Validity of diabetes self-reports in the Women’s Health Initiative

Jackson, Jody; DeFor, Terese A.; Crain, A. Lauren; Kerby, Tessa; Strayer, Lori G.; Lewis, Cora E.; Whitlock, Evelyn P; Williams, Selvi B; Vitolins, Mara Z.; Rodabough, Rebecca J.; Larson, Joseph C.; Habermann, Elizabeth B.; Margolis, Karen L.

doi:10.1097/gme.0000000000000189

Cited by 97 publications

(66 citation statements)

References 34 publications

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“…Our data are based on self-report, which misses a large fraction of the total cases of diabetes. Other than that, self-report of diabetes shows little disagreement with other sources of information [24–26]. Further, we are unable to classify these patients by their type of diabetes, although, previous analyses based on age at diagnosis suggest that the vast majority of the cases are of type 2 diabetes [13].…”

Section: Discussionmentioning

confidence: 70%

Trends in the prevalence of self-reported diabetes in Brazilian capital cities and the Federal District, 2006–2014

Iser

Vigo

Duncan

et al. 2016

Diabetol Metab Syndr

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BackgroundDiabetes is increasing globally, particularly in low and middle income countries, posing a great challenge to health systems. Brazil is currently ranked 4th in the world in terms of the absolute number of persons with diabetes. Our aim was to analyze the trend in self-reported diabetes prevalence between 2006 and 2014 in Brazilian adults.MethodsWe used data from the national telephone survey—VIGITEL. Over 40,000 individuals from probabilistic sample of subjects ≥18 years old residing in 26 state capitals and the Federal District were interviewed per year in each location. Estimates were weighted to represent the surveyed population. We analyzed trends with a linear regression model. We adjusted prevalence with a probability predictive margins model, using as reference categories: men, 18–24 years, ≥12 years of schooling and lean/normal weight.ResultsFrom 2006 to 2014, the overall prevalence increased from 5.5 to 8.0 %, a net rise of 0.26 %/year (P = 0.001). After adjustment for sex, age, schooling and BMI categories, the trend decreased only slightly to 0.25 %/year. Relatively greater adjusted increases were present in men (0.28 %/year), in those ≥65 years (0.52 %/year), with ≤8 years of schooling (0.33 %/year) and in those overweight (0.24 %/year). The most consistent upward trends were observed among men (coefficient of determination, R2 = 0.93), those with educational attainment of 0–8 years (R2 = 0.81), those > 65 years (R2 = 0.79) and those who were overweight (R2 = 0.75). There was no significant trend in diabetes prevalence for the obese. As expected, the prevalence of self-reported diabetes was always higher among those with greater age, less schooling, in women, and in those with obesity. Being obese was associated with having more than twice the prevalence of diabetes of those normal/underweight.ConclusionsPrevalence of self-reported diabetes in Brazilian adults has risen between 2006 and 2014, especially among those 65 years or older, even after taking into account the sociodemographic and nutritional changes during the period. Regardless of possible causes (higher incidence, increased diagnosis or decreased mortality), this increase in prevalence has enormous implications for the health system, representing >300,000 newly diagnosed cases of diabetes yearly requiring health care.

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Section: Discussionmentioning

confidence: 70%

Trends in the prevalence of self-reported diabetes in Brazilian capital cities and the Federal District, 2006–2014

Iser

Vigo

Duncan

et al. 2016

Diabetol Metab Syndr

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“…On the other hand, there are a few studies on the validity of self-reported diabetes in Brazilian populations. Although studies conducted outside Brazil have indicated that self-report of diabetes shows little disagreement with other sources of information (Jackson et al, 2014). A Brazilian study showed a low sensitivity (57.1%), suggesting that self-reported diabetes may not be suitable as an indicator of disease prevalence for the Brazilian population (Lima-Costa et al, 2004).…”

Section: Resultsmentioning

confidence: 97%

<b>Prevalence of self-reported <i>diabetes</i> and hypertension among users of primary health care services

Martinez

Terada

Giglio

et al. 2018

Acta Sci. Health Sci.

