hypertension; blood pressure; self-report; low-income housing residents; low-income population; health disparities
Cardiovascular Diseases | Community Health and Preventive Medicine | Public Health
Self-report is widely used to measure hypertension prevalence in population-based studies, but there is little research comparing self-report with measured blood pressure among low-income populations. The objective of this study was to compare self-reported and measured blood pressure status among a sample of low-income housing residents in New York City (n=118). We completed a cross-sectional analysis comparing self-report with measured blood pressure status. We determined the sensitivity, specificity, and positive predictive value (PPV) of each self-report metric. Of the sample, 68.1% was Black, 71.1% had a household income under $25,000/year, and 28.5% did not complete high school. In our study, there was a discrepancy in the prevalence hypertension by self-report (30.5%) versus measurement (39.8%). PPV of self-report was 94.4%. Specificity was 97.2%. Hypertension awareness (sensitivity) was 72.3%. Of individuals not reporting hypertension, 15.9% had measurements in the hypertensive range and 43.9% had measurements in the borderline hypertensive range. Our findings suggest that self-reported and objective measures of hypertension are incongruent among low-income housing residents and may have important implications for population-based research among low-income populations.
Williams, James H. AB; Duncan, Dustin T. ScD; Cantor, Jonathan MS; Elbel, Brian PhD MPH; Ogedegbe, Gbenga MD MS MPH; and Ravenell, Joseph MD MS
"A Comparison of Measured and Self-Reported Blood Pressure Status among Low-Income Housing Residents in New York City,"
Journal of Health Disparities Research and Practice: Vol. 9:
4, Article 9.
Available at: https://digitalscholarship.unlv.edu/jhdrp/vol9/iss4/9