| Comparing self-reported and measured high blood pressure and high cholesterol status using data from a large representative cohort study. | |
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MedLine Citation:
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PMID: 20649780 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Anne Taylor; Eleonora Dal Grande; Tiffany Gill; Sandra Pickering; Janet Grant; Robert Adams; Patrick Phillips |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Australian and New Zealand journal of public health Volume: 34 ISSN: 1753-6405 ISO Abbreviation: Aust N Z J Public Health Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-23 Completed Date: 2010-09-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9611095 Medline TA: Aust N Z J Public Health Country: Australia |
Other Details:
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Languages: eng Pagination: 394-400 Citation Subset: IM |
Affiliation:
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Population Research and Outcomes Studies Unit, South Australia Health, Adelaide, South Australia. anne.taylor@health.sa.gov.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Australia Chronic Disease Cohort Studies Cross-Sectional Studies Female Humans Hyperlipidemias / diagnosis*, epidemiology Hypertension / diagnosis*, epidemiology Male Medical Records Middle Aged Questionnaires Reproducibility of Results Risk Factors Self Disclosure* Sensitivity and Specificity Socioeconomic Factors Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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