High validity of mother-reported use of antiasthmatics among children: a comparison with a population-based prescription database.

High validity of mother-reported use of antiasthmatics among children: a comparison with a population-based prescription database.
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DOI:
10.1016/j.jclinepi.2010.10.014
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发表时间:
2011-08
影响因子:
7.2
通讯作者:
Nystad, Wenche
Nystad, Wenche
中科院分区:
医学2区
文献类型:
--
作者:
Furu, Kari;Karlstad, Oystein;Skurtveit, Svetlana;Haberg, Siri E.;Nafstad, Per;London, Stephanie J.;Nystad, Wenche

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To examine the validity of: 1) maternal questionnaire report of children's use of anti-asthmatics using a prescription database as the reference standard, 2) dispensed anti-asthmatics as a measure of asthma using maternal report of children's asthma as the reference standard. 3394 children in the Norwegian Mother and Child Cohort Study (MoBa) aged seven were linked to the Norwegian Prescription Database (NorPD). Maternal report of both children's use of anti-asthmatics during the preceding year and of the presence of asthma was compared with data on dispensed anti-asthmatics. 2056 mothers responded and reported use of anti-asthmatics the previous year in 125 of 147 children who had been dispensed anti-asthmatics (sensitivity 85.0%). Of 1909 children with no dispensed anti-asthmatics, 1848 had no maternal report of anti-asthmatic use (specificity 96.8%). Mothers reported current asthma in 133 (6.5% of 2056) children, including 122 (5.9%) reported as verified by a doctor. Of these 122, 98 had been dispensed anti-asthmatics during the preceding year (sensitivity 80.3%). Only 1.2% of the children without reported asthma were dispensed anti-asthmatics. Mother-reported use of anti-asthmatics during the previous year among 7 year old children is highly valid. Dispensed anti-asthmatics would be a useful proxy for the presence of current asthma when disease data are not available.
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