Journal of Immigrant and Minority Health

, Volume 18, Issue 1, pp 202–209 | Cite as

Use of Regional Data to Validate and Recalibrate Self-reported Hypertension: Highlighting Differences in Immigrant Groups in New York City

Original Paper
First Online:

Abstract

Self-reported hypertension has not been validated in specific Hispanic subgroups (Puerto Ricans, Dominicans) and in Asian Americans. The objectives were to assess validity of self-reported hypertension in Hispanic and Asian American adults, and to recalibrate self-reported hypertension with measured values. Data were from the New York City Community Health Survey 2005–2008 and the Heart Follow-Up Study (HFUS) 2010 (included measured hypertension). Sensitivity and specificity were calculated in the HFUS data; recalibration was conducted using a previously described method by Mentz et al. Sensitivity was similar in Puerto Ricans and Dominicans versus whites. The differences in hypertension prevalence after recalibration were largest in Hispanics. No substantial differences occurred among Asian Americans. Factors such as low health literacy or insurance status are potential explanations for bias in self-reported hypertension among Hispanic subgroups. Surveillance systems may consider recalibration, potentially in areas with a high percentage of Hispanics or uninsured.

Keywords

Hypertension Validation Surveillance Immigrant populations 
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Notes

Acknowledgments

The HFUS was made possible by funding from the Robert Wood Johnson Foundation, the New York State Health Foundation, the National Association of County & City Health Officials and the Centers for Disease Control and Prevention [Grant Number 5U38HM000449-02], the W.K. Kellogg Foundation, the US. Department of Health and Human Services, and New York City tax levy dollars. This funding is administered by the Fund for Public Health in New York, a private non-profit organization that supports innovative initiatives of the NYC DOHMH. The New York University Center for the Study of Asian American Health is supported by the NIH/NIMHD cooperative agreement number 2P60MD000538-10. The contents of this article are solely the responsibility of the authors and do not necessarily represent the official view of the funders.

Supplementary material

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Supplementary material 1 (DOCX 17 kb)

