Validation of birth certificate data: A study of women in New Jersey's HealthStart Program

Validation of birth certificate data: A study of women in New Jersey's HealthStart Program
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DOI:
10.1016/s1047-2797(00)00209-x
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发表时间:
2001-04-01
影响因子:
5.6
通讯作者:
Hade, EM
Hade, EM
中科院分区:
医学3区
文献类型:
--
作者:
Reichman, NE;Hade, EM

文献摘要

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目的:本研究评估1989-1992年新泽西州一组高危妇女出生证明数据的准确性。方法:出生记录与参加HealthStart的妇女的数据相关联,这是一个为享受医疗补助的孕妇提供丰富产前护理的项目。对两个数据集共有的所有变量进行一致性评估。结果:出生记录准确地报告了出生体重、人口统计学特征和必须的分娩方法。产前护理的使用被过度报告,而酒精、烟草、转院状况、医疗风险因素、产科程序以及分娩和分娩并发症则被低估。结论:虽然出生证明上的许多变量报告非常准确,但其他措施必须谨慎使用。使用出生证明数据的分析,特别是那些关注高危妇女的分析,需要考虑到许多风险因素的低敏感性。[j] .中华流行病学杂志,2001;11(1):96 - 96。(C) 2001爱思唯尔科学公司版权所有。
PURPOSE: This study assesses the accuracy of 1989-1992 birth certificate data from New Jersey for a group of high-risk women.METHODS: Birth records were linked to data an women who participated in HealthStart, a program of enriched prenatal care for pregnant women on Medicaid. Concordance was assessed for all variables common to the two data sets.RESULTS: The birth records had accurate reporting of birth-weight, demographic characteristics, and must: methods of delivery. Prenatal care use was over-reported, and alcohol, tobacco, transfer status, medical risk factors, obstetric procedures, as well as complications of labor and delivery mere underreported.CONCLUSIONS: While many variables are reported very accurately on birth certificates, other measures must be used cautiously. Analyses using birth certificate data, particularly those focusing on high-risk women, need to take the low levels of sensitivity for many risk factors into consideration. Ann Epidemiol 2001;11:186-193. (C) 2001 Elsevier Science Inc. All rights reserved.