The reliability and validity of the self-reported drinking measures in the Army's Health Risk Appraisal survey.
The reliability and validity of the self-reported drinking measures in the Army's Health Risk Appraisal survey.
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陆军健康风险评估调查中自我报告的饮酒措施的可靠性和有效性。
DOI：
10.1097/01.alc.0000067978.27660.73
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Amoroso,PaulJ
中科院分区：
文献类型：
--
作者：
Bell,NicoleS;Williams,JeffreyO;Senier,Laura;Strowman,ShelleyR;Amoroso,PaulJ
背景：军队健康风险评估（HRA）survey中自我报告的饮酒行为的可靠性和有效性尚不清楚。方法：我们比较了完成HRA的人与未完成HRA的人（1991-1998年）的人口统计学和健康经历。我们还评估了8个HRA酒精相关项目的信度和效度，包括CAGE，每周饮酒量和饮酒和驾驶措施。采用Cohen的κ和Pearson的sr评定量表的信度和聚合效度。为了评估标准（预测）的有效性，我们使用比例风险和逻辑回归模型预测酒精相关的住院治疗和酒精相关的分离从Army.Results：共有404，966名士兵完成了HRA。没有一个特定的人口群体似乎是过度或不足的。虽然很少有受访者跳过酒精项目，但那些跳过的人往往年龄较大，而且是少数民族。酒精项目表现出合理程度的可靠性，Cronbach的α= 0.69和重测可靠性协会在0.75-0.80范围内的大多数项目超过2至30天的调查之间的间隔。酒精测量显示出良好的标准相关有效性：每周饮酒超过21杯的患者随后因酒精相关住院的风险是戒酒患者的6倍（风险比，6.36; 95%置信区间=5.79，6.99）。那些说他们的朋友担心他们喝酒的人因酗酒而出院的可能性几乎是其他人的5倍（风险比，4.9; 95%置信区间=4.00，6.04），经历酒精相关住院的可能性是其他人的6倍（风险比，6.24; 95%置信区间=5.74，6.77）。由于HRA包含标识符，酒精使用可以与随后的健康和职业结果相关联，使HRA成为有用的流行病学研究工具。饮酒和随后的问题之间的协会感知同伴意见值得进一步探讨。
Background:The reliability and validity of self‐reported drinking behaviors from the Army Health Risk Appraisal (HRA) survey are unknown.Methods:We compared demographics and health experiences of those who completed the HRA with those who did not (1991–1998). We also evaluated the reliability and validity of eight HRA alcohol‐related items, including the CAGE, weekly drinking quantity, and drinking and driving measures. We used Cohen's κ and Pearson'srto assess reliability and convergent validity. To assess criterion (predictive) validity, we used proportional hazards and logistical regression models predicting alcohol‐related hospitalizations and alcohol‐related separations from the Army, respectively.Results:A total of 404,966 soldiers completed an HRA. No particular demographic group seems to be over‐ or underrepresented. Although few respondents skipped alcohol items, those who did tended to be older and of minority race. The alcohol items demonstrate a reasonable degree of reliability, with Cronbach's α= 0.69 and test‐retest reliability associations in the 0.75–0.80 range for most items over 2‐ to 30‐day interims between surveys. The alcohol measures showed good criterion‐related validity: those consuming more than 21 drinks per week were at 6 times the risk for subsequent alcohol‐related hospitalization versus those who abstained from drinking (hazard ratio, 6.36; 95% confidence interval=5.79, 6.99). Those who said their friends worried about their drinking were almost 5 times more likely to be discharged due to alcoholism (risk ratio, 4.9; 95% confidence interval=4.00, 6.04) and 6 times more likely to experience an alcohol‐related hospitalization (hazard ratio, 6.24; 95% confidence interval=5.74, 6.77).Conclusions:The Army's HRA alcohol items seem to elicit reliable and valid responses. Because HRAs contain identifiers, alcohol use can be linked with subsequent health and occupational outcomes, making the HRA a useful epidemiological research tool. Associations between perceived peer opinions of drinking and subsequent problems deserve further exploration.
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DOI：
10.1001/jama.1984.03350140051025
发表时间：
1984
期刊：
JAMA
影响因子：
--
作者：
J. Ewing
通讯作者：
J. Ewing
DOI：
10.15288/jsa.1995.56.695
发表时间：
1995-11-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
CHERPITEL, CJ
通讯作者：
CHERPITEL, CJ
饮酒问题
DOI：
--
发表时间：
1974
期刊：
Occupational Health Nursing
影响因子：
--
作者：
L. Hannigan
通讯作者：
L. Hannigan
第 3 章 – 测量1
影响因子：
3.9
作者：
G. Bohrnstedt
通讯作者：
G. Bohrnstedt
陆军机组人员的健康风险行为。
DOI：
10.1097/00043764-199208000-00016
发表时间：
1992
期刊：
Journal of occupational medicine. : official publication of the Industrial Medical Association
影响因子：
--
作者：
D. Fitzpatrick;S. Shannon
通讯作者：
S. Shannon