THE VALIDITY OF SELF-REPORTED HYPERTENSION AND CORRELATES OF HYPERTENSION AWARENESS AMONG BLACKS AND WHITES WITHIN THE STROKE BELT
THE VALIDITY OF SELF-REPORTED HYPERTENSION AND CORRELATES OF HYPERTENSION AWARENESS AMONG BLACKS AND WHITES WITHIN THE STROKE BELT
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DOI：
10.1016/s0749-3797(18)30468-9
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发表时间：
1995-05-01
影响因子：
5.5
通讯作者：
WHEELER, FC
中科院分区：
文献类型：
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作者：
GILES, WH;CROFT, JB;WHEELER, FC
高血压监测活动越来越依赖于自我报告获得的信息。然而，有关这些数据有效性的信息有限，特别是居住在卒中带内的人群。我们使用来自南卡罗来纳心血管疾病预防项目的访谈信息和血压测量来确定1987年参与该项目的2210名白人和704名黑人自我报告高血压的有效性和高血压意识的相关因素。白人女性自我报告高血压的敏感性、特异性、阳性预测值和阴性预测值分别为79%、91%、76%和93%；黑人女性的比例分别为82% 88% 79% 89%；62%, 91%， 75%和85%的白人男性；黑人男性的比例分别为72%、89%、78%和85%。敏感性最高的群体包括妇女、39岁以上的人以及在过去一年内曾看过医生进行预防保健的人。与高血压意识相关的因素包括年龄较大、去看医生进行预防性护理以及有高血压家族史。在高血压黑人中，超重的人比非超重的人更有可能意识到自己的高血压（黑人女性的比值比[OR] = 4.6, 95%可信区间[CI] = 1.9, 10.7，黑人男性的比值比[OR] = 4.4, 95% CI = 1.0, 17.9）。自我报告高血压的效度在所有种族和性别群体中都相对较高。有必要提高没有超重的黑人高血压患者的高血压意识。
Hypertension surveillance activities increasingly are relying on information obtained by self-report. However, limited information is available concerning the validity of such data, especially among populations residing within the stroke belt. We used interview information and blood pressure measurements from the South Carolina Cardiovascular Disease Prevention Project to determine the validity of self-reported hypertension and the correlates of hypertension awareness among 2,210 whites and 704 blacks who participated in the program in 1987. The sensitivity, specificity, positive predictive value, and negative predictive value of self-reported hypertension were 79%, 91%, 76%, and 93% among white women; 82%, 88%, 79%, and 89% among black women; 62%, 91%, 75%, and 85% among white men; and 72%, 89%, 78%, and 85% among black men, respectively. Groups with highest sensitivity included women, persons older than age 39 years, and those who had seen a physician for preventive care within the last year. Correlates of hypertension awareness included an older age, visit to a physician for preventive care, and a family history of high blood pressure. Among hypertensive blacks, overweight persons were substantially more likely than nonoverweight persons to be aware of their hypertension (odds ratio [OR] = 4.6, 95% confidence intervals [CI] = 1.9, 10.7 in black women and OR = 4.4, 95% CI = 1.0, 17.9 in black men). The validity of self-reported hypertension was relatively high in all race-sex groups. There is a need to increase hypertension awareness among hypertensive blacks who are not overweight.