Validity and reliability of an occupational exposure questionnaire for parkinsonism in welders.
Validity and reliability of an occupational exposure questionnaire for parkinsonism in welders.
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DOI：
10.1080/15459620902836856
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发表时间：
2009-06
影响因子：
2
通讯作者：
Racette BA
中科院分区：
文献类型：
--
作者：
Hobson AJ;Sterling DA;Emo B;Evanoff BA;Sterling CS;Good L;Seixas N;Checkoway H;Racette BA
本研究对船厂焊接工人的病史和职业史问卷的效度和重测信度进行了评估。这份自我报告问卷是为了对焊工患帕金森症的风险进行流行病学研究而开发的。从三个类似造船厂招募的有效性参与者被要求同意访问个人档案并完成问卷调查。对问卷的回答与从人事记录中提取的信息进行了比较。可靠性参与者从相同的造船厂招募，并被要求在大约4周的两个不同时间完成问卷调查。一致性百分比、kappa、组内相关系数(ICC)、敏感度和特异度作为有效性和/或可靠性的衡量标准。在143名效度研究参与者中，101名(70%)获得了个人档案，而在95名可靠性研究参与者中，有56名(58.9%)完成了问卷的重测。从人事档案中提取的条目的效度分数很高。对雇佣日期和职称的同意百分比在83%-100%之间，而对开始和停止日期的ICC在0.93-0.99之间。对当前职称的敏感度和特异度在0.5-1.0之间。人口统计、医疗卫生行为项目的信度得分以中、高为主，但在0.19~1.0之间。最近的职位/头衔项目，如职称、所执行的焊接类型和使用的材料，显示出基本到完美的一致性。某些决定因素，如每周接触焊接烟雾的天数和小时数，主要表现出中等程度的一致性(κ=0.420.47%，符合率63-77%)；然而，报告的平均天数和小时数在测试和重测之间没有差异。这项研究的结果表明，参与者对职称和受雇日期的自我报告与雇主的记录相比是有效的。虽然一些医疗条件和咖啡因消费的Kappa得分较低，但职称、工作日期、焊接类型和焊接材料的高Kappa得分表明，参与者生成了对职业暴露评估很重要的可重复答案。
This study assessed the validity and test-retest reliability of a medical and occupational history questionnaire for workers performing welding in the shipyard industry. This self-report questionnaire was developed for an epidemiologic study of the risk of parkinsonism in welders. Validity participants recruited from three similar shipyards were asked to give consent for access to personnel files and complete the questionnaire. Responses on the questionnaire were compared with information extracted from personnel records. Reliability participants were recruited from the same shipyards and were asked to complete the questionnaire at two different times approximately 4 weeks apart. Percent agreement, kappa, intraclass correlation coefficient (ICC), and sensitivity and specificity were used as measures of validity and/or reliability. Personnel files were obtained for 101 of 143 participants (70%) in the validity study, and 56 of the 95 (58.9%) participants in the reliability study completed the retest of the questionnaire. Validity scores for items extracted from personnel files were high. Percent agreement for employment dates and job titles ranged from 83–100%, while ICC for start and stop dates ranged from 0.93–0.99. Sensitivity and specificity for current job title ranged from 0.5–1.0. Reliability scores for demographic, medical and health behavior items were mainly moderate or high, but ranged from 0.19 to 1.0. Most recent job/title items such as title, types of welding performed, and material used showed substantial to perfect agreement. Certain determinants of exposure such as days and hours per week exposed to welding fumes demonstrated mainly moderate agreement (κ = 0.42–0.47, percent agreement 63–77%); however, mean days and hours reported did not differ between test and retest. The results of this study suggest that participants’ self-report for job title and dates employed are valid compared with employer records. While kappa scores were low for some medical conditions and for caffeine consumption, high kappa scores for job title, dates worked, types of welding, and materials welded suggest participants generated reproducible answers important for occupational exposure assessment.
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影响因子：
3.5
作者：
Kirkey, KL;Johnson, CC;Gorell, JM
通讯作者：
Gorell, JM
影响因子：
7.7
作者：
Stewart, PA;Stewart, WF;Inskip, PD
通讯作者：
Inskip, PD
DOI：
10.1177/140349489101900102
发表时间：
1991-01-01
期刊：
SCANDINAVIAN JOURNAL OF SOCIAL MEDICINE
影响因子：
--
作者：
WARNERYD, B;THORSLUND, M;OSTLIN, P
通讯作者：
OSTLIN, P
影响因子：
1.9
作者：
BARTKO, JJ;CARPENTER, WT
通讯作者：
CARPENTER, WT
影响因子：
--
作者：
FESKANICH, D;RIMM, EB;WILLETT, WC
通讯作者：
WILLETT, WC