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

Background: The search for risk factors of hypertension requires the study of large populations. Sometimes, the only feasible way of studying these populations is to rely on self-reported data of the outcome. The objective of this study was to evaluate validity of self-reported diagnosis of hyperte...

Full description

Bibliographic Details
Main Authors: Alonso, A. (Alvaro), Beunza, J.J. (Juan José), Delgado-Rodriguez, M. (Miguel), Martinez-Gonzalez, M.A. (Miguel Ángel)
Format: info:eu-repo/semantics/article
Language:eng
Published: BioMed Central 2009
Subjects:
Online Access:https://hdl.handle.net/10171/4902
_version_ 1793400082550226944
author Alonso, A. (Alvaro)
Beunza, J.J. (Juan José)
Delgado-Rodriguez, M. (Miguel)
Martinez-Gonzalez, M.A. (Miguel Ángel)
author_facet Alonso, A. (Alvaro)
Beunza, J.J. (Juan José)
Delgado-Rodriguez, M. (Miguel)
Martinez-Gonzalez, M.A. (Miguel Ángel)
author_sort Alonso, A. (Alvaro)
collection DSpace
description Background: The search for risk factors of hypertension requires the study of large populations. Sometimes, the only feasible way of studying these populations is to rely on self-reported data of the outcome. The objective of this study was to evaluate validity of self-reported diagnosis of hypertension in a cohort of university graduates in Spain. Methods: The Seguimiento Universidad de Navarra (SUN) Study is a cohort of more than 15,000 university graduates in Spain. We selected a random sample of 79 cohort participants who reported a diagnosis of hypertension and 48 participants who did not report such diagnosis (76% participation proportion). Then, we compared information on the self-reported diagnosis of hypertension and hypertension status as assessed through two personal blood pressure measurements and an interview. Additionally, we compared self-reported and measured blood pressure levels with intraclass correlation coefficients and the survival-agreement plot. Results: From those 79 reporting a diagnosis of hypertension, 65 (82.3%, 95% CI 2.8–92.8) were confirmed through conventional measurement of blood pressure and the interview. From those 48 that did not report a diagnosis of hypertension, 41 (85.4%, 95% CI 72.4–89.1) were confirmed as non hypertensives. Results were similar among men and women, but were worse for overweight and obese individuals, and for those with a family history of hypertension. The greement between self-reported and measured blood pressure levels (as a continuous variable), as estimated by the intraclass correlation coefficient, was 0.35 for both systolic and diastolic blood pressure. Conclusion: Self-reported hypertension among highly educated participants in a cohort study is a relatively valid tool to assess the hypertensive status of participants. However, the investigators should be cautious when using self-reported blood pressure values.
format info:eu-repo/semantics/article
id oai:dadun.unav.edu:10171-4902
institution Universidad de Navarra
language eng
publishDate 2009
publisher BioMed Central
record_format dspace
spelling oai:dadun.unav.edu:10171-49022022-06-29T09:41:37Z Validation of self reported diagnosis of hypertension in a cohort of university graduates in Spain Alonso, A. (Alvaro) Beunza, J.J. (Juan José) Delgado-Rodriguez, M. (Miguel) Martinez-Gonzalez, M.A. (Miguel Ángel) Materias Investigacion::Ciencias de la Salud::Diabetes e hipertensión Background: The search for risk factors of hypertension requires the study of large populations. Sometimes, the only feasible way of studying these populations is to rely on self-reported data of the outcome. The objective of this study was to evaluate validity of self-reported diagnosis of hypertension in a cohort of university graduates in Spain. Methods: The Seguimiento Universidad de Navarra (SUN) Study is a cohort of more than 15,000 university graduates in Spain. We selected a random sample of 79 cohort participants who reported a diagnosis of hypertension and 48 participants who did not report such diagnosis (76% participation proportion). Then, we compared information on the self-reported diagnosis of hypertension and hypertension status as assessed through two personal blood pressure measurements and an interview. Additionally, we compared self-reported and measured blood pressure levels with intraclass correlation coefficients and the survival-agreement plot. Results: From those 79 reporting a diagnosis of hypertension, 65 (82.3%, 95% CI 2.8–92.8) were confirmed through conventional measurement of blood pressure and the interview. From those 48 that did not report a diagnosis of hypertension, 41 (85.4%, 95% CI 72.4–89.1) were confirmed as non hypertensives. Results were similar among men and women, but were worse for overweight and obese individuals, and for those with a family history of hypertension. The greement between self-reported and measured blood pressure levels (as a continuous variable), as estimated by the intraclass correlation coefficient, was 0.35 for both systolic and diastolic blood pressure. Conclusion: Self-reported hypertension among highly educated participants in a cohort study is a relatively valid tool to assess the hypertensive status of participants. However, the investigators should be cautious when using self-reported blood pressure values. 2009-11-20T11:11:38Z 2009-11-20T11:11:38Z 2005 info:eu-repo/semantics/article https://hdl.handle.net/10171/4902 eng info:eu-repo/semantics/openAccess application/pdf BioMed Central
spellingShingle Materias Investigacion::Ciencias de la Salud::Diabetes e hipertensión
Alonso, A. (Alvaro)
Beunza, J.J. (Juan José)
Delgado-Rodriguez, M. (Miguel)
Martinez-Gonzalez, M.A. (Miguel Ángel)
Validation of self reported diagnosis of hypertension in a cohort of university graduates in Spain
title Validation of self reported diagnosis of hypertension in a cohort of university graduates in Spain
title_full Validation of self reported diagnosis of hypertension in a cohort of university graduates in Spain
title_fullStr Validation of self reported diagnosis of hypertension in a cohort of university graduates in Spain
title_full_unstemmed Validation of self reported diagnosis of hypertension in a cohort of university graduates in Spain
title_short Validation of self reported diagnosis of hypertension in a cohort of university graduates in Spain
title_sort validation of self reported diagnosis of hypertension in a cohort of university graduates in spain
topic Materias Investigacion::Ciencias de la Salud::Diabetes e hipertensión
url https://hdl.handle.net/10171/4902
work_keys_str_mv AT alonsoaalvaro validationofselfreporteddiagnosisofhypertensioninacohortofuniversitygraduatesinspain
AT beunzajjjuanjose validationofselfreporteddiagnosisofhypertensioninacohortofuniversitygraduatesinspain
AT delgadorodriguezmmiguel validationofselfreporteddiagnosisofhypertensioninacohortofuniversitygraduatesinspain
AT martinezgonzalezmamiguelangel validationofselfreporteddiagnosisofhypertensioninacohortofuniversitygraduatesinspain