Validation of self-reported diabetes in a representative sample of São Paulo city
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100215 |
Resumo: | ABSTRACT OBJECTIVE To validate the self-reported diabetes mellitus in adults and older adults living in the city of São Paulo, Brazil. METHODS We have used data of 569 subjects (284 adults and 285 older adults), participants of the population-based cross-sectional study Inquérito de Saúde do Município de São Paulo (Health Survey of São Paulo). Fasting glucose ≥ 7.0 mmol/L (126 mg/dL) and/or use of drugs (oral hypoglycemic and/or insulin) defined the diagnosis of diabetes mellitus. We have validated the self-reported diabetes mellitus by calculating the sensitivity, specificity, positive predictive values, and negative predictive values. We have used Poisson regression with robust variance to verify the factors associated with the sensitivity of the self-reported datum. For all analyses, we have considered the sample design of the study. RESULTS The sensitivity of self-reported diabetes mellitus was 63.8% (95%CI 49.2–76.3), specificity was 99.7% (95%CI 99.1–99.9), positive predictive value was 95.5% (95%CI 84.4–98.8), and negative predictive value was 96.9% (95%CI 94.9–98.2). The correct reporting of diabetes mellitus was more prevalent among older adults (PR = 2.0; 95%CI 1.2–3.5) than among adults. CONCLUSIONS The use of the datum of self-reported diabetes mellitus is valid, especially among older adults living in the city of São Paulo. The results highlight the need to track diabetes mellitus in asymptomatic subjects who have one or more risk factors for it, mainly in the adult population of this city. |
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Validation of self-reported diabetes in a representative sample of São Paulo cityDiabetes Mellitus, epidemiologyDiagnostic Self EvaluationHealth SurveysReproducibility of ResultsValidation StudiesABSTRACT OBJECTIVE To validate the self-reported diabetes mellitus in adults and older adults living in the city of São Paulo, Brazil. METHODS We have used data of 569 subjects (284 adults and 285 older adults), participants of the population-based cross-sectional study Inquérito de Saúde do Município de São Paulo (Health Survey of São Paulo). Fasting glucose ≥ 7.0 mmol/L (126 mg/dL) and/or use of drugs (oral hypoglycemic and/or insulin) defined the diagnosis of diabetes mellitus. We have validated the self-reported diabetes mellitus by calculating the sensitivity, specificity, positive predictive values, and negative predictive values. We have used Poisson regression with robust variance to verify the factors associated with the sensitivity of the self-reported datum. For all analyses, we have considered the sample design of the study. RESULTS The sensitivity of self-reported diabetes mellitus was 63.8% (95%CI 49.2–76.3), specificity was 99.7% (95%CI 99.1–99.9), positive predictive value was 95.5% (95%CI 84.4–98.8), and negative predictive value was 96.9% (95%CI 94.9–98.2). The correct reporting of diabetes mellitus was more prevalent among older adults (PR = 2.0; 95%CI 1.2–3.5) than among adults. CONCLUSIONS The use of the datum of self-reported diabetes mellitus is valid, especially among older adults living in the city of São Paulo. The results highlight the need to track diabetes mellitus in asymptomatic subjects who have one or more risk factors for it, mainly in the adult population of this city.Faculdade de Saúde Pública da Universidade de São Paulo2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100215Revista de Saúde Pública v.51 2017reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/s1518-8787.2017051006378info:eu-repo/semantics/openAccessFontanelli,Mariane de MelloTeixeira,Juliana AraújoSales,Cristiane HermesCastro,Michelle Alessandra deCesar,Chester Luiz GalvãoAlves,Maria Cecilia Goi PortoGoldbaum,MoisésMarchioni,Dirce MariaFisberg,Regina Maraeng2017-03-22T00:00:00Zoai:scielo:S0034-89102017000100215Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-03-22T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Validation of self-reported diabetes in a representative sample of São Paulo city |
title |
Validation of self-reported diabetes in a representative sample of São Paulo city |
spellingShingle |
Validation of self-reported diabetes in a representative sample of São Paulo city Fontanelli,Mariane de Mello Diabetes Mellitus, epidemiology Diagnostic Self Evaluation Health Surveys Reproducibility of Results Validation Studies |
title_short |
Validation of self-reported diabetes in a representative sample of São Paulo city |
title_full |
Validation of self-reported diabetes in a representative sample of São Paulo city |
title_fullStr |
Validation of self-reported diabetes in a representative sample of São Paulo city |
title_full_unstemmed |
Validation of self-reported diabetes in a representative sample of São Paulo city |
title_sort |
Validation of self-reported diabetes in a representative sample of São Paulo city |
author |
Fontanelli,Mariane de Mello |
author_facet |
Fontanelli,Mariane de Mello Teixeira,Juliana Araújo Sales,Cristiane Hermes Castro,Michelle Alessandra de Cesar,Chester Luiz Galvão Alves,Maria Cecilia Goi Porto Goldbaum,Moisés Marchioni,Dirce Maria Fisberg,Regina Mara |
author_role |
author |
author2 |
Teixeira,Juliana Araújo Sales,Cristiane Hermes Castro,Michelle Alessandra de Cesar,Chester Luiz Galvão Alves,Maria Cecilia Goi Porto Goldbaum,Moisés Marchioni,Dirce Maria Fisberg,Regina Mara |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Fontanelli,Mariane de Mello Teixeira,Juliana Araújo Sales,Cristiane Hermes Castro,Michelle Alessandra de Cesar,Chester Luiz Galvão Alves,Maria Cecilia Goi Porto Goldbaum,Moisés Marchioni,Dirce Maria Fisberg,Regina Mara |
dc.subject.por.fl_str_mv |
Diabetes Mellitus, epidemiology Diagnostic Self Evaluation Health Surveys Reproducibility of Results Validation Studies |
topic |
Diabetes Mellitus, epidemiology Diagnostic Self Evaluation Health Surveys Reproducibility of Results Validation Studies |
description |
ABSTRACT OBJECTIVE To validate the self-reported diabetes mellitus in adults and older adults living in the city of São Paulo, Brazil. METHODS We have used data of 569 subjects (284 adults and 285 older adults), participants of the population-based cross-sectional study Inquérito de Saúde do Município de São Paulo (Health Survey of São Paulo). Fasting glucose ≥ 7.0 mmol/L (126 mg/dL) and/or use of drugs (oral hypoglycemic and/or insulin) defined the diagnosis of diabetes mellitus. We have validated the self-reported diabetes mellitus by calculating the sensitivity, specificity, positive predictive values, and negative predictive values. We have used Poisson regression with robust variance to verify the factors associated with the sensitivity of the self-reported datum. For all analyses, we have considered the sample design of the study. RESULTS The sensitivity of self-reported diabetes mellitus was 63.8% (95%CI 49.2–76.3), specificity was 99.7% (95%CI 99.1–99.9), positive predictive value was 95.5% (95%CI 84.4–98.8), and negative predictive value was 96.9% (95%CI 94.9–98.2). The correct reporting of diabetes mellitus was more prevalent among older adults (PR = 2.0; 95%CI 1.2–3.5) than among adults. CONCLUSIONS The use of the datum of self-reported diabetes mellitus is valid, especially among older adults living in the city of São Paulo. The results highlight the need to track diabetes mellitus in asymptomatic subjects who have one or more risk factors for it, mainly in the adult population of this city. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100215 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100215 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1518-8787.2017051006378 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.51 2017 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1748936503812161536 |