Agreement between self and partner reports of paternal drinking and smoking. The ALSPAC Study Team. Avon Longitudinal Study of Pregnancy and Childhood.
Agreement between self and partner reports of paternal drinking and smoking. The ALSPAC Study Team. Avon Longitudinal Study of Pregnancy and Childhood.
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DOI：
10.1093/ije/26.2.315
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发表时间：
1997-04
影响因子：
7.7
通讯作者：
K. Passaro;John Noss;D. Savitz;R. Little
中科院分区：
文献类型：
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作者：
K. Passaro;John Noss;D. Savitz;R. Little
背景：我们使用作为前瞻性、基于人群的雅芳（英格兰）妊娠和儿童纵向研究的一部分收集的数据，检查了父亲饮酒和吸烟行为的自我报告和代理报告之间的一致性。方法通过孕妇及其配偶自填问卷获得孕妇男性配偶吸烟和饮酒习惯的信息。对于二分指标（例如吸烟者与非吸烟者），我们通过计算Kappa系数和一致性百分比来评估自我/代理一致性。对于吸烟量和饮酒量的顺序测量，我们计算了完全一致率、同一类别内的一致率和斯皮尔曼相关系数。来自8414对受访者的数据被纳入分析。结果男性和女性报告的父亲吸烟和饮酒状况几乎完全一致（分别为95%和98%）。对于吸烟和饮酒量的分析，同一类别内的一致性仍然很高（吸烟和饮酒分别为90%和98%），但数量上的完全一致性略低（分别为81%和71%）。当排除不吸烟者时，吸烟量的完全一致率特别低（50%）。当夫妻双方的报告不完全一致时，与男性的自我报告相比，女性倾向于报告其伴侣吸烟和饮酒的量较低。结论：我们的研究结果表明，妇女的代理报告，他们的合作伙伴的饮酒和吸烟状况，可以使用相当大的信心，在生殖流行病学研究时，登记的妇女和男子作为参与者是不可行的财政或后勤原因。然而，当使用代理报告来获得有关吸烟和饮酒量的更详细信息时，需要谨慎。
BACKGROUND We examined agreement between self and proxy reports of paternal drinking and smoking behaviour using data collected as part of the prospective, population-based Avon (England) Longitudinal Study of Pregnancy and Childhood. METHODS Information on the smoking and drinking habits of pregnant women's male partners was obtained through self-administered questionnaires completed by pregnant participants and by their partners. For dichotomous indicators (e.g. smoker versus non-smoker), we evaluated self/proxy agreement by calculating Kappa coefficients and per cent agreement. For ordinal measures of smoking and drinking amounts, we calculated per cent perfect agreement, per cent agreement within one category, and Spearman correlation coefficients. Data from 8414 respondent pairs were included in the analyses. RESULTS Men's and women's reports of paternal smoking and drinking status were in nearly complete agreement (95% and 98%, respectively). For analyses of smoking and drinking amounts, agreement within one category remained high (90% and 98% for smoking and drinking, respectively), but perfect agreement on amount was somewhat lower (81% and 71%, respectively). Per cent perfect agreement on smoking amount was especially low (50%) when non-smokers were excluded. When couples' reports were not in perfect agreement, women tended to report lower amounts of smoking and drinking for their partners compared to the men's self reports. CONCLUSIONS Our results suggest that women's proxy reports of their partners' drinking and smoking status can be used with considerable confidence in reproductive epidemiological studies when the enrollment of both women and men as participants is infeasible for financial or logistical reasons. Caution is warranted, however, when proxy reports are used for more detailed information on smoking and drinking amounts.