REPRODUCIBILITY AND VALIDITY OF SELF-REPORTED MENOPAUSAL STATUS IN A PROSPECTIVE COHORT STUDY
REPRODUCIBILITY AND VALIDITY OF SELF-REPORTED MENOPAUSAL STATUS IN A PROSPECTIVE COHORT STUDY
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DOI：
10.1093/aje/126.2.319
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发表时间：
1987-08-01
影响因子：
5
通讯作者：
SPEIZER, FE
中科院分区：
文献类型：
--
作者：
COLDITZ, GA;STAMPFER, MJ;SPEIZER, FE
1976 年，护士健康研究（一项针对女性疾病的前瞻性队列研究）的参与者对 121,700 名年龄在 30-55 岁的美国注册护士进行了评估，评估了自我报告的绝经状态的可重复性和有效性。 1978 年接受询问时，1976 年绝经前的妇女中有 6,591 名报告说她们的月经已经停止，并提供了绝经年龄。两年后，即 1980 年，6,591 名女性中的 98.8% 再次报告她们已绝经，并再次给出了绝经的原因（自然的或手术的）。在 1976 年至 1978 年随访期间报告手术绝经的女性中，95% 的女性在 1978 年和 1980 年的调查问卷中报告绝经年龄在一年以内。在 1976 年至 1978 年期间报告自然绝经的女性中，82% 的女性在两次后续调查问卷中报告其绝经年龄在一岁以内。随机抽取了 255 名在 1982 年至 1984 年间报告手术绝经的女性样本，并获得了 200 名女性的病历。除了两名女性外，所有女性的自我报告和病历中关于子宫切除术和卵巢手术范围的细节完全一致。在 1976 年绝经的 31,405 名女性中评估了自我报告的绝经年龄的可重复性。连续问卷中报告的绝经年龄显示，随着绝经后持续时间的增加，人内差异也随之增加。与自然绝经的女性相比，经历过手术绝经的女性在回忆绝经时年龄方面的差异较小。这些关于更年期的自我报告数据比之前更年期发生在更遥远的过去的病例对照研究的结果更具可重复性和准确性。
The reproducibility and validity of self-reported menopausal status were evaluated among the 121,700 female US registered nurses aged 30-55 years in 1976 who are participants in the Nurses'' Health Study, a prospective cohort study of diseases in women. When questioned in 1978, 6,591 of the women who were premenopausal in 1976 reported that their menses had ceased and provided their age at menopause. Two years later, in 1980, 98.8 percent of the 6,591 women again reported that they were postmenopausal and again gave the reasons for menopause (natural or surgical). Among those women who reported surgical menopause during the 1976-1978 follow-up interval, age at menopause was reported to within one year on both the 1978 and 1980 questionnaires by 95 percent of women. Among those reporting natural menopause during the 1976-1978 period, 82 percent of women reported their age at menopause to within one year on the two follow-up questionnaires. A random sample of 255 women reporting surgical menopause between 1982 and 1984 was identified and medical records were obtained for 200. For all but two women, there was complete agreement between self-report and medical record for details of hysterectomy and extent of ovarian surgery. The reproducibility of self-reported age at menopause was assessed among 31,405 women who were menopausal in 1976. Reported age at menopause on consecutive questionnaires showed increasing within-person variance with increasing duration since menopause. Women who had undergone surgical menopause showed less variance in recall of age at menopause than did women with a natural menopause. These self-reported data on menopause are considerably more reproducible and accurate than previous findings from case-control studies in which menopause had occurred in the more remote past.