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  • Kuiper, I. N.Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, Norway (author)

Agreement in reporting of asthma by parents or offspring - the RHINESSA generation study

  • Article/chapterEnglish2018

Publisher, publication year, extent ...

  • 2018-07-27
  • Springer Science and Business Media LLC,2018

Numbers

  • LIBRIS-ID:oai:gup.ub.gu.se/269442
  • https://gup.ub.gu.se/publication/269442URI
  • https://doi.org/10.1186/s12890-018-0687-4DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-150671URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-361995URI

Supplementary language notes

  • Language:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background: Self-report questionnaires are commonly used in epidemiology, but may be susceptible to misclassification, especially if answers are given on behalf of others, e.g. children or parents. The aim was to determine agreement and analyse predictors of disagreement in parents' reports of offspring asthma, and in offspring reports of parents' asthma. Methods: In the Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study, 6752 offspring (age range 18-51 years) and their parents (age range 39-66 years) reported their own and each other's asthma status. Agreement between asthma reports from offspring and parents was determined by calculating sensitivity, specificity, positive and negative predictive value and Cohen's kappa. The participants' own answers regarding themselves were defined as the gold standard. To investigate predictors for disagreement logistic regression analyses were performed to obtain odds ratios (OR) with 95% confidence intervals (CI) for sex, smoking status, education, comorbidity and severity of asthma. Results: Agreement was good for parental report of offspring early onset asthma (< 10 years, Cohen's kappa 0.72) and moderate for offspring later onset asthma (Cohen's kappa 0.46). Specificity was 0.99 for both, and sensitivity was 0.68 and 0.36, respectively. For offspring report of maternal and paternal asthma the agreement was good (Cohen's kappa 0.69 and 0.68), specificity was 0.96 and 0.97, and sensitivity was 0.72 and 0.68, respectively. The positive predictive value (PPV) was lowest for offspring report of maternal asthma (0.75), and highest for parents' report of early onset asthma in the offspring (0.83). The negative predictive value (NPV) was high for all four groups (0.94-0.97). In multivariate analyses current smokers (OR = 1.46 [95% CI 1.05, 2.02]) and fathers (OR = 1.31 [95% CI 1. 08, 1.59]) were more likely to report offspring asthma incorrectly. Offspring wheeze was associated with reporting parental asthma incorrectly (OR = 1.60 [95% CI 1.21, 2.11]), both under- and over reporting. Conclusions: Asthma reports across generations show moderate to good agreement, making information from other generations a useful tool in the absence of direct reports.

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  • Svanes, C.Univ Bergen, Dept Global Publ Hlth & Primary Care, Ctr Int Hlth, Bergen, Norway;Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, Norway (author)
  • Benediktsdottir, B.Univ Iceland, Fac Med, Reykjavik, Iceland (author)
  • Bertelsen, R. J.Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, Norway;Univ Bergen, Dept Clin Sci, Bergen, Norway,Tartu Univ Hosp, Lung Clin, Tartu, Estonia (author)
  • Bråbäck, LennartUmeå universitet,Yrkes- och miljömedicin,Umea Univ, Occupat & Environm Med, Umea, Sweden(Swepub:umu)lebr0005 (author)
  • Dharmage, S. C.Univ Melbourne, Melbourne Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Melbourne, Vic, Australia (author)
  • Holm, Mathias,1969Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för arbets-och miljömedicin,Institute of Medicine, Department of Public Health and Community Medicine, Section of Occupational and environmental medicine,Univ Gothenburg, Dept Occupat & Environm Med, Gothenburg, Sweden(Swepub:gu)xhomat (author)
  • Janson, ChristerUppsala universitet,Lung- allergi- och sömnforskning(Swepub:uu)chrisjn (author)
  • Jogi, R. (author)
  • Malinovschi, Andrei,1978-Uppsala universitet,Klinisk fysiologi(Swepub:uu)anmal535 (author)
  • Matheson, M.Univ Melbourne, Melbourne Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Melbourne, Vic, Australia (author)
  • Moratalla, J. M.Complejo Hosp Univ Albacete, Serv Neumol, Serv Salud Castilla, La Mancha, Albacete, Spain (author)
  • Real, F. G.Haukeland Hosp, Dept Gynecol & Obstet, Bergen, Norway;Univ Bergen, Dept Clin Sci, Bergen, Norway (author)
  • Sanchez-Ramos, J. L.Univ Huelva, Fac Enfermeria, Huelva, Spain (author)
  • Schlunssen, V.Natl Res Ctr Working Environm, Copenhagen, Denmark;Aarhus Univ, Danish Ramazzini Ctr, Dept Publ Hlth, Aarhus, Denmark (author)
  • Timm, S.Aarhus Univ, Danish Ramazzini Ctr, Dept Publ Hlth, Aarhus, Denmark (author)
  • Johannessen, A.Univ Bergen, Dept Global Publ Hlth & Primary Care, Ctr Int Hlth, Bergen, Norway;Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, Norway (author)
  • Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, NorwayUniv Bergen, Dept Global Publ Hlth & Primary Care, Ctr Int Hlth, Bergen, Norway;Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, Norway (creator_code:org_t)

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  • In:Bmc Pulmonary Medicine: Springer Science and Business Media LLC18:1221471-2466

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