Menezes Tarciana Nobre de, Oliveira Elaine Cristina Tôrres
Conselho de Ensino, Pesquisa e Extensão, Universidade Estadual da Paraíba. Av. Baraúnas 351, Bodocongó. 58109-753 Campina Grande PB Brasil.
Núcleo de Ciências Humanas, Sociais e Políticas Públicas, Universidade Estadual de Ciências da Saúde de Alagoas. Maceió AL Brasil.
Cien Saude Colet. 2019 Jan;24(1):27-34. doi: 10.1590/1413-81232018241.34392016.
The scope of this study was to verify the validity and concordance of self-reported diabetes (DM) by the elderly in Campina Grande, State of Paraíba. It involved a cross-sectional home-based study, conducted with 362 elderly people aged 60 years of age and above registered in the Family Health Strategy (FHS) Program in Campina Grande, State of Paraíba. A sensitivity calculation, specificity and positive predictive value (PPV) and negative predictive value (NPV) in relation to demographic and socioeconomic variables was carried out to verify the validity and reliability of self-reported DM. The Kappa test was used to verify the concordance between the diagnosis and the reporting of the disease. Among the study participants, 67.4% were women. The prevalence of diagnosed DM of 14.1% and self-reported DM of 18.1% was observed Moderate sensitivity (58.8%), excellent specificity (87.8%), moderate PPV (44.8%) and excellent NPV (92.7%), and moderate concordance of self-reported DM (Kappa = 0.413 p < 0.001) was observed. In this study, due to moderate validity and concordance of self-reported DM among the elderly, it is considered not to be advisable that self-reported DM should be used as a disease prevalence indicator in the population studied.
本研究的范围是验证帕拉伊巴州大坎皮纳市老年人自我报告的糖尿病(DM)的有效性和一致性。这是一项基于家庭的横断面研究,对象是帕拉伊巴州大坎皮纳市家庭健康战略(FHS)项目中登记的362名60岁及以上的老年人。针对人口统计学和社会经济变量进行了敏感性计算、特异性、阳性预测值(PPV)和阴性预测值(NPV)计算,以验证自我报告的DM的有效性和可靠性。使用Kappa检验来验证疾病诊断与报告之间的一致性。在研究参与者中,67.4%为女性。观察到确诊DM的患病率为14.1%,自我报告的DM患病率为18.1%,自我报告的DM具有中等敏感性(58.8%)、优秀的特异性(87.8%)、中等的PPV(44.8%)和优秀的NPV(92.7%),且自我报告的DM一致性中等(Kappa = 0.413,p < 0.001)。在本研究中,由于老年人自我报告的DM有效性和一致性中等,因此认为在该研究人群中,将自我报告的DM用作疾病患病率指标是不可取的。