Use of Regional Data to Validate and Recalibrate Self-Reported Hypertension: Highlighting Differences in Immigrant Groups in New York City

Details

• Alternative Title:
  J Immigr Minor Health
• Personal Author:
  Yi, Stella S. ; Johns, Michael ; Lim, Sungwoo
• Description:
  Background ; Self-reported hypertension has not been validated in specific Hispanic subgroups (Puerto Ricans, Dominicans) and in Asian Americans. The objectives were to assess validity of self-reported hypertension in Hispanic and Asian American adults, and to recalibrate self-reported hypertension with measured values. ; Methods ; Data were from the New York City Community Health Survey 2005-08 and the Heart Follow-Up Study (HFUS) 2010 (included measured hypertension). Sensitivity and specificity were calculated in the HFUS data; recalibration was conducted using a previously described method by Mentz et al. ; Results ; Sensitivity was similar in Puerto Ricans and Dominicans versus whites. The differences in hypertension prevalence after recalibration were largest in Hispanics. No substantial differences occurred among Asian Americans. ; Discussion ; Factors such as low health literacy or insurance status are potential explanations for bias in self-reported hypertension among Hispanic subgroups. Surveillance systems may consider recalibration, potentially in areas with a high percentage of Hispanics or uninsured.
• Keywords:
  • Hypertension
  • Validation
  • Surveillance
  • Immigrant Populations
  • Adult
  • Aged
  • Asian
  • Emigrants and Immigrants
  • Female
  • Health Surveys
  More +
• Source:
  J Immigr Minor Health. 18(1):202-209
• Pubmed ID:
  25576179
• Pubmed Central ID:
  PMC4499017
• Document Type:
  Journal Article
• Funding:
  U38 HM000449/HM/NCHM CDC HHSUnited States/ ; 2P60MD000538-10/MD/NIMHD NIH HHSUnited States/ ; 5U38HM000449-02/HM/NCHM CDC HHSUnited States/ ; U54 MD000538/MD/NIMHD NIH HHSUnited States/ ; U48 DP005008/DP/NCCDPHP CDC HHSUnited States/ ; P60 MD000538/MD/NIMHD NIH HHSUnited States/
• Volume:
  18
• Issue:
  1
• Download URL:
  https://stacks.cdc.gov/view/cdc/39426/cdc_39426_DS1.pdf
• File Type:
  [PDF - 1.14 MB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6361fcf457017e75e71c713cb5bc228e6232199580bb08dd4869d5eb84f710b6