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Table 3 Relevant factors influencing inconsistency in the self-report on illness, under-reports of illness (under-estimation), and over-reporting of illness (over-estimation)

From: National health data linkage and the agreement between self-reports and medical records for middle-aged and older adults in Taiwan

 

Inconsistency

Under-reports of illness

Overly reports of illness

Diabetes

N = 3601

Hypertension

N = 3601

Diabetes

N = 724

Hypertension

N = 1683

Diabetes

N = 2877

Hypertension

N = 1918

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

Female (ref: Male)

0.86 (0.63–1.17)

0.75 (0.61–0.93)**

1.32 (0.81–2.14)

0.86 (0.61–1.22)

0.49 (0.29–0.82)**

0.59 (0.41–0.85)**

Age

1.00 (0.98–1.02)

1.02 (1.01–1.04)**

1.05 (1.02–1.08)*

1.03 (1.01–1.05)**

0.95 (0.93–0.98)**

1.00 (0.98–1.02)

Ethnic groups (ref: Mainlander)

 Islander

1.14 (0.69–1.90)

1.27 (0.89–1.81)

0.69 (0.32–1.49)

0.77 (0.45–1.30)

1.77 (0.74–4.23)

2.24 (1.1–4.59)*

 Hakka people (including other people)

1.04 (0.58–1.87)

1.11 (0.74–1.66)

1.05 (0.44–2.55)

0.63 (0.34–1.17)

1.05 (0.37–2.95)

2.03 (0.94–4.40)

Level of education (ref: Junior high or higher)

 No education

0.67 (0.40–1.12)

1.02 (0.73–1.43)

0.46 (0.20–1.08)

0.87 (0.51–1.50)

1.44 (0.67–3.07)

1.67 (0.91–3.05)

 Primary school

0.87 (0.62–1.21)

1.24 (0.98–1.55)

0.81 (0.49–1.36)

1.31 (0.90–1.91)

0.85 (0.49–1.46)

1.33 (0.91–1.94)

Living alone

1.62 (1.04–2.52)*

0.68 (0.47–0.98)*

2.00 (0.99–4.03)

0.67 (0.39–1.15)

1.57 (0.75–3.28)

0.88 (0.46–1.68)

Self-reported health conditions

0.88 (0.74–1.04)

1.06 (0.94–1.19)

0.73 (0.55–0.97)*

0.82 (0.68–0.99)*

0.90 (0.68–1.18)

1.61 (1.31–1.98)***

Comorbidities

1.58 (1.40–1.79)***

1.27 (1.16–1.38)***

0.29 (0.21–0.38)***

0.25 (0.20–0.31)***

3.62 (2.9–4.52)***

7.67 (6.08–9.68)***

Cognition (SPMSQ)

0.94 (0.84–1.04)

0.95 (0.89–1.03)

1.05 (0.87–1.27)

0.91 (0.81–1.01)

0.87 (0.75–1.02)

1.01 (0.87–1.16)

Depression (CESD)

0.99 (0.96–1.01)

1.02 (1.00–1.04)

0.99 (0.94–1.03)

1.02 (0.99–1.05)

0.98 (0.94–1.02)

1.01 (0.98–1.05)

  1. * p < .05, ** p < .01, *** p < .001