title: No evidence for marked ethnic differences in accuracy of self-reported diabetes, hypertension, and hypercholesterolemia.
abstract: OBJECTIVE
  To assess whether the accuracy of self-reported diabetes, hypertension, and hypercholesterolemia in high-risk groups differs according to ethnicity.
  
  
  METHODS
  We analyzed data of 430 patients at high risk of cardiovascular disease from different ethnic origin, including Turkish, Surinamese, and Dutch. Risk factors based on self-reports were compared with data from medical records and with a gold standard based on clinical measurements. Proportions of concordance between self-reports and other methods and kappa statistics (kappa) were determined by ethnicity.
  
  
  RESULTS
  Concordance between self-reports and other data sources was highest in diabetes and lowest for hypercholesterolemia. Agreement of self-reports was substantial to almost perfect for diabetes (kappa: 0.84-0.76), substantial to moderate for hypertension (kappa: 0.63-0.51), and moderate for hypercholesterolemia (kappa: 0.55-0.48). There was no statistically significant association between ethnicity and concordance, except for self-reporting of diabetes among Surinamese vs. Dutch indigenous patients (odds ratio=0.37; 95% confidence interval: 0.14-0.97).
  
  
  CONCLUSIONS
  There are no marked ethnic differences in the accuracy of self-reports of diabetes, hypertension, and hypercholesterolemia in high-risk populations. Larger studies including multiple ethnic groups are needed to confirm these findings.
authors.affiliation: Department of Health Policy and Management, Erasmus Medical Centre Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands. fatima.elfakiri@gmail.com
authors.forename: Fatima
authors.initials: F
authors.lastname: El Fakiri
authors.forename: Marc A
authors.initials: MA
authors.lastname: Bruijnzeels
authors.forename: Arno W
authors.initials: AW
authors.lastname: Hoes
mesh_terms: D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000208:ethnology / Q000209:etiology / Q000517:prevention & control; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000208:ethnology*; D003925:Diabetic Angiopathies / Q000208:ethnology; D005006:Ethnicity / Q000523:psychology; D005194:Family Practice; D005260:Female; D006801:Humans; D006937:Hypercholesterolemia / Q000150:complications / Q000175:diagnosis / Q000208:ethnology*; D006973:Hypertension / Q000150:complications / Q000175:diagnosis / Q000208:ethnology*; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D015203:Reproducibility of Results; D012307:Risk Factors; D012650:Self Disclosure