Reliability of the information about the history of diagnosis and treatment of hypertension. Differences in regard to sex, age, and educational level. The pró-saúde study

Faerstein, Eduardo; Chor, Dóra; Lopes, Cláudia de Souza

doi:10.1590/s0066-782x2001000400004

Cited by 10 publications

(10 citation statements)

References 14 publications

(21 reference statements)

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“…Generally speaking, our results confirm prior observations regarding the greater validity of self-reported hypertension among women, overweight individuals, and individuals with more recent medical 2,6,14,20 Considering all variables studied, the lowest sensitivity was found among subjects with less recent medical appointments. Vargas et al 20 (1997), in face of similar results, called attention to the possibility that part of this association be explained by the greater probability of the healthcare user receiving medication against hypertension, which is one of the parameters considered in the definition of arterial hypertension.…”

Section: Discussionsupporting

confidence: 91%

Validade da hipertensão arterial auto-referida e seus determinantes (projeto Bambuí)

2004

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ObjectiveAssessing the validity of self-reported hypertension and its determinants among adults living in the community was the objective of this study. Method A simple random sample of residents in the city of Bambuí, State of Minas Gerais, Brazil aged ≥18 years was selected. Three blood pressure measurements were performed in 970 inhabitants. Sensitivity, specificity as well as positive and negative predictive values of self-reported hypertension were assessed in relation to hypertension (mean blood pressure ≥90 or ≥140 mm Hg and/or present use of antihypertensive drugs). Results Sensibility and specificity of self-reported hypertension were 72.1% (95% CI: 69.3-75.0) and 86.4% (95% CI: 84.3-88.6), respectively. Its prevalence was 27.2% (95% CI: 24.4-30.1), being reasonably similar to the prevalence of hypertension (23.3%; 95% CI: 20.7-26.1%). The validity of self-reported hypertension was higher among women, among individuals aged 40-59 and ≥60 years, among those who visited a doctor more recently (< two years) and among those with higher body mass index (≥25 kg/m 2 ). ConclusionsThe results of this study show that self-reported hypertension is an appropriate indicator of hypertension prevalence, even in a population not living in a large urban center.

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Section: Discussionsupporting

confidence: 91%

Validade da hipertensão arterial auto-referida e seus determinantes (projeto Bambuí)

2004

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“…Self‐administered and multidimensional questionnaires were applied during working hours, after an informed consent is read and signed (the informed consent was approved by the ethics committee of the State University of Rio de Janeiro), in the offices or auditoriums, and with the support of trained inquirers. Methods to guarantee the quality of information were used, including: a pilot study, the test–retest reliability measurement, and double data entry (28).…”

Section: Methodsmentioning

confidence: 99%

Association between routine visits for dental checkup and self‐perceived oral health in an adult population in Rio de Janeiro: the Pró‐Saúde Study

Afonso-Souza

Nadanovsky

Chor

et al. 2007

Comm Dent Oral Epid

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Not visiting the dentist for a routine dental check increased the chance of reporting one's own oral health as bad. In any case, the habit of visiting for dental 'checkup, once per year or once every 2 years was associated with nearly all the individuals perceiving his/her oral health positively. However, in order to gather more solid scientific data to guide public policies it is necessary to perform longitudinal studies, especially experiments in different populations focused mainly on the socioeconomic characteristics and dental clinical conditions.

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“…The response options were: "no"; "yes, only once" and "yes, more than once", whose participants were grouped together; and "yes, only during pregnancy", whose individuals were excluded from the study population. A test-retest reliability assessment of this information was obtained in an additional study to this investigation, conducted in 1999 with 192 participants 17 , which estimated a 0.75 kappa coefficient (95%CI 0.73 -0.77) after the repetition of the questionnaire with a two-week interval.…”

Section: Methodsmentioning

confidence: 99%

Does the previous diagnosis of arterial hypertension affect one´s daily life? Pró-Saúde Study

Filho

Lopes

Faerstein

2013

Rev. bras. epidemiol.

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In addition to damaging several target organs, arterial hypertension may negatively impact patients' activities of daily living. Biological and behavioral mechanisms underlying such limitations have yet to be clarified. The objectives of this study were to investigate whether having been previously told of a hypertension diagnosis is associated with the frequency and duration of temporary limitations in activities of daily living, and whether these relationships differ by gender, age, or socioeconomic position. We analyzed sectional data from 2,666 participants (56% women; 55% with high school or lower schooling) at the baseline phase (1999 -2001) of a longitudinal investigation of university employees in Rio de Janeiro, Brazil (Pró-Saúde Study), asking participants whether they had ever been diagnosed with hypertension by a health professional, if they had been unable to perform any activities of daily living due to a health problem in the previous 2 weeks, and for how many days that had occurred. Multinomial logistic regression models were fitted for the overall study population and for age, gender, educational level, and per capita household income strata. Associations between hypertension diagnosis and temporary limitations were not observed in the overall study population and in gender, education and income strata. However, there were higher odds of temporary limitations among participants aged 55 years old or more with hypertension diagnosis (adjusted OR = 9.5; 95%CI 1.5 -58.6), regardless of blood pressure levels and use of antihypertensive medication. Elderly people may keep an attitude of higher vigilance regarding conditions or events potentially worsening their health status. Keywords

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Reliability of the information about the history of diagnosis and treatment of hypertension. Differences in regard to sex, age, and educational level. The pró-saúde study

Abstract: In the population studied, estimates of the reliability of the history of medical diagnosis of hypertension and its treatment ranged from substantial to almost perfect reliability.

Cited by 10 publications

References 14 publications

Validade da hipertensão arterial auto-referida e seus determinantes (projeto Bambuí)

Validade da hipertensão arterial auto-referida e seus determinantes (projeto Bambuí)

Association between routine visits for dental checkup and self‐perceived oral health in an adult population in Rio de Janeiro: the Pró‐Saúde Study

Does the previous diagnosis of arterial hypertension affect one´s daily life? Pró-Saúde Study

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