Autor: |
Schneider AL; Department of Epidemiology Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. andrea.christman@gmail.com, Pankow JS, Heiss G, Selvin E |
Jazyk: |
angličtina |
Zdroj: |
American journal of epidemiology [Am J Epidemiol] 2012 Oct 15; Vol. 176 (8), pp. 738-43. Date of Electronic Publication: 2012 Sep 25. |
DOI: |
10.1093/aje/kws156 |
Abstrakt: |
The objective of this study was to assess the validity of prevalent and incident self-reported diabetes compared with multiple reference definitions and to assess the reliability (repeatability) of a self-reported diagnosis of diabetes. Data from 10,321 participants in the Atherosclerosis Risk in Communities (ARIC) Study who attended visit 4 (1996-1998) were analyzed. Prevalent self-reported diabetes was compared with reference definitions defined by fasting glucose and medication use obtained at visit 4. Incident self-reported diabetes was assessed during annual follow-up telephone calls and was compared with reference definitions defined by fasting glucose, hemoglobin A1c, and medication use obtained during an in-person visit attended by a subsample of participants (n = 1,738) in 2004-2005. The sensitivity of prevalent self-reported diabetes ranged from 58.5% to 70.8%, and specificity ranged from 95.6% to 96.8%, depending on the reference definition. Similarly, the sensitivity of incident self-reported diabetes ranged from 55.9% to 80.4%, and specificity ranged from 84.5% to 90.6%. Percent positive agreement of self-reported diabetes during 9 years of repeat assessments ranged from 92.7% to 95.4%. Both prevalent self-reported diabetes and incident self-reported diabetes were 84%-97% specific and 55%-80% sensitive as compared with reference definitions using glucose and medication criteria. Self-reported diabetes was >92% reliable over time. |
Databáze: |
MEDLINE |
Externí odkaz: |
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