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Reliability of Covariates in Baseline Survey of a Cohort Study: Epidemiological Investigation on Cancer Risk Among Residents Who Reside Near the Nuclear Power Plants in Korea

코호트 기반 조사 공변수 자료의 신뢰도 평가 연구: 원전주변지역주민 역학조사연구

  • Bae, Sang-Hyuk (Department of Preventive Medicine, College of Medicine, Seoul National University) ;
  • Park, Bo-Young (Department of Preventive Medicine, College of Medicine, Seoul National University) ;
  • Li, Zhong-Min (Institute of Radiation Effect & Epidemiology, Seoul National University Medical Research Centre) ;
  • Ahn, Yoon-Ok (Department of Preventive Medicine, College of Medicine, Seoul National University)
  • 배상혁 (서울대학교 의과대학 예방의학교실) ;
  • 박보영 (서울대학교 의과대학 예방의학교실) ;
  • 이충민 (서울대학교 의학연구원 원자력영향역학연구소) ;
  • 안윤옥 (서울대학교 의과대학 예방의학교실)
  • Received : 2009.09.10
  • Accepted : 2009.11.03
  • Published : 2010.03.31

Abstract

Objectives: We evaluated the reliability of the possible covariates of the baseline survey data collected for the Epidemiological Investigation on Cancer Risk Among Residents Who Reside Near the Nuclear Power Plants in Korea. Methods: Follow-up surveys were conducted for 477 participants of the cohort at less than 1 year after the initial survey. The mean interval between the initial and follow-up surveys was 282.5 days. Possible covariates were identified by analyzing the correlations with the exposure variable and associations with the outcome variables for all the variables. Logistic regression analysis with stepwise selection was further conducted among the possible covariates to select variables that have covariance with other variables. We considered that these variables can be representing other variables. Seven variables for the males and 3 variables for the females, which had covariance with other possible covariates, were selected as representative variables. The Kappa index of each variable was calculated. Results: For the males, the Kappa indexes were as follow; family history of cancer was 0.64, family history of liver diseases in parents and siblings was 0.56, family history of hypertension in parents and siblings was 0.51, family history of liver diseases was 0.50, family history of hypertension was 0.44, a history of chronic liver diseases was 0.53 and history of pulmonary tuberculosis was 0.36. For females, the Kappa indexes were as follow; family history of cancer was 0.58, family history of hypertension in parents and siblings was 0.56 and family history of hypertension was 0.47. Conclusions: Most of the possible covariates showed good to moderate agreement.

