巴西阿克里州里奥布兰科市成年人自我报告的系统性动脉高血压的准确性。
Accuracy of self-reported systemic arterial hypertension in adults, Rio Branco, Acre, Brazil.
作者信息
Melo Cleuciane Lima de, Amaral Thatiana Lameira Maciel, Amaral Cledir de Araújo, Vasconcellos Maurício Teixeira Leite de, Monteiro Gina Torres Rego
机构信息
Universidade Federal do Acre, Programa de Pós-Graduação em Saúde Coletiva, Rio Branco, AC, Brasil.
Instituto Federal de Educação, Ciência e Tecnologia do Acre, Rio Branco, AC, Brasil.
出版信息
Epidemiol Serv Saude. 2019 Jul 29;28(2):e2017407. doi: 10.5123/S1679-49742019000200018.
OBJECTIVE
to analyze the validity of self-reported systemic arterial hypertension (SAH) in the adult population of Rio Branco, Acre, Brazil.
METHODS
this was a study of diagnostic accuracy with 576 adults aged 18 to 59 years; accuracy, sensitivity, specificity and positive and negative predictive values were calculated in order to build the Receiver Operating Characteristic (ROC) curve.
RESULTS
the prevalence rates of measured SAH (gold standard) and self-reported SAH were 19.6% and 16.6%, respectively; self-reported SAH showed 53.7% sensitivity and 92.4% specificity; sensitivity ranged from 29.9% in individuals under 40 years of age, to levels above 70.0% among obese individuals and those who reported having dyslipidemia; specificity varied from 70.0% in those who self-reported diabetes mellitus, to 95.3% in underweight patients; the area under the ROC hypertension analysis curve was 0.77 (95%CI 0.72;0.81).
CONCLUSION
self-reported SAH in adults 40 years old and over was found to be accurate for use in studies in Rio Branco.
目的
分析巴西阿克里州里奥布兰科成年人群中自我报告的系统性动脉高血压（SAH）的有效性。
方法
这是一项针对576名年龄在18至59岁成年人的诊断准确性研究；计算准确性、敏感性、特异性以及阳性和阴性预测值，以构建受试者工作特征（ROC）曲线。
结果
测量的SAH（金标准）和自我报告的SAH患病率分别为19.6%和16.6%；自我报告的SAH敏感性为53.7%，特异性为92.4%；敏感性范围从40岁以下个体的29.9%到肥胖个体以及报告患有血脂异常者的70.0%以上；特异性从自我报告患有糖尿病者的70.0%到体重过轻者的95.3%不等；ROC高血压分析曲线下面积为0.77（95%CI 0.72；0.81）。
结论
发现40岁及以上成年人自我报告的SAH在里奥布兰科的研究中使用是准确的。
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