Using Decision Rules to Assess Occupational Exposure in Population-Based Studies.
Using Decision Rules to Assess Occupational Exposure in Population-Based Studies.
复制标题
在基于人群的研究中使用决策规则评估职业暴露。
DOI：
10.1007/s40572-019-00240-w
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发表时间：
2019
影响因子：
7.9
通讯作者：
Friesen,MelissaC
中科院分区：
文献类型：
--
作者：
Sauvé,Jean-François;Friesen,MelissaC
基于人群的研究越来越多地将从受试者收集的基于任务的职业问卷回答与通过透明，可编程的决策规则进行的暴露估计联系起来。我们回顾了最近的应用程序和方法的发展，以规则为基础的approaches.Recent FindingsAgent-specific决策规则需要面试纳入工作任务为基础的问题。一些研究在访谈之前制定了规则，而另一些研究在访谈完成后制定了规则。基于规则的估计值与使用逐岗位专家评审分配的暴露量之间的一致性一般为中等至良好（Kappa = 0.4-0.8）。规则提供定量强度水平使用测量数据或集成多个独立的暴露源为同一个工作代表进一步的进步，以提高人口study.SummaryDecision规则的职业暴露的特征提供了透明和可重复的评估，减少工作岗位的审查，并促进流行病学研究的敏感性分析。未来的研究应考虑制定决策规则，同时进行问卷设计，以促进职业暴露评估工作。
Purpose of ReviewPopulation-based studies increasingly link task-based occupational questionnaire responses collected from subjects to exposure estimates via transparent, programmable decision rules. We reviewed recent applications and methodological developments of rule-based approaches.Recent FindingsAgent-specific decision rules require interviews incorporating work-task-based questions. Some studies have developed rules before the interviews took place, while others developed rules after the interviews were completed. Agreement between rule-based estimates and exposures assigned using job-by-job expert review were generally moderate to good (Kappa = 0.4–0.8). Rules providing quantitative intensity levels using measurement data or that integrate multiple independent exposure sources for the same job represent further advances to improve the characterization of occupational exposures in population studies.SummaryDecision rules have provided transparent and reproducible assessments, reduce job-by-job review, and facilitate sensitivity analyses in epidemiologic studies. Future studies should consider the development of decision rules concurrent with the questionnaire design to facilitate occupational exposure assessment efforts.