MOTHERS REPORTS OF CHILDHOOD VACCINATIONS AND INFECTIONS AND THEIR CONCORDANCE WITH GENERAL-PRACTITIONER RECORDS
MOTHERS REPORTS OF CHILDHOOD VACCINATIONS AND INFECTIONS AND THEIR CONCORDANCE WITH GENERAL-PRACTITIONER RECORDS
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DOI：
10.1093/oxfordjournals.pubmed.a042571
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发表时间：
1991-02-01
期刊：
影响因子：
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通讯作者：
CARRETTE, J
中科院分区：
文献类型：
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作者：
MCKINNEY, PA;ALEXANDER, FE;CARRETTE, J
对294名3-9岁儿童的母亲进行了采访，了解他们孩子以前的疫苗接种和感染史。 研究组包括在GP手术中选择的健康儿童（n = 136）和因轻微和严重疾病住院的儿童（n = 168）。 结果评估了整个研究组报告疫苗接种和三岁以下感染事件的模式，比较了两种不同的数据来源-母亲的报告和GP记录。 母亲回忆的准确性进行了正式测试（Kappa统计）与GP记录的一致性。对于疫苗接种史，结果表明，母亲和GP是不充分的数据来源，并建议使用计算机化的卫生区记录，以提高数据的准确性。 两种类型的问题在感染史上的主要差异是明显的-特定感染的封闭式和“其他感染”的开放式。 与全科医生记录相比，母亲系统性地过度报告特定感染（例如麻疹），但母亲未能“计时”事件。 “其他感染”的一致性也很差，但是，相比之下，全科医生系统地过度记录了这一范围的感染，表明母亲的回忆存在很大的不准确性。 作者认为，全科医生记录应该是这些“其他”感染事件的首选数据来源，特别是一岁以下的感染事件。 改进的问卷设计将引起更准确的产妇报告的特定感染，一个家庭医生可能不会被咨询和确证将是不可能的。
Mothers of 294 children aged 3-9 years were interviewed about their child's previous history of vaccinations and infections. The study group comprised healthy children selected at GP surgeries (n = 136) and those hospitalized for both minor and serious conditions (n = 168). The results evaluate the entire study group for the pattern of reporting vaccinations and infectious episodes under three years of age, comparing two different data sources - mothers' reports and GP records. Maternal recall accuracy is formally tested (Kappa statistic) for agreement with GP records.For vaccination history the results indicate that mothers and GPs are inadequate data sources, and suggest use of computerized health district records to improve data accuracy. Major differences on infectious history were evident for two types of questions - closed for specific infections and open-ended for 'other infections'. Specific infections (e.g. measles) were systematically over-reported by mothers compared with GP records, but mothers failed to 'time' the event. Concordance for 'other infections' was also poor, but, by contrast, GPs systematically over-recorded this range of infections, indicating substantial inaccuracy in mothers' recall. The authors suggest that GP records should be the preferred source of data for these 'other' infectious episodes, especially under one year of age. Improved questionnaire design would elicit more accurate maternal reports on specified infections for which a GP may well not be consulted and corroboration would be impossible.