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Differential self-report error by socioeconomic status in hypertension and hypercholesterolemia: INSEF 2015 study

2018-10-31Journal article Restricted access
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dc.contributor.authorKislaya, Irina
dc.contributor.authorTolonen, Hanna
dc.contributor.authorRodrigues, Ana Paula
dc.contributor.authorBarreto, Marta
dc.contributor.authorGil, Ana Paula
dc.contributor.authorGaio, Vânia
dc.contributor.authorNamorado, Sónia
dc.contributor.authorSantos, Ana João
dc.contributor.authorDias, Carlos Matias
dc.contributor.authorNunes, Baltazar
dc.date.accessioned2019-02-27T15:50:56Z
dc.date.available2019-02-27T15:50:56Z
dc.date.issued2018-10-31
dc.description.abstractBackground: This study aimed to compare self-reported and examination-based prevalence of hypertension and hypercholesterolemia in Portugal in 2015 and to identify factors associated with the measurement error in self-reports. Methods: We used data from the Portuguese National Health Examination Survey (n = 4911), that combines personal interview, blood collection and, physical examination. Sensitivity and specificity of self-reported hypertension and hypercholesterolemia were calculated. Poisson regression was used to estimate prevalence ratios (PRs) of underreport of hypertension and hypercholesterolemia according to sex, age, socioeconomic status (education and income) and general practitioner (GP) consultation in the past year. Results: Sensitivity of self-reports was 69.8% for hypertension and 38.2% for hypercholesterolemia. Underreport of hypertension was associated with male gender (PR = 1.54), lack of GP consultation (PR = 1.70) and being 25–44 years old (PR = 2.45) or 45–54 years old (PR = 2.37). Underreport of hypercholesterolemia was associated with lack of GP consultation (PR = 1.15), younger age (PR = 1.83 for 25–44 age group and PR = 1.52 for 45–54 age group), secondary (PR = 1.30) and higher (PR = 1.27) education. Conclusion: Self-reported data underestimate prevalence of hypertension and hypercholesterolemia. Magnitude of measurement error in self-reports varies by health conditions and population characteristics. Adding objective measurements to self-reported questionnaires improve data accuracy allowing better understanding of socioeconomic inequalities in health.pt_PT
dc.description.sponsorshipO primeiro Inquérito Nacional de Saúde com Exame Físico foi desenvolvido como parte integrante do projeto “Improvement of epidemiological health information to support public health decision and management in Portugal. Towards reduced inequalities, improved health, and bilateral cooperation”, que beneficiou de um apoio financeiro de 1.500.000€ concedido pela Islândia, Liechtenstein e Noruega, através do Programa Iniciativas em Saúde Pública (PT06) financiado pelas EEA Grants 2009-2014.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Public Health. 2018 Oct 31. doi: 10.1093/eurpub/cky228. [Epub ahead of print]pt_PT
dc.identifier.doi10.1093/eurpub/cky228pt_PT
dc.identifier.issn1101-1262
dc.identifier.urihttp://hdl.handle.net/10400.18/5975
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford University Presspt_PT
dc.relation.publisherversionhttps://academic.oup.com/eurpub/advance-article-abstract/doi/10.1093/eurpub/cky228/5151187?redirectedFrom=fulltextpt_PT
dc.subjectHypercholesterolemiapt_PT
dc.subjectHypertensionpt_PT
dc.subjectSelf-reportpt_PT
dc.subjectMeasurement Errorpt_PT
dc.subjectHealth Examination Surveypt_PT
dc.subjectINSEFpt_PT
dc.subjectPortugalpt_PT
dc.subjectInquérito Nacional de Saúde com Exame Físicopt_PT
dc.subjectEstados de Saúde e de Doençapt_PT
dc.titleDifferential self-report error by socioeconomic status in hypertension and hypercholesterolemia: INSEF 2015 studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleEuropean Journal of Public Healthpt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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