Reliability and Validity of self-reported Vascular Risk Factors in a Multi-Ethnic Community Based Study of Aging and Dementia.
Reliability and Validity of self-reported Vascular Risk Factors in a Multi-Ethnic Community Based Study of Aging and Dementia.
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基于多种族社区的衰老和痴呆研究中自我报告的血管危险因素的可靠性和有效性。
DOI：
10.1101/2023.04.12.23288492
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Mayeux,Richard
中科院分区：
文献类型：
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作者：
Lee,AnnieJ;Sanchez,Didi;Reyes-Dumeyer,Dolly;Brickman,AdamM;Lantigua,RafaelA;Vardarajan,BadriN;Mayeux,Richard
自我报告的心血管和脑血管危险因素的可靠性和有效性在老龄化研究中仍然不一致。方法我们评估了自我报告的高血压、糖尿病和心脏病的可靠性、有效性、敏感性、特异性和一致性百分比，与血压、血红蛋白A1 c（HbA 1c）、在一项关于老年和痴呆的多种族研究中，1870名参与者的年龄和药物使用情况。自我报告和临床测量之间的一致性对于高血压是中等的（kappa：0.58），对于糖尿病是良好的（kappa：0.76-0.79），对于心脏病是中等的（kappa：0.45），在年龄、性别、教育和种族/民族方面略有不同。对高血压的敏感性和特异性为88.6%-78.1%，对糖尿病的敏感性和特异性为87.7%-92.0%（HbA 1c>6.5%）或92.7%-92.8%（HbA 1c>7%），对心脏病的敏感性和特异性为85.8%-75.5%。
INTRODUCTIONThe reliability and validity of self-reported cardiovascular and cerebrovascular risk factors remains inconsistent in aging research.METHODSWe assessed the reliability, validity, sensitivity, specificity, and percent agreement of self-reported hypertension, diabetes, and heart disease, in comparison with direct measures of blood pressure, hemoglobin A1c (HbA1c), and medication use in 1870 participants in a multiethic study of aging and dementia.RESULTSReliability of self-reported for hypertension, diabetes, and heart disease was excellent. Agreement between self-reports and clinical measures was moderate for hypertension (kappa: 0.58), good for diabetes (kappa: 0.76-0.79), and moderate for heart disease (kappa: 0.45) differing slightly by age, sex, education, and race/ethnic group. Sensitivity and specificity for hypertension was 88.6%-78.1%, for diabetes was 87.7%-92.0% (HbA1c>6.5%) or 92.7%-92.8% (HbA1c>7%), and for heart disease was 85.8%-75.5%.DISCUSSIONSelf-reported history of hypertension, diabetes, and heart disease are reliable and valid compared to direct measurements or medication use.