TY - JOUR
T1 - Self-reported and measured hypertension among older US- and foreign-born adults
AU - White, Kellee
AU - Avendaño, Mauricio
AU - Capistrant, Benjamin D.
AU - Moon, J. Robin
AU - Liu, Sze Y.
AU - Glymour, M. Maria
N1 - Funding Information:
Acknowledgments The authors gratefully acknowledge financial support from W.K. Kellogg Foundation Kellogg Health Scholars Program (P0117943), the American Heart Association grants 09PRE2080078 and 10SDG2640243, and the Milton Fund of Harvard University.
PY - 2012/8
Y1 - 2012/8
N2 - Self-reported hypertension is frequently used for health surveillance. However, little is known about the validity of self-reported hypertension among older Americans by nativity status. This study compared self-reported and measured hypertension among older black, white, and Hispanic Americans by nativity using the 2006 and 2008 Health and Retirement Study (n = 13,451). Sensitivity and specificity of self-reported hypertension were calculated using the Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure definition. Sensitivity was high among older blacks (88.9%), whites (82.8%), and Hispanics (84.0%), and both foreign-born (83.2%) and US-born (84.0%). Specificity was above 90% for both US-born and foreign-born, but higher for whites (92.8%) than blacks (86.0%). Despite the potential vulnerability of older foreign-born Americans, self-reported hypertension may be considered a reasonable estimate of hypertension status. Future research should confirm these findings in samples with a larger and more ethnically diverse foreignborn population.
AB - Self-reported hypertension is frequently used for health surveillance. However, little is known about the validity of self-reported hypertension among older Americans by nativity status. This study compared self-reported and measured hypertension among older black, white, and Hispanic Americans by nativity using the 2006 and 2008 Health and Retirement Study (n = 13,451). Sensitivity and specificity of self-reported hypertension were calculated using the Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure definition. Sensitivity was high among older blacks (88.9%), whites (82.8%), and Hispanics (84.0%), and both foreign-born (83.2%) and US-born (84.0%). Specificity was above 90% for both US-born and foreign-born, but higher for whites (92.8%) than blacks (86.0%). Despite the potential vulnerability of older foreign-born Americans, self-reported hypertension may be considered a reasonable estimate of hypertension status. Future research should confirm these findings in samples with a larger and more ethnically diverse foreignborn population.
KW - Health and Retirement Study
KW - Nativity
KW - Race/ethnicity
KW - Self-reported hypertension
KW - Validity
UR - http://www.scopus.com/inward/record.url?scp=84865860948&partnerID=8YFLogxK
U2 - 10.1007/s10903-011-9549-3
DO - 10.1007/s10903-011-9549-3
M3 - Article
C2 - 22109587
AN - SCOPUS:84865860948
SN - 1557-1912
VL - 14
SP - 721
EP - 726
JO - Journal of Immigrant and Minority Health
JF - Journal of Immigrant and Minority Health
IS - 4
ER -
