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Erschienen in: Rheumatology International 12/2016

06.10.2016 | Public Health

Factors associated with the accuracy of self-reported osteoporosis in the community

verfasst von: Tina D. Cunningham, Sarah C. DeShields

Erschienen in: Rheumatology International | Ausgabe 12/2016

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Abstract

We examined the agreement between self-reported osteoporosis and bone mineral density (BMD) results through dual-energy x-ray absorptiometry (DXA) using data from a national representative sample taken from the US communities. Six-year data from the continuous National Health and Nutrition Examination Survey 2005–2006, 2007–2008, and 2009–2010 were merged. Participants included adults 50 years of age or older whose data appeared in both questionnaire and medical examination data files. Self-reported osteoporosis was defined by an affirmative response to a question in the osteoporosis questionnaire then compared with BMD-defined osteoporosis, defined by BMD values taken from the examination data. Agreement between self-reported osteoporosis and DXA results were low. Kappa was only 0.24 (95 % confidence interval = 0.21–0.27), and sensitivity and positive predictive value were 28.0 and 40.8 %, respectively. When stratified by gender or age group, agreement remained poor. Self-report of osteoporosis would not be suitable for accurate prevalence estimates for osteoporosis regardless of gender or age group.
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Metadaten
Titel
Factors associated with the accuracy of self-reported osteoporosis in the community
verfasst von
Tina D. Cunningham
Sarah C. DeShields
Publikationsdatum
06.10.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Rheumatology International / Ausgabe 12/2016
Print ISSN: 0172-8172
Elektronische ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-016-3573-5

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