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ABSTRACT. The objective of this cross-sectional study was to estimate the prevalence of self-reported hypertension and diabetes among the users of primary health care services of Southeast Ribeirão Preto, State of São Paulo, Brazil, and to identify variables which may be associated with these chronic conditions. A stratified sample of 1,055 adult individuals was surveyed, with the resulting associations being examined by using log-binomial regression models and then expressed as prevalence ratios (PRs). The prevalence of self-reported hypertension among women was 20.2% (95%CI: 17.5-23.1) and among men was 29.0% (95%CI: 22.9-35.5), while the prevalence of self-reported diabetes among women was 6.9% (95%CI: 5.2-8.8) and among men was 12.2% (95% CI: 8.1-17.3). The prevalence of both conditions increases significantly with age. Crude and adjusted PRs indicate no association between socioeconomic status and the self-reported chronic conditions. Keywords: multiple chronic conditions, health services, cross-sectional studies.Prevalência de diabetes e hipertensão arterial autorreferidas entre usuários de serviços de atenção primária de saúde RESUMO. O objetivo deste estudo transversal foi estimar a prevalência de hipertensão e diabetes autorreferidas entre os usuários dos serviços de atenção primária à saúde de Ribeirão Preto, sudoeste do Brasil, e identificar variáveis que possam estar associadas a estas condições crônicas. Uma amostra estratificada de 1.055 adultos foi utilizada. Associações foram examinadas por modelos de regressão logbinomial e expressas por razões de prevalência (RPs). A prevalência de hipertensão autorreferida entre as mulheres foi 20,2% (IC95%: 17,5 -23,1) e entre homens foi 29,0% (IC95%: 22,9 -35,5). A prevalência de diabetes entre as mulheres foi 6,9% (IC95%: 5,2 -8,8) e entre homens foi 12,2% (IC 95%: 8,1 -17,3). A prevalência de ambas as condições cresceu significativamente com a idade. RPs brutas e ajustadas não indicaram associação entre o estado socioeconômico e as condições autorreferidas.Palavras-chave: condições de saúde crônicas múltiplas, serviços de saúde, estudos transversais.

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“…Further, numerous studies suggest that people diagnosed with diabetes are aware of their condition and can report it accurately. [23][24][25] Regarding the accuracy of recalling diabetes screening, data are limited. However, for cholesterol screening, which is analogous in its mechanism of screening (blood draw, sometimes fasting), the available evidence indicates that screening recall (both of it being performed and of the results) is fairly reliable, 26,27 although some data indicate that people tend to underreport such screening.…”

Section: Discussionmentioning

confidence: 99%

National Patterns in Diabetes Screening: Data from the National Health and Nutrition Examination Survey (NHANES) 2005–2012

et al. 2014

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BACKGROUND: There are few current population-based estimates of the patterns of diabetes screening in the United States. The American Diabetes Association (ADA) recommends universal screening of adults ≥ 45 years, and high-risk adults < 45 years, but there is no current assessment of ADA guideline performance in detecting diabetes and prediabetes. Furthermore, data on racial/ ethnic patterns of screening are limited. OBJECTIVE: Our aim was to estimate diabetes screening prevalence for the US adult population and specifically for those who meet ADA criteria; to report the prevalence of prediabetes and diabetes among these groups; and to determine if high-risk race/ethnicity was associated with reported screening. DESIGN: This was a Cross-sectional survey. PARTICIPANTS: Non-pregnant adults (≥ 21 years) without diabetes or prediabetes who participated in the National Health and Nutrition Examination Survey (NHANES) in 2005-2012 (n=17,572) were included in the study. "Screening-recommended" participants, classified by ADA criteria, included (1) adults ≥ 45 years and (2) "high-risk" adults < 45 years. "Screening-not-recommended" participants were adults < 45 years who did not meet criteria. MAIN MEASURES: Diabetes screening status was obtained by self-report. We used calibrated HbA 1c and/or fasting glucose levels to define undiagnosed diabetes and prediabetes. KEY RESULTS: Seventy-six percent of the study population (approximately 136 million US adults) met ADA criteria. Among them, less than half (46.2 %) reported screening; undiagnosed diabetes affected 3.7 % (5 million individuals), and undiagnosed prediabetes affected 36.3 % (49 million people.) African Americans were more likely to report screening, both among adults ≥ 45 years and among "high risk" younger adults (OR 1.27 and 1.36, respectively.) Hispanic participants were also more likely to report screening (OR 1.31 for older adults, 1.42 for younger adults.) The screening rate among "screeningnot-recommended" adults was 29.6 %; the prevalence of diabetes and prediabetes were 0.4 and 10.2 %, respectively. CONCLUSIONS:In a nationally representative sample, 76 % of adults met ADA screening criteria, of whom fewer than half reported screening. Limitations include crosssectional design and screening self-report.

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Validity of diabetes self-reports in the Women’s Health Initiative

Cited by 97 publications

References 34 publications

Trends in the prevalence of self-reported diabetes in Brazilian capital cities and the Federal District, 2006–2014

Trends in the prevalence of self-reported diabetes in Brazilian capital cities and the Federal District, 2006–2014

<b>Prevalence of self-reported <i>diabetes</i> and hypertension among users of primary health care services

National Patterns in Diabetes Screening: Data from the National Health and Nutrition Examination Survey (NHANES) 2005–2012

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