Journal of Immigrant and Minority Health
Volume 18, Issue 1, 2016, Pages 202-209

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

Yi S.S.* , Johns M. , Lim S.
  • a Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hygiene, New York, NY, United States, Department of Population Health, New York University School of Medicine, 550 First Ave, VZN Suite 844, 8th Floor, New York, NY 10016, United States
  • b Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hygiene, New York, NY, United States
  • c Bureau of Epidemiology Services, New York City Department of Health and Mental Hygiene, New York, NY, United States

Abstract

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. Data were from the New York City Community Health Survey 2005–2008 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. 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. 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. © 2015, Springer Science+Business Media New York.

Author Keywords

Hypertension Surveillance Immigrant populations Validation

Index Keywords

Population Surveillance human epidemiology Self Report middle aged statistics and numerical data hypertension Aged Health Surveys ethnology Hispanic Americans Humans migrant Hispanic New York Asian Americans male Emigrants and Immigrants Asian American Socioeconomic Factors female socioeconomics standards sensitivity and specificity adult New York City health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84954341799&doi=10.1007%2fs10903-015-0156-6&partnerID=40&md5=7948aa579d03866f70bc76437c9ea18d
DOI: 10.1007/s10903-015-0156-6
ISSN: 15571912
Cited by: 4
Original Language: English