Social desirability bias in self-reported dietary, physical activity and weight concerns measures in 8- to 10-year-old African-American girls: results from the Girls health Enrichment Multisite Studies (GEMS)

Social desirability bias in self-reported dietary, physical activity and weight concerns measures in 8- to 10-year-old African-American girls: results from the Girls health Enrichment Multisite Studies (GEMS)
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DOI:
10.1016/j.ypmed.2003.07.003
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发表时间:
2004-05-01
影响因子:
5.1
通讯作者:
Pratt, C
Pratt, C
中科院分区:
医学2区
文献类型:
--
作者:
Klesges, LM;Baranowski, T;Pratt, C

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背景。社会期望 (SocD) 可能会对儿童自我报告的健康行为和态度产生偏见,并混淆与健康结果测量的关系。方法。 95 名 8 至 10 岁的非裔美国女孩完成了饮食回忆、身体活动检查表、与饮食和身体活动相关的心理社会调查问卷;以及 3 天的体力活动监测。通过将身体活动、饮料摄入量和体重指数 (BMI) 的指定标准测量值与横截面回归模型中与活动、饮料偏好以及身体形象和体重问题相关的自我报告测量值进行比较,研究了潜在的 SocD 构建偏差。 SocD 使用系数变化回归分析评估了自我报告行为与 BMI 之间关联的潜在混淆。结果。控制年龄和 BMI 后,高估自我报告的活动 (P = 0.02)、低估甜饮料偏好 (P = 0.02) 以及较低的体重关注度和节食行为 (P < 0.05) 与 SocD 相关。 SocD 发现自我报告的体力活动和能量摄入与 BMI 之间的关联存在混淆。结论。在 8 至 10 岁的非裔美国女孩中,SocD 被发现对饮食和身体活动的自我报告存在偏见,并且混淆了 BMI 与自我报告的身体活动和能量摄入之间的关联。需要测量和控制 SoCD 偏差的方法,以减少饮食、身体活动和健康结果之间关系的潜在扭曲。 (C) 2004 年癌症预防研究所和 Elsevier Inc. 保留所有权利。
Background. Social desirability (SocD) may bias children's self-reported health behaviors and attitudes and confound relationships with health outcome measures.Methods. Ninety-five, 8- to 10-year-old African-American girls completed dietary recalls, a physical activity checklist, psychosocial questionnaires related to diet, and physical activity; and 3 days of physical activity monitoring. Potential SocD construct bias was investigated by comparing designated criterion measures of physical activity, beverage intake, and body mass index (BMI) with respective self-reported measures related to activity, beverage preferences, and body image and weight concerns in cross-sectional regression models. Potential confounding by SocD of associations between self-reported behaviors with BMI was assessed using change-in-coefficient regression analyses.Results. Controlling for age and BMI, overestimates of self-reported activity (P = 0.02), underestimates of sweetened beverage preferences (P= 0.02), and lower ratings of weight concems and dieting behaviors (P's < 0.05) were related to SocD. Confounding by SocD of associations between self-reported physical activity and energy intake with BMI was found.Conclusions. In 8- to 10-year-old African-American girls, SocD was found to bias self-reports of diet and physical activity and confound associations between BMI and self-reported physical activity and energy intake. Methods to measure and control SocD bias are needed to reduce potential distortion of relationships between diet and physical activity and health outcomes. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.