Reliability of information on physical activity and other chronic disease risk factors among US women aged 40 years or older

Reliability of information on physical activity and other chronic disease risk factors among US women aged 40 years or older
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DOI:
10.1093/oxfordjournals.aje.a009824
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发表时间:
1999-02-15
影响因子:
5
通讯作者:
Homan, SM
Homan, SM
中科院分区:
医学2区
文献类型:
--
作者:
Brownson, RC;Eyler, AA;Homan, SM

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一些种族/族裔群体的妇女缺乏关于慢性病风险行为和相关变量的数据,包括对体育活动的障碍和态度。从1996年7月至1997年6月,在年龄在40岁或以上的美国妇女(n = 199)中进行了一项重测研究,这些妇女是白色、黑人、美洲印第安人/阿拉斯加土著人或西班牙裔。样本的选择和访谈进行了使用行为风险因素监测系统的方法的修改版本。对于行为风险因素,如身体活动不足,吸烟和水果和蔬菜消费量低,组患病率在访谈1和2之间大致相似,但是,选定的身体活动变量的Kappa值范围为0.26至0.51,黑人女性的Kappa值往往较低,吸烟和暴露于环境烟草烟雾的变量的不一致性较低(kappa = 0.64 - 0.92)。水果和蔬菜消费量低的不一致性很高(Kappa = 0.33)。其他变量的障碍和获得行使广泛的种族/族裔群体和协议的措施。这些方法说明了对从少数种族/族裔群体妇女收集的数据进行抽样和评估其可靠性的有效方法。
Data on chronic disease risk behaviors and related variables, including barriers to and attitudes toward physical activity, are lacking for women of some racial/ethnic groups. A test-retest study was conducted from July 1996 through June 1997 among US women (n = 199) aged 40 years or more who were white, black, American Indian/Alaska Native, or Hispanic. The sample was selected and interviews were conducted using a modified version of the methods of the Behavioral Risk Factor Surveillance System. For behavioral risk factors such as physical inactivity, smoking, and low fruit and vegetable consumption, group prevalences were generally similar between interviews 1 and 2, However, kappa values for selected physical activity variables ranged from 0.26 to 0.51 and tended to be lower for black women, Discordance was low for variables on cigarette smoking and exposure to environmental tobacco smoke (kappa = 0.64-0.92). Discordance was high (kappa = 0.33) for low consumption of fruits and vegetables. Additional variables for barriers to and access to exercise ranged widely across racial/ethnic groups and in terms of measures of agreement. These methods illustrate an efficient way to sample and assess the reliability of data collected from women of racial/ethnic minority groups.