The validity of self-reported use of health care across socioeconomic strata: a comparison of survey and registration data
Abstract
Background Socioeconomic differences in health and in use of health care are well known. Most data on socioeconomic differences in health care utilization are based on retrospective self-report in community surveys, but the evidence on the validity of self-reported utilization of health care across socioeconomic groups is limited. The aim of this study was to assess the validity of self-reported utilization of health care across socioeconomic groups in the general population. Methods We compared the concordance of self-reported and registered hospitalization (one year, n = 1277), and utilization of physiotherapy (one year, n = 1302) and use of prescription drugs (3 months, n = 899), by socioeconomic group (educational level, income, occupational status). Data came from a face-to-face health interview survey in Amsterdam and a health insurance register, and were limited to native Dutch and lower and middle income groups. Results Concordance between reported and registered utilization was generally good to excellent; kappas (agreement adjusted for chance agreement) and percentage accurately reporting ranged from 0.60 and 80% (drugs) to 0.80 and 96% (hospitalization). They differed little, and without statistical significance, between people of low socioeconomic status and others. Assessment of socioeconomic groups in more detail yields somewhat more variation, but no systematic trend in concordance by higher socioeconomic status. Conclusion Self-report offers a reasonably valid…
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Self-reported health care use shows high agreement with medical records and administrative claims.
“However, the validity of self-reported health care use has been replicated in a range of samples, where self-reported health care use shows high agreement with medical records and administrative claims (46 -48).”
From Purpose in life and use of preventive health care services (2014) · cites this paper as [48]
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- Authors
- Reijneveld, S. A., & Stronks, K.
- Affiliations
- Netherlands Organisation for Applied Scientific Research (NL)
- Corresponding author
- Reijneveld, Sijmen A
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2001-12
- Volume
- 30
- Issue
- 6
- Pages
- 1407-1414
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- OpenAlex
- W2152050699
- Cited by
- 174
- References
- 3
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 8 · 2021: 4 · 2020: 1 · 2019: 7 · 2018: 8 · 2017: 7 · 2016: 9 · 2015: 9 · 2014: 14 · 2013: 6 · 2012: 12
- FWCI
- 13.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- TNO Repository (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Repository hosted by TU Delft Library (TU Delft) (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
- Keywords
- self-report validity, socioeconomic status, health care utilization, hospitalization, physiotherapy, prescription drug use, educational attainment, income, occupational status
- MeSH terms
- Drug Utilization, Educational Status, Health Services, Health Surveys, Hospitalization, Humans, Income, Netherlands, Occupations, Registries, Self Disclosure, Social Class, Reproducibility of Results, Odds Ratio, Physical Therapy Modalities
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