References

  1. 1.
    National Vital Statistics Reports. Deaths: Final Data for 2009. 2009;60(3). http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_04.pdf.
  2. 2.
    Summary of Vital Statistics 2010: The City of New York, Population and Mortality, http://www.nyc.gov/html/doh/downloads/pdf/vs/vs-population-and-mortality-report.pdf. The New York City Department of Health and Mental Hygiene, 2012.
  3. 3.
    Angell SY, Garg RK, Gwynn RC, Bash L, Thorpe LE, Frieden TR. Prevalence, awareness, treatment, and predictors of control of hypertension in New York City. Circ Cardiovasc Qual Outcomes. 2008;1(1):46–53.PubMedCrossRefGoogle Scholar
  4. 4.
    America’s Foreign Born in the Last 50 Years, http://www.census.gov/how/infographics/foreign_born.html. Accessed on 10 June 2014. United States Census Bureau.
  5. 5.
    Frey W. The new metropolitan minority map: regional shifts in Hispanics, Asians, and Blacks from Census 2010. http://www.brookings.edu/research/papers/2011/08/31-census-race-frey. Metropolitan Policy Program, Brookings, 2011.
  6. 6.
    Hirschman C. Immigration and the American century. Demography. 2005;42(4):595–620.PubMedCrossRefGoogle Scholar
  7. 7.
    Vargas CM, Burt VL, Gillum RF, Pamuk ER. Validity of self-reported hypertension in the National Health and Nutrition Examination Survey III, 1988-1991. Prev Med. 1997;26(5 Pt 1):678–85.PubMedCrossRefGoogle Scholar
  8. 8.
    Mentz G, Schulz AJ, Mukherjee B, Ragunathan TE, Perkins DW, Israel BA. Hypertension: development of a prediction model to adjust self-reported hypertension prevalence at the community level. BMC Health Serv Res. 2012;12:312.PubMedPubMedCentralCrossRefGoogle Scholar
  9. 9.
    Kim M, Van Wye G, Kerker B, Thorpe L, Frieden TR. The health of immigrants in New York City. New York: New York City Department of Health and Mental Hygiene, 2006. http://www.nyc.gov/html/doh/downloads/pdf/episrv/episrv-immigrant-report.pdf, Accessed 17 March 2014.
  10. 10.
    New York City Census Query, https://sasebiweb200.health.dohmh.nycnet/epiquery/Census/index2010.html, Accessed 9 Jan 2014.
  11. 11.
    NYC 2000: Results from the 2000 census, demographic/household characteristics and Asian and Hispanic subgroups, http://www.nyc.gov/html/dcp/pdf/census/nyc20002.pdf. Accessed on 10 June 2014. New York City Department of City Planning.
  12. 12.
    US Hispanic Country of Origin Counts for Nation, Top 30 Metropolitan Areas. http://www.pewhispanic.org/2011/05/26/us-hispanic-country-of-origin-counts-for-nation-top-30-metropolitan-areas/. Accessed on 10 June 2014. Pew Research Center.
  13. 13.
    Hoeffel EM, Rastogi S, Kim MO, Shahid H. The Asian Population: 2010 census briefs. Issued March 2012. https://www.census.gov/prod/cen2010/briefs/c2010br-11.pdf Accessed 9 Jan 2014.
  14. 14.
    The New York City Community Health Survey http://www.nyc.gov/html/doh/html/survey/survey.shtml, Accessed 9 Jan 2014.
  15. 15.
    Sanderson M, Yi S, Bartley K, Quitoni K, Curtis C, Angell S, et al. The community health survey, heart follow-up study methodology report. http://www.nyc.gov/html/doh/html/diseases/hfus.shtml. The New York City Department of Health and Mental Hygiene, 2012.
  16. 16.
    National Health and Nutrition Examination Survey (NHANES), Health Tech/Blood Pressure Procedures Manual. http://www.cdc.gov/nchs/data/nhanes/nhanes_09_10/BP.pdf.
  17. 17.
    Ostchega Y, Nwankwo T, Sorlie PD, Wolz M, Zipf G. Assessing the validity of the Omron HEM-907XL oscillometric blood pressure measurement device in a National Survey environment. J Clin Hypertens (Greenwich). 2010;12(1):22–8.CrossRefGoogle Scholar
  18. 18.
    Angell SY, Yi S, Eisenhower D, Kerker BD, Curtis CJ, Bartley K, et al. Sodium intake in a cross-sectional, representative sample of New York City Adults. Am J Public Health, e-View Ahead of Print doi: 102105/AJPH2013301542. 2014.Google Scholar
  19. 19.
    Crim MT, Yoon SS, Ortiz E, Wall HK, Schober S, Gillespie C, et al. National surveillance definitions for hypertension prevalence and control among adults. Circ Cardiovasc Qual Outcomes. 2012;5(3):343–51.PubMedPubMedCentralCrossRefGoogle Scholar
  20. 20.
    Poverty guidelines for the remainder of 2010. http://aspe.hhs.gov/poverty/10poverty.shtml. Accessed 1 Feb 2014. US Department of Health and Human Services.
  21. 21.
    SAS Usage Note 24170: Estimating sensitivity, specificity, positive and negative predictive values, and other statistics, http://support.sas.com/kb/24/170.html, Accessed 9 Jan 2014.
  22. 22.
    Daviglus ML, Talavera GA, Aviles-Santa ML, Allison M, Cai J, Criqui MH, et al. Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States. JAMA. 2012;308(17):1775–84.PubMedPubMedCentralCrossRefGoogle Scholar
  23. 23.
    Bowlin SJ, Morrill BD, Nafziger AN, Jenkins PL, Lewis C, Pearson TA. Validity of cardiovascular disease risk factors assessed by telephone survey: the Behavioral Risk Factor Survey. J Clin Epidemiol. 1993;46(6):561–71.PubMedCrossRefGoogle Scholar
  24. 24.
    Pulsford RM, Stamatakis E, Britton AR, Brunner EJ, Hillsdon MM. Sitting behavior and obesity: evidence from the Whitehall II study. Am J Prev Med. 2013;44(2):132–8.PubMedPubMedCentralCrossRefGoogle Scholar
  25. 25.
    Katzmarzyk PT, Church TS, Craig CL, Bouchard C. Sitting time and mortality from all causes, cardiovascular disease, and cancer. Med Sci Sports Exerc. 2009;41(5):998–1005.Google Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Bureau of Chronic Disease Prevention and Tobacco ControlNew York City Department of Health and Mental HygieneNew YorkUSA
  2. 2.Department of Population HealthNew York University School of MedicineNew YorkUSA
  3. 3.Bureau of Epidemiology ServicesNew York City Department of Health and Mental HygieneNew YorkUSA

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