Keywords

References

  1. Ahn YO, Yoo KY, Park BJ, Kim DH, Bae JM, Kim DH, et al. Epidemiology: ThePrinciples and Applications. Seoul: Seoul National University Press; 2005, p.169-170. (Korean)
  2. Stein AD, Courval JM, Lederman RI, Shea S. Reproducibility of responses to telephone interviews: Demographic predictors of discordance in risk factor status. Am J Epidemiol 1995; 141(11): 1097-1105. https://doi.org/10.1093/oxfordjournals.aje.a117375
  3. Littman AJ, White E. Reliability and validity of self-reported male balding patterns for use in epidemiologic studies. Ann Epidemiol 2005; 15(10): 771-772. https://doi.org/10.1016/j.annepidem.2005.02.013
  4. Post A, Gilljam H, Rosendahl I, Meurling L, Bremberg S, Galanti MR. Validity of self reports in a cohort of swedish adolescent smokers and smokeless tobacco (snus) users. Tob Ccontrol 2005; 14(2): 114-117. https://doi.org/10.1136/tc.2004.008789
  5. White E, Hunt JR, Casso D. Exposure measurement in cohort studies: The challenges of prospective data collection. Epidemiologic Rev 1998; 20(1): 43-56. https://doi.org/10.1093/oxfordjournals.epirev.a017971
  6. Chaiy S. Methods of Research in Social Science. 2nd ed. Seoul: Hak Hyun Sa; 1994. (Korean)
  7. Wang D, Zhang W, Bakhai A. Comparison of bayesian model averaging and stepwise methods for model selection in logistic regression. Stat Med 2004; 23(22): 3451-3467. https://doi.org/10.1002/sim.1930
  8. Altman DG. Practical Statistics for Medical Research. 1st ed. London: Chapman and Hall; 1991.
  9. Ahn Y, Lee JE, Cho NH, Shin C, Park C, Oh BS, et al. Validation and calibration of semi-quantative food frequency questionnaire. Korean J Community Nutr 2004; 9(2): 173-182. (Korean)
  10. Choi SW, Ju YS, Kim DS, Kim JY, Kwon HJ, Kang DH, et al. Reliability and validity of the korean version of isaac questionnaire. Korean J Prev Med 1998; 31(3): 361-371. (Korean)
  11. Brazier JE, Harper R, Jones NM, O'Cathain A, Thomas KJ, Usherwood T, et al. Validating the sf-36 health survey questionnaire: New outcome measure for primary care. BMJ 1992; 305(6846): 160-164. https://doi.org/10.1136/bmj.305.6846.160
  12. Kapp JM, Jackson-Thompson J, Petroski GF,Schootman M. Reliability of health-related quality-of-life indicators in cancer survivors from a population-based sample, 2005, BRFSS. Public Health 2009; 123(4): 321-325. https://doi.org/10.1016/j.puhe.2008.10.005
  13. Jee SH, Yoon JE, Won S, Kim S, Suh I. Test-retest reliability of a self-administered smoking questionnaire for middle and high school students. Korean J Epidemiol 2003; 25(1): 16-23. (Korean)
  14. Evenson KR, Eyler AA, Wilcox S, Thompson JL, Burke JE. Test-retest reliability of a questionnaire on physical activity and its correlates among women from diverse racial and ethnic groups. Am J Prev Med 2003; 25(3 Suppl 1): 15-22. https://doi.org/10.1016/S0749-3797(03)00160-0
  15. Renehan AG, Tyson M, Egger M, Heller RF, Zwahlen M. Body-mass index and incidence of cancer: A systematic review and meta-analysis of prospective observational studies. Lancet 2008; 371(9612): 569-578. https://doi.org/10.1016/S0140-6736(08)60269-X
  16. Belani CP, Marts S, Schiller J, Socinski MA. Women and lung cancer: Epidemiology, tumor biology, and emerging trends in clinical research. Lung Cancer 2007; 55(1): 15-23. https://doi.org/10.1016/j.lungcan.2006.09.008
  17. Bravi F, Bosetti C, Negri E, Lagiou P, La Vecchia C. Family history of cancer provided by hospital controls was satisfactorily reliable. J Clin Epidemiol 2007; 60(2): 171- 175. https://doi.org/10.1016/j.jclinepi.2006.05.007
  18. Saito T, Nanri S, Saito I. Reliability of family history of lifestyle-related diseases on questionnaire. Pediatr Int 2009; 51(4): 514-519. https://doi.org/10.1111/j.1442-200X.2008.02786.x
  19. Kim CY,Huh BY. Reliability of a self-administered health questionnaire-a survey in a male college studednts group-. J Korean Public Health Assoc 1989; 15(2): 45-54. (Korean)
  20. Beckett M, Weinstein M, Goldman N, Yu-Hsuan L. Do health interview surveys yield reliable data on chronic illness among older respondents? Am J Epidemiol 2000; 151(3): 315-323. https://doi.org/10.1093/oxfordjournals.aje.a010208
  21. Zhu S, Toyoshima H, Kondo T, Tamakoshi K, Yatsuya H, Hori Y, et al. Short- and long-term reliability of information on previous illness and family history as compared with that on smoking and drinking habits in questionnaire surveys. J Epidemiol 2002; 12(2): 120-125. https://doi.org/10.2188/jea.12.120