Most of the remaining diagnoses are by self report, including cardiovascular risk factors (e.g., hypertension, diabetes) and cardiovascular diseases (e.g., myocardial infarction, congestive heart failure, claudication) [40] and musculoskeletal pain [41]. Tobacco and alcohol use is documented [42]. Systolic and diastolic blood pressure ae measured directly, and all over the counter and prescription medications are recorded. Thus, a diagnosis of diabetes is based on self report and medication use (e.g., insulin) [42]. Sensitivity analyses are routinely performed to ensure findings are not driven by inconsistent information (e.g., diabetes limited to persons on medications). We are also collecting hemoglobin A1C on a subset of participants.
