[Validity of self-reported hypertension and its determinants (the Bambuí study)].
OBJECTIVE
Assessing the validity of self-reported hypertension and its determinants among adults living in the community was the objective of this study.


METHODS
A simple random sample of residents in the city of Bambuí, State of Minas Gerais, Brazil aged >18 years was selected. Three blood pressure measurements were performed in 970 inhabitants. Sensitivity, specificity as well as positive and negative predictive values of self-reported hypertension were assessed in relation to hypertension (mean blood pressure >90 or >140 mm Hg and/or present use of anti-hypertensive drugs).


RESULTS
Sensibility and specificity of self-reported hypertension were 72.1% (95% CI: 69.3-75.0) and 86.4% (95% CI: 84.3-88.6), respectively. Its prevalence was 27.2% (95% CI: 24.4-30.1), being reasonably similar to the prevalence of hypertension (23.3%; 95% CI: 20.7-26.1%). The validity of self-reported hypertension was higher among women, among individuals aged 40-59 and > or =60 years, among those who visited a doctor more recently (< two years) and among those with higher body mass index (>25 kg/m2).


CONCLUSIONS
The results of this study show that self-reported hypertension is an appropriate indicator of hypertension prevalence, even in a population not living in a large urban center.
Lima-Costa
Maria Fernanda
MF
Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. lima-costa@cpqrr.fiocruz.br
Peixoto
Sérgio Viana
SV
Firmo
Josélia Oliveira Araújo
JO
D000293:Adolescent; D000328:Adult; D001795:Blood Pressure Determination / Q000379:methods*; D015992:Body Mass Index; D001938:Brazil / Q000453:epidemiology; D004522:Educational Status; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000453:epidemiology; D007182:Income; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged