Do health interview surveys yield reliable data on chronic illness among older respondents?
Do health interview surveys yield reliable data on chronic illness among older respondents?
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DOI：
10.1093/oxfordjournals.aje.a010208
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发表时间：
2000-02-01
影响因子：
5
通讯作者：
Lin, YH
中科院分区：
文献类型：
--
作者：
Beckett, M;Weinstein, M;Lin, YH
以前的研究评估健康访谈调查数据的质量通常依赖于家庭访谈数据与医疗记录或其他外部信息来源的比较。然而，“金标准”并不总是令人满意的或可用的，本文说明了另一种方法来评估数据质量检查的可靠性报告的慢性疾病的纵向调查。这些数据来自美国老年人的全国样本（1971-1975、1982-1984、1986年第一次全国健康与营养检查调查流行病学追踪研究）（1989年、1993年、1996年老年人健康和生活状况调查），结果表明，在一次访谈中报告有慢性病的受访者中，高血压和糖尿病患者在随后的访谈中承认病情的可能性高于关节炎和中风患者。中风的一致性水平较低，部分原因似乎是问题措辞不当。在台湾，与他们各自的同行相比，年轻，受教育程度更高的人和那些经历严重疾病的人更有可能在随访时承认病情，美国的女性和高认知状态的人以及使用代理报告中风发生的两国受访者也更有可能在随访时承认病情。
Previous research evaluating quality of health interview survey data has generally relied upon comparisons of household interview data with medical records or other external sources of information. However, "gold standards" are not always satisfactory or available, This paper illustrates an alternative approach to the evaluation of data quality-examination of the reliability of reports of chronic conditions in longitudinal surveys. The data come from national samples of older Americans (First National Health and Nutrition Examination Survey Epidemiologic Followup Study, 1971-1975, 1982-1984, 1986) and older Taiwanese (Survey of Health and Living Status of the Elderly, 1989, 1993, 1996), The results show that, among respondents who reported a chronic condition at a given interview, the likelihood that the condition was acknowledged at the subsequent interview was higher for hypertension and diabetes than for arthritis and stroke. Low levels of consistency for stroke appear to result partly from the poor wording of questions. In Taiwan, younger, more educated persons and those experiencing severe conditions were somewhat more likely to acknowledge the condition at follow-up compared with their respective counterparts, Women and persons of high cognitive status in the United States and respondents in both countries who used a proxy to report the occurrence of a stroke were also more likely to acknowledge conditions at follow-up.