Journal of Immigrant and Minority Health

, Volume 14, Issue 4, pp 721–726

Self-Reported and Measured Hypertension Among Older US- and Foreign-Born Adults

  • Kellee White
  • Mauricio Avendaño
  • Benjamin D. Capistrant
  • J. Robin Moon
  • Sze Y. Liu
  • M. Maria Glymour
Original Paper

DOI: 10.1007/s10903-011-9549-3

Cite this article as:
White, K., Avendaño, M., Capistrant, B.D. et al. J Immigrant Minority Health (2012) 14: 721. doi:10.1007/s10903-011-9549-3

Abstract

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 foreign-born population.

Keywords

Self-reported hypertension Race/ethnicity Nativity Validity Health and Retirement Study 

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Kellee White
    • 1
  • Mauricio Avendaño
    • 2
    • 3
  • Benjamin D. Capistrant
    • 4
  • J. Robin Moon
    • 4
  • Sze Y. Liu
    • 4
  • M. Maria Glymour
    • 4
  1. 1.Department of Epidemiology and BiostatisticsUniversity of South Carolina Arnold School of Public HealthColumbiaUSA
  2. 2.Center for Population and Development StudiesHarvard School of Public HealthBostonUSA
  3. 3.London School of Economics and Political Science, LSE HealthLondonUK
  4. 4.Department of Society, Human Development, and HealthHarvard School of Public HealthBostonUSA

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