Original Article

Accuracy of Self-Reported Hypertension, Diabetes, and Hyper-lipidemia among Adults of Liwan, Guangzhou, China

Abstract

Background: We aimed to determine the accuracy of self-reported diabetes, hypertension, and hyperlipidemia in Chinese adults and examine factors that affect the accuracy of self-reports.

Methods: This representative cross-sectional survey was conducted in Liwan District, Guangzhou City, Southeast China. Self-reported data were collected using a structured questionnaire. Biometrical data were recorded, including blood lipid, blood glucose and arterial blood pressure levels. Sensitivity, specificity, and κ values of self-reports were used as measurements of accuracy or agreements. The Robust Poisson-GEE was applied to determine the association of participants’ characteristics with the accuracy of self-reports.

Results: Self-reported and biometrical data of 1278 residents aged 18 yr and older (693 women and 585 men) were used to calculate three measures of agreement. The agreement between self-reports and biomedical measurements was substantial for both hypertension and diabetes (κ=0.77 and 0.76), but only slight for hyperlipidemia (κ=0.06). Similarly, the sensitivity was higher for hypertension and diabetes (72.3% and 71.2%) than for hyperlipidemia (6.8%), while the specificity was high overall (≥98%). The factors associated with an accurate self-reported diagnosis in respondents with disease included having undergone blood pressure measurement (for hypertension) or blood glucose measurement (for diabetes) in the past 6 month, having attended health knowledge lectures in the past year and having social health insurances (for hypertension), and having undergone physical discomfort in the past 2 weeks (for hypertension and diabetes).

Conclusion: The accuracy of self-reported hypertension and diabetes was high, whereas that of self-reported hyperlipidemia was lower among the population.

1. Huerta JM, Tormo MJ, Egea-Caparrós JM, et al (2009). Accuracy of self-reported di-abetes, hypertension and hyperlipidemia in the adult Spanish population. DINO study findings. Rev Esp Cardiol, 62(2): 143-152.
2. Molenaar EA, Van Ameijden EJ, Grobbee DE, et al (2007). Comparison of routine care self-reported and biometrical data on hypertension and diabetes: results of the Utrecht Health Project. Eur J Public Health, 17(2): 199-205.
3. Ning M, Zhang Q, Yang M (2016). Com-parison of self-reported and biomedical data on hypertension and diabetes: find-ings from the China Health and Retire-ment Longitudinal Study (CHARLS). BMJ Open, 6(1): e009836.
4. Chun H, Kim IH, Min KD (2016). Accuracy of Self-reported Hypertension, Diabetes, and Hypercholesterolemia: Analysis of a Representative Sample of Korean Older Adults. Osong Public Health Res Perspect, 7(2): 108-115.
5. Goldman N, Lin IF, Weinstein M, Lin YH (2003). Evaluating the quality of self-reports of hypertension and diabetes. J Clin Epidemiol, 56(2): 148-154.
6. White K, Avendaño M, Capistrant BD, et al (2012). Self-reported and measured hy-pertension among older US- and for-eign-born adults. J Immigr Minor Health, 14(4): 721-726.
7. Tsai ACH, Chang TL (2012). Quality issues of self-report of hypertension: analysis of a population representative sample of older adults in Taiwan. Arch Gerontol Geri-atr, 55(2): 338-342.
8. Leikauf J, Federman AD (2009). Compari-sons of self-reported and chart-identified chronic diseases in inner-city seniors. J Am Geriatr Soc, 57(7): 1219-1225.
9. Dey AK, Alyass A, Muir RT, et al (2015). Validity of Self-Report of Cardiovascular Risk Factors in a Population at High Risk for Stroke. J Stroke Cerebrovasc Dis, 24(12):2860-2865.
10. Peterson KL, Jacobs JP, Allender S, etal (2016). Characterising the extent of mis-reporting of high blood pressure, high cholesterol, and diabetes using the Aus-tralian Health Survey. BMC Public Health, 16: 695.
11. Kislaya I, Tolonen H, Rodrigues AP, et al (2019). Differential self-report error by socioeconomic status in hypertension and hypercholesterolemia: INSEF 2015 study. Eur J Public Health, 29(2): 273-278.
12. D’Andrea E, Nagyova I, Villari P (2015). Cardiovascular Disease (CVD). In: Boccia S, Villari P, Ricciardi W. (eds) A Systemat-ic Review of Key Issues in Public Health. Springer, Cham.
13. de Menezes TN, Oliveira EC, de Sousa Fischer MA (2014). Validity and concord-ance between self-reported and clinical diagnosis of hypertension among elderly residents in northeastern Brazil. Am J Hy-pertens, 27(2): 215-221.
14. Gonçalves VSS, Andrade KRC, Carvalho KMB (2018). Accuracy of self-reported hypertension: a systematic review and meta-analysis. J Hypertens, 36(5): 970-978.
15. WHO Global Status Report on Noncom-municable Diseases 2014. Geneva 2014. http://www.who.int/nmh/publications/ncd-status-report-2014/en/
16. Joint Committee for Developing Chinese guidelines on Prevention and Treatment of Dyslipidemia in Adults (2016). Chinese guidelines on prevention and treatment of dyslipidemia in adults. Chinese Circulation Journal, 31(10): 937-953.
17. Zou GY, Donner A (2013). Extension of the modified Poisson regression model to prospective studies with correlated bi-nary data. Stat Methods Med Res, 22(6):661-670.
18. Zhou SD, Gao YH, Li LX, et al (2013). A Comparison between Two-level and GEE Based on Robust Poisson Regres-sion Models in the Estimation of Relative Risk or Prevalence Ratio. Chinese Journal of Health Statistics, 30(5):683-686.
19. White K, Mondesir FL, Bates LM, et al (2014). Diabetes risk, diagnosis, and con-trol: do psychosocial factors predict he-moglobin A1c defined outcomes or accu-racy of self-reports? Ethn Dis, 24(1):19-27.
20. Tompkins G, Forrest LF, Adams J (2015). Socio-economic differences in the associ-ation between self-reported and clinically present diabetes and hypertension: sec-ondary analysis of a population-based cross-sectional study. PLoS One, 10(10), e0139928.
21. Functions and Responsibilities of Depart-ment of Health of Guangdong Province (2011). The programme for National Health Promotion Project for Hundreds of Million Chinese Farmers in Guang-dong Province, China (2011-2015). http://wsjkw.gd.gov.cn/en/index.html
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IssueVol 49 No 9 (2020) QRcode
SectionOriginal Article(s)
Published2020-08-23
DOI https://doi.org/10.18502/ijph.v49i9.4076
Keywords
Hypertension Diabetes Hyperlipidemia Self-reported accuracy

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How to Cite
1.
GUO H, YU Y, YE Y, ZHOU S. Accuracy of Self-Reported Hypertension, Diabetes, and Hyper-lipidemia among Adults of Liwan, Guangzhou, China. Iran J Public Health. 49(9):1622-1630.