Validity of self‐reported hypertension in India: Evidence from nationally representative survey of adult population over 45 years
Abstract Self‐reported measures of health, in the context of developed countries, are well‐researched and commonly regarded as reliable predictors of the underlying health of the population. However, the validity of these measures is under‐researched and questionable in the context of low‐ and middl...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-11-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14542 |
| _version_ | 1797645163758092288 |
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| author | Mrigesh Bhatia Priyanka Dixit Manish Kumar Laxmi Kant Dwivedi |
| author_facet | Mrigesh Bhatia Priyanka Dixit Manish Kumar Laxmi Kant Dwivedi |
| author_sort | Mrigesh Bhatia |
| collection | DOAJ |
| description | Abstract Self‐reported measures of health, in the context of developed countries, are well‐researched and commonly regarded as reliable predictors of the underlying health of the population. However, the validity of these measures is under‐researched and questionable in the context of low‐ and middle‐income countries. The authors used Longitudinal Ageing Study in India (LASI) survey data from India to compare self‐reported hypertension with biometrically‐measured hypertension. The results are reported in terms of sensitivity, specificity, and kappa as a measure of agreement. Logistic regression was undertaken to examine the characteristics of those who were unaware of their hypertensive status. Our analysis showed a low sensitivity of 56% and a high specificity of 90.5%. Agreement between self‐reported data and biometric measurement of hypertension was observed to be moderate (κ = 0.48). Large variations were observed among states and sub‐groups. The odds of false negative reporting of hypertension were lower in the individuals with higher age, high education, and greater wealth status. The authors conclude that self‐reported hypertension has important limitations and may be a source of systematic bias. It is recommended that planning and policy‐making in India be based more on an objective assessment of hypertension. |
| first_indexed | 2024-03-11T14:42:14Z |
| format | Article |
| id | doaj.art-6e32aa5634bf46198a4b2f402aa2be6b |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:42:14Z |
| publishDate | 2022-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-6e32aa5634bf46198a4b2f402aa2be6b2023-10-30T13:30:49ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762022-11-0124111506151510.1111/jch.14542Validity of self‐reported hypertension in India: Evidence from nationally representative survey of adult population over 45 yearsMrigesh Bhatia0Priyanka Dixit1Manish Kumar2Laxmi Kant Dwivedi3Dept. of Health Policy London School of Economics London UKSchool of Health Systems Studies Tata Institute of Social Sciences Mumbai IndiaInternational Institute for Population Sciences Mumbai IndiaInternational Institute for Population Sciences Mumbai IndiaAbstract Self‐reported measures of health, in the context of developed countries, are well‐researched and commonly regarded as reliable predictors of the underlying health of the population. However, the validity of these measures is under‐researched and questionable in the context of low‐ and middle‐income countries. The authors used Longitudinal Ageing Study in India (LASI) survey data from India to compare self‐reported hypertension with biometrically‐measured hypertension. The results are reported in terms of sensitivity, specificity, and kappa as a measure of agreement. Logistic regression was undertaken to examine the characteristics of those who were unaware of their hypertensive status. Our analysis showed a low sensitivity of 56% and a high specificity of 90.5%. Agreement between self‐reported data and biometric measurement of hypertension was observed to be moderate (κ = 0.48). Large variations were observed among states and sub‐groups. The odds of false negative reporting of hypertension were lower in the individuals with higher age, high education, and greater wealth status. The authors conclude that self‐reported hypertension has important limitations and may be a source of systematic bias. It is recommended that planning and policy‐making in India be based more on an objective assessment of hypertension.https://doi.org/10.1111/jch.14542biometric measurementhypertensionIndiaself‐reported measuresensitivityvalidity |
| spellingShingle | Mrigesh Bhatia Priyanka Dixit Manish Kumar Laxmi Kant Dwivedi Validity of self‐reported hypertension in India: Evidence from nationally representative survey of adult population over 45 years The Journal of Clinical Hypertension biometric measurement hypertension India self‐reported measure sensitivity validity |
| title | Validity of self‐reported hypertension in India: Evidence from nationally representative survey of adult population over 45 years |
| title_full | Validity of self‐reported hypertension in India: Evidence from nationally representative survey of adult population over 45 years |
| title_fullStr | Validity of self‐reported hypertension in India: Evidence from nationally representative survey of adult population over 45 years |
| title_full_unstemmed | Validity of self‐reported hypertension in India: Evidence from nationally representative survey of adult population over 45 years |
| title_short | Validity of self‐reported hypertension in India: Evidence from nationally representative survey of adult population over 45 years |
| title_sort | validity of self reported hypertension in india evidence from nationally representative survey of adult population over 45 years |
| topic | biometric measurement hypertension India self‐reported measure sensitivity validity |
| url | https://doi.org/10.1111/jch.14542 |
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