Reliability and validity of a global question on self-reported chronic morbidity

被引：16
作者：
Van Der Heyden J. [1 ,2 ]
De Bacquer D. [2 ]
Tafforeau J. [1 ]
Van Herck K. [2 ]
机构：
[1] Scientific Institute of Public Health, Unit Surveys, Lifestyle and Chronic Diseases, 1050 Brussels, 14, Juliette Wytsmanstraat
[2] Department of Public Health, Ghent University, 9000 Ghent
来源：
Journal of Public Health | 2014年 / 22卷 / 4期
关键词：
Chronic disease; Health interview survey; Reliability; Validity;
D O I：
10.1007/s10389-014-0624-9
中图分类号：
学科分类号：
摘要：
Aim: A global question on chronic morbidity is included in many national health interview surveys. According to a recent EU Commission regulation, information on this item should be collected in all EU member states. However, little is known about the reliability and validity of such a question. Subject and methods: The reliability of a global question on chronic morbidity was investigated among persons who participated in 2001 in both the Belgian health interview survey (HIS) and the national population census (n = 2,871) by using kappa statistics and logistic regression. In addition, data from the HIS 2001 and 2004 (n = 21,376) were used to study estimates and determinants of the sensitivity of this global chronic morbidity measure among people with specific chronic diseases. Results: In terms of reliability, the kappa statistic showed only moderate agreement (0.559; 95% CI 0.523-0.594). Additionally, the sensitivity of the global question on chronic-morbidity ranged from 49.9 to 87.2%, depending on the type of disease. A much higher sensitivity was observed among people who rated their health status to be moderate to bad (adjusted OR 3.85; 95% CI 3.17-4.69). Conclusion: Self-reported chronic morbidity, measured by a single and global question, is a reasonably reliable instrument to measure ill health. The global instrument provides useful information on the burden of disease, because it takes into account the relevance of the diseases for the people themselves. © Springer-Verlag 2014.
引用
收藏
页码：371 / 380
页数：9
相关论文
共 30 条
  • [1] Aromaa A., Koponen P., Tafforeau J., Vermeire C., Evaluation of health interview surveys and health examination surveys in the European Union, Eur J Pub Health, 13, pp. 67-72, (2003)
  • [2] Bombak A.E., Bruce S.G., Self-rated health and ethnicity: Focus on indigenous populations, Int J Circumpolar Health, 71, (2012)
  • [3] Bombard J.M., Powell K.E., Martin L.M., Helmick C.G., Wilson W.H., Validity and reliability of self-reported arthritis: Georgia senior centers, 2000-2001, Am J Prev Med, 28, pp. 251-258, (2005)
  • [4] Brix T.H., Kyvik K.O., Hegedus L., Validity of self-reported hyperthyroidism and hypothyroidism: Comparison of self-reported questionnaire data with medical record review, Thyroid, 11, pp. 769-773, (2001)
  • [5] Burata V., Frova L., Gargiulo L., Gianicolo E., Prati S., Quattrociocchi L., Development of a common instrument for chronic physical conditions, Development of Common Instruments for Health Surveys, pp. 21-34, (2003)
  • [6] Cox B., Van O.H., Cambois E., Jagger C., Le Roy S., Robine J.M., Romieu I., The reliability of the Minimum European health module, Int J Public Health, 54, pp. 55-60, (2009)
  • [7] Crossley T.F., Kennedy S., The reliability of self-assessed health status, J Health Econ, 21, pp. 643-658, (2002)
  • [8] Dal Grande E., Fullerton S., Taylor A.W., Reliability of self-reported health risk factors and chronic conditions questions collected using the telephone in South Australia, Australia, BMC Med Res Methodol, 12, (2012)
  • [9] De Bruin A., Picavet H.S., Nossikov A., Health Interview Surveys: Towards International Harmonization of Methods and Instruments, (1996)
  • [10] Deeg D.J., Kriegsman D.M., Concepts of self-rated health: Specifying the gender difference in mortality risk, Gerontologist, 43, pp. 376-386, (2003)
123