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

Kuiper, Ingrid N. (författare)
Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, Norway
Svanes, Cecilie (författare)
Univ Bergen, Dept Global Publ Hlth & Primary Care, Ctr Int Hlth, Bergen, Norway;Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, Norway
Benediktsdottir, Bryndis (författare)
Univ Iceland, Fac Med, Reykjavik, Iceland
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Bertelsen, Randi J. (författare)
Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, Norway;Univ Bergen, Dept Clin Sci, Bergen, Norway
Braback, Lennart (författare)
Umea Univ, Occupat & Environm Med, Umea, Sweden
Dharmage, Shyamali C. (författare)
Univ Melbourne, Melbourne Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Melbourne, Vic, Australia
Holm, Mathias (författare)
Univ Gothenburg, Dept Occupat & Environm Med, Gothenburg, Sweden
Janson, Christer (författare)
Uppsala universitet,Lung- allergi- och sömnforskning
Jogi, Rain (författare)
Tartu Univ Hosp, Lung Clin, Tartu, Estonia
Malinovschi, Andrei, 1978- (författare)
Uppsala universitet,Klinisk fysiologi
Matheson, Melanie (författare)
Univ Melbourne, Melbourne Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Melbourne, Vic, Australia
Martinez Moratalla, Jesus (författare)
Complejo Hosp Univ Albacete, Serv Neumol, Serv Salud Castilla, La Mancha, Albacete, Spain
Gomez Real, Francisco (författare)
Haukeland Hosp, Dept Gynecol & Obstet, Bergen, Norway;Univ Bergen, Dept Clin Sci, Bergen, Norway
Luis Sanchez-Ramos, Jose (författare)
Univ Huelva, Fac Enfermeria, Huelva, Spain
Schlunssen, Vivi (författare)
Natl Res Ctr Working Environm, Copenhagen, Denmark;Aarhus Univ, Danish Ramazzini Ctr, Dept Publ Hlth, Aarhus, Denmark
Timm, Signe (författare)
Aarhus Univ, Danish Ramazzini Ctr, Dept Publ Hlth, Aarhus, Denmark
Johannessen, Ane (författare)
Univ Bergen, Dept Global Publ Hlth & Primary Care, Ctr Int Hlth, Bergen, Norway;Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, Norway
visa färre...
 (creator_code:org_t)
BMC, 2018
2018
Engelska.
Ingår i: BMC Pulmonary Medicine. - : BMC. - 1471-2466 .- 1471-2466. ; 18
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • 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.

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Nyckelord

Agreement
Validation
Asthma
Questionnaire
Self-report
Transgenerational

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