在美国的今天成长研究 (GUTS) 中,在年轻人中验证了自我报告的高血压
Jie Chen1,2, Jaime E Hart1,2, Naomi D L Fisher3
1Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, United States of America.
PloS one
|October 24, 2024
概括
在年轻人中自我报告的高血压诊断对于流行病学研究是有效的. 这项研究发现自我报告的准确性很高,支持其在未来的研究中使用.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心血管健康 心血管健康
背景情况:
- 自我报告的高血压在大型流行病学研究中很常见.
- 它在年轻成年人 (22-39岁) 中的有效性需要评估.
- 在研究期间,国家高血压定义发生了变化.
研究的目的:
- 为了验证自我报告的高血压诊断与年轻成年人的医疗记录.
- 评估自我报告的血压测量的准确性.
主要方法:
- 来自今天成长研究 (GUTS) 的1000名参与者被邀请分享医疗记录.
- 318名参与者 (2010-2019) 的双对自我报告和医疗记录数据可用.
- 评估了协议,kappa统计,敏感性,特异性和血压相关性.
主要成果:
- 自我报告的高血压显示了85.5%的一致性,0.72卡帕,100%的敏感性和75.3%的特异性.
- 在血压测量 (3.5/1.2 mm Hg) 中观察到小的平均差异.
- 自我报告和医疗记录血压测量显示中等相关性.
结论:
- 自我报告的高血压诊断在GUTS队列中的年轻成年人中具有很高的有效性.
- 这支持其作为未来流行病学研究的终点的自信使用.
- 年轻人可以准确地报告他们的高血压状态,而不需要正式的医学培训.
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