Repeatability and validity of the rose questionnaire for angina pectoris in the atherosclerosis risk in communities study
Repeatability and validity of the rose questionnaire for angina pectoris in the atherosclerosis risk in communities study
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DOI：
10.1016/0895-4356(96)00022-4
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发表时间：
1996-07-01
影响因子：
7.2
通讯作者：
Szklo, M
中科院分区：
文献类型：
--
作者：
Sorlie, PD;Cooper, L;Szklo, M
在参与社区动脉粥样硬化风险研究的近16，000名黑人和白色男性和女性中评估了由Rose问卷确定的心绞痛（AP），这是一项在四个社区进行的心血管疾病人群研究。问卷调查每年进行一次，并对重复性进行了估计。通过比较Rose AP与危险因素、流行心脏病、药物使用和B型超声测量的颈动脉壁厚度间接评估有效性。使用kappa统计法对间隔1年的阳性Rose AP测定的一致性进行分析，白色男性的一致性水平高于白色女性（白色男性的平均kappa值为0.36，白色女性为0.30），白人的一致性高于黑人（黑人男性和女性的平均kappa值分别为0.23和0.22），持续超过一次测定的Rose AP与颈动脉壁增厚相关，吸烟量增加，心脏病发作的患病率增加，以及胸痛药物的使用增加。单次测定重度Rose AP也与颈动脉壁增厚相关。这些数据表明，多份报告和更严重的Rose AP分级（在水平上行走时报告的疼痛）可能表明更严重的疾病;然而，使用Rose问卷的单一报告似乎有效，即，与疾病和危险因素中度相关，适合用于流行病学研究。
Angina pectoris (AP) as determined by the Rose questionnaire was assessed in nearly 16,000 black and white men and women participating in the Atherosclerosis Risk in Communities Study, a population study of cardiovascular disease in four communities. The questionnaire was administered at yearly intervals and estimates of repeatability were made. Validity was assessed indirectly by comparing Rose AP to risk factors, prevalent heart disease, medication use, and thickness of carotid artery walls as measured by B-mode ultrasound. Using kappa statistics for agreement of positive Rose AP determinations taken 1 year apart, white men show a higher level of agreement than white women (average kappa 0.36 for white men, 0.30 for white women), and whites show a higher level of agreement than blacks (average kappa 0.23 and 0.22 for black men and women, respectively), Rose AP that persists for more than one determination is associated with thicker carotid artery walls, greater amounts of cigarette smoking, greater prevalence of reported heart attack, and greater use of chest pain medications. A single determination of severe Rose AP is also associated with thicker carotid artery walls. These data suggest that multiple reports and the more severe grading of Rose AP (pain reported while walking on the level) are likely to indicate more severe disease; however, a single report using the Rose questionnaire appears valid, i.e., moderately associated with disease and risk factors, and appropriate for use in epidemiological studies.