Self-Reported and Measured Hypertension Among Older US- and Foreign-Born Adults

White, Kellee; Avendaño, Mauricio; Capistrant, Benjamin D.; Moon, Jee-Young; Liu, Sze Yan; Glymour, M. Maria

doi:10.1007/s10903-011-9549-3

Cited by 27 publications

(32 citation statements)

References 22 publications

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“…The inconsistency between self-reported and measured hypertension is a problem that has been identified around the world [25][26][27][28][29][30]. We found that the batey population is no exception to this pattern.…”

Section: Discussionsupporting

confidence: 53%

The Prevalence of Hypertension and Associated Risk Factors in a Latino Subgroup: A Rural Batey Population in the Dominican Republic

Ho¹

2014

SJPH

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Abstract:Objective: To determine the prevalence of hypertension and identify variables associated with hypertension among residents of Batey 16. Methods: A cross-sectional study was conducted among adults residing in Batey 16 of La Romana, Dominican Republic. Residents were approached house to house and invited to participate in a blood pressure screening and a survey pertaining to risk factors for hypertension. Blood pressures and waist circumferences were measured. Comparisons between the hypertensive and non-hypertensive group's survey results, heights, and waist circumferences were made using chi square, Student's t-test or Mann-Whitney test, and univariate linear and logistic regression analysis. Results: Of the 187 participants, age 35±16 years (range 18-107 years), 34% were diagnosed with hypertension and 42% with were diagnosed with pre-hypertension. Age, sex, height, waist circumference, and use of medication were not significantly different between the hypertensive and the non-hypertensive participants. These variables in addition to elevated waist circumference were not associated with hypertension. Family history was an independent predictor of hypertension (OR= 2.7, p= 0.013; 95% CI, 1.2-5.8). Conclusions: The batey population has many unique characteristics that may contribute to its prevalence of hypertension and the patterns found in the associated risk factors. Further research needs to be conducted to broaden, explore, and clarify our findings.

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Section: Discussionsupporting

confidence: 53%

The Prevalence of Hypertension and Associated Risk Factors in a Latino Subgroup: A Rural Batey Population in the Dominican Republic

Ho¹

2014

SJPH

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“…While the clinical measure of BP was obtained using high-quality equipment and well trained professionals, the use of medicines was self-reported. Although the use of self-reported measures seems to be satisfactory 22 , studies in Brazil 13 , 17 indicate that this type of measure should be used with caution according to age and socioeconomic status, as the prevalence of hypertension is underestimated when using these self-reported measures in this population. Another explanation may be the better control of BP levels by residents in neighborhoods with higher education, with better treatment, causing this difference when the medicines were included in the analysis.…”

Section: Discussionmentioning

confidence: 99%

Effects of neighborhood socioeconomic status on blood pressure in older adults

Wagner

Boing²,

Subramanian

et al. 2016

Rev. Saúde Pública

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OBJECTIVE To test if the neighborhood socioeconomic status is associated with systolic blood pressure and hypertension in older adults.METHODS A cross-sectional population-based study with a sample of 1,705 older adults from Florianópolis, SC, Southern Brazil. The contextual variable used was the average years of schooling of the head of the household in census tracts. Participants were considered hypertensive when the systolic blood pressure was ≥ 140 mmHg, diastolic ≥ 90 mmHg, or both. Additionally, the use of antihypertensive medication was also considered. Data were analyzed by using multilevel models of logistic and linear regression.RESULTS The average age of the sample was 70.7 years and the average of systolic and diastolic blood pressure was 133.5 mmHg (SD = 20.5 mmHg) and 81.9 mmHg (SD = 12.5 mmHg), respectively. The systolic blood pressure was 4.46 mmHg (95%CI 1.00–7.92) higher and the chance of hypertension was 1.80 (95%CI 1.26–2.57) among those who lived in census tracts with lower level of schooling. When the use of antihypertensive medication was combined with blood pressure levels, none association was found between the outcome and the level of schooling of the census tract.CONCLUSIONS Analytical models more robust (such as multilevel analysis) in Brazil are still little used, with a small number of articles published. Neighborhood socioeconomic status is associated with systolic blood pressure and the chance of hypertension, regardless of individual characteristics.

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“…Self-reports of physician diagnosis of chronic disease conditions have shown acceptable validity in different populations (25, 26). Our measure of cholesterol did not distinguish between HDL and LDL subcomponents, limiting the interpretation of our results.…”

Section: Discussionmentioning

confidence: 99%

Multiple metabolic risk factors and mammographic breast density

Tehranifar

Reynolds

Fan

et al. 2014

Annals of Epidemiology

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Purpose We examined whether obesity and a history of diabetes, hypertension, and elevated cholesterol, individually and in combination, are associated with breast density, a strong risk factor for breast cancer. Methods We measured percent density and dense area using a computer-assisted method (n=191; age range=40-61 years). We used linear regression models to examine the associations of each metabolic condition and the number of metabolic conditions (0, 1, 2, and 3 or 4 conditions) with breast density. Results Among individual metabolic conditions, only high blood cholesterol was inversely associated with percent density (β=-5.4, 95% CI: -8.5, -2.2) and dense area (β= -6.7, 95% CI=-11.1, -2.4). Having multiple metabolic conditions was also associated with lower breast density, with 2 conditions and 3 or 4 conditions vs. 0 conditions associated with 6.4% (95% CI:-11.2, -1.6) and 7.4% (95% CI:-12.9, -1.9) reduction in percent density and with 6.5 cm2 (95% CI: -13.1, -0.1) and 9.5 cm2 (95% CI: -17.1, -1.9) smaller dense area. Conclusions A history of high blood cholesterol and multiple metabolic conditions were associated with lower relative and absolute measures of breast density. The positive association between metabolic abnormalities and breast cancer risk may be driven by pathways unrelated to mammographic breast density.

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Self-Reported and Measured Hypertension Among Older US- and Foreign-Born Adults

Cited by 27 publications

References 22 publications

The Prevalence of Hypertension and Associated Risk Factors in a Latino Subgroup: A Rural Batey Population in the Dominican Republic

The Prevalence of Hypertension and Associated Risk Factors in a Latino Subgroup: A Rural Batey Population in the Dominican Republic

Effects of neighborhood socioeconomic status on blood pressure in older adults

Multiple metabolic risk factors and mammographic breast density

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