < 0.01), GI (P < 0.001), BOP% (P < 0.01), the number of teeth with PD > or = 5 mm (P < 0.001) and the number of remaining teeth (P < 0.001). The differences between subjects with and without self-reported periodontal disease and with and without bleeding gingiva also showed significant differences in CI (P < 0.05), GI (P < 0.05) and the number of teeth with PD > or = 5 mm (P < 0.05) and in PLI (0.001), CI (P < 0.01), GI (P < 0.001) and BOP% (P < 0.001) respectively. CONCLUSIONS Present study clearly shows that self-reported periodontal problems were confirmed by clinical assessments.
Collapse
Affiliation(s)
- S Airila-Månsson
- Institute of Odontology, Karolinska Institutet, Huddinge, Sweden
| | | | | | | |
Collapse
|
50
|
Danesh J, Saracci R, Berglund G, Feskens E, Overvad K, Panico S, Thompson S, Fournier A, Clavel-Chapelon F, Canonico M, Kaaks R, Linseisen J, Boeing H, Pischon T, Weikert C, Olsen A, Tjønneland A, Johnsen SP, Jensen MK, Quirós JR, Svatetz CAG, Pérez MJS, Larrañaga N, Sanchez CN, Iribas CM, Bingham S, Khaw KT, Wareham N, Key T, Roddam A, Trichopoulou A, Benetou V, Trichopoulos D, Masala G, Sieri S, Tumino R, Sacerdote C, Mattiello A, Verschuren WMM, Bueno-de-Mesquita HB, Grobbee DE, van der Schouw YT, Melander O, Hallmans G, Wennberg P, Lund E, Kumle M, Skeie G, Ferrari P, Slimani N, Norat T, Riboli E. EPIC-Heart: the cardiovascular component of a prospective study of nutritional, lifestyle and biological factors in 520,000 middle-aged participants from 10 European countries. Eur J Epidemiol 2007; 22:129-41. [PMID: 17295097 DOI: 10.1007/s10654-006-9096-8] [Citation(s) in RCA: 79] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2006] [Accepted: 12/12/2006] [Indexed: 01/12/2023]
Abstract
EPIC-Heart is the cardiovascular component of the European Prospective Investigation into Cancer and Nutrition (EPIC), a multi-centre prospective cohort study investigating the relationship between nutrition and major chronic disease outcomes. Its objective is to advance understanding about the separate and combined influences of lifestyle (especially dietary), environmental, metabolic and genetic factors in the development of cardiovascular diseases by making best possible use of the unusually informative database and biological samples in EPIC. Between 1992 and 2000, 519,978 participants (366,521 women and 153,457 men, mostly aged 35-70 years) in 23 centres in 10 European countries commenced follow-up for cause- specific mortality, cancer incidence and major cardiovascular morbidity. Dietary information was collected with quantitative questionnaires or semi-quantitative food frequency questionnaires, including a 24-h dietary recall sub-study to help calibrate the dietary measurements. Information was collected on physical activity, tobacco smoking, alcohol consumption, occupational history, socio-economic status, and history of previous illnesses. Anthropometric measurements and blood pressure recordings were made in the majority of participants. Blood samples were taken from 385,747 individuals, from which plasma, serum, red cells, and buffy coat fractions were separated and aliquoted for long-term storage. By 2004, an estimated 10,000 incident fatal and non-fatal coronary and stroke events had been recorded. The first cycle of EPIC-Heart analyses will assess associations of coronary mortality with several prominent dietary hypotheses and with established cardiovascular risk factors. Subsequent analyses will extend this approach to non-fatal cardiovascular outcomes and to further dietary, biochemical and genetic factors.
Collapse
Affiliation(s)
- John Danesh
- EPIC-Heart Secretariat, Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge, Worts Causeway, Cambridge, CB1 8RN, UK.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|