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

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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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Authors and Affiliations

  1. The Center for Health Analytics and Discovery, Eastern Virginia Medical School, Harry Lester Building, 651 Colley Avenue, Norfolk, VA, 23507, USA

    Tina D. Cunningham & Sarah C. DeShields

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  1. Tina D. Cunningham
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  2. Sarah C. DeShields
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Correspondence to Tina D. Cunningham.

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Tina D. Cunningham declares that she has no conflict of interest in this study. Sarah C DeShields declares that she has no conflict of interest in this study. The contents of this manuscript have not been previously published and are not currently submitted elsewhere.

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This article does not contain any studies with human participants or animals performed by any of the authors. The data being used are de-identified public data.

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Cunningham, T.D., DeShields, S.C. Factors associated with the accuracy of self-reported osteoporosis in the community. Rheumatol Int 36, 1633–1640 (2016). https://doi.org/10.1007/s00296-016-3573-5

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