Limited validity of parental recall on pregnancy, birth, and early childhood at child age 10 years
Limited validity of parental recall on pregnancy, birth, and early childhood at child age 10 years
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DOI：
10.1016/j.jclinepi.2009.05.003
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发表时间：
2010-02-01
影响因子：
7.2
通讯作者：
Reijneveld, Sijmen A.
中科院分区：
文献类型：
--
作者：
Jaspers, Merlijne;de Meer, Gea;Reijneveld, Sijmen A.
目的：缺乏关于父母回忆幼儿行为的有效性的证据。我们的目的是研究在儿童10-12岁的母亲在怀孕期间的生活方式，出生特征，和幼儿behavior.Study设计和设置：研究人群包括2,230名儿童和他们的父母的父母回忆的有效性。从小学招募了10-12岁的儿童（答复：76.0%）。父母被要求回忆怀孕期间的生活方式，出生特征和4-6岁时的儿童行为。回顾的数据进行了比较，从birth onwards.Results：对于出生体重和胎龄，我们发现没有系统的差异召回和PCH注册的数据，95%的协议限制分别为+/- 1.2磅（600克）和+/- 2.4周。对于母亲在怀孕期间饮酒和儿童早期行为问题，科恩的kappas较低（0.03-0.11）。与PCH登记相比，父母倾向于在10-12岁时多报。与此相反，Kappa是高的母亲在怀孕期间吸烟（0.77）。结论：Retroperitoneal收集的信息，在怀孕期间的生活方式，出生，和幼儿期的行为有时是有偏见的，这限制了其价值，估计早期生活逆境的贡献，在以后的生活中的健康。(C)2010爱思唯尔公司All rights reserved.
Objective: Evidence on the validity of parental recall of early childhood behavior is lacking. Our aim was to examine the validity of parental recall at child age 10-12 years for maternal lifestyle during pregnancy, the birth characteristics, and early childhood behavior.Study Design and Setting: The study population comprised 2,230 children and their parents. Children aged 10-12 years were recruited from elementary schools (response: 76.0%). Parents were asked to recall lifestyle during pregnancy, birth characteristics, and childhood behavior at age 4-6 years. Recalled data were compared with information registered by Preventive Child Healthcare (PCH) from birth onwards.Results: For birth weight and gestational age, we found no systematic difference between recalled and PCH-registered data; 95% limits of agreement were +/- 1.2 pounds (600 g) and +/- 2.4 weeks, respectively. For maternal alcohol use during pregnancy and early childhood behavior problems, Cohen's kappas were low (0.03-0.11). Compared with PCH registration, parents tended to overreport at age 10-12 years. In contrast, kappa was high for maternal smoking during pregnancy (0.77).Conclusion: Retrospectively collected information on lifestyle during pregnancy, birth, and early childhood behavior is sometimes biased, which limits its value in estimating the contribution of early-life adversity to health in later life. (C) 2010 Elsevier Inc. All rights reserved.