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VALIDATION OF QUESTIONNAIRE INFORMATION ON RISK FACTORS AND DISEASE OUTCOMES IN A PROSPECTIVE COHORT STUDY OF WOMEN
Abstract
To assess the validity of self-reported illnesses, medical records were reviewed for participants reporting major illnesses on the biennial follow-up questionnaires used in a prospective cohort study which began in 1976. In over 90% of cases of cancer of the breast, skin, large bowel, and thyroid, histopathology reports confirmed the subjects' self-report. Lower levels of confirmation were obtained for cancers of the lung, ovary, and uterus. Application of strict diagnostic criteria also gave lower levels of confirmation for myocardial infarction (68%) and stroke (66%). Among random samples of women reporting fractures and hypertension all records obtained confirmed self-reports. For self-reported elevated cholesterol levels 85.7% of self-reports were confirmed. Self-report is a valuable epidemiologic tool but may require additional documentation when the disease is diagnostically complex.
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“The moderately increased lung and colorectal cancer mortality among women with ≥15 years of night shift work is consistent with previous reports on the risk of developing incident lung and colorectal among night shift–working women in the same cohort.58,59”
From Total and Cause-Specific Mortality of U.S. Nurses Working Rotating Night Shifts (2015) · cites this paper as [59]
In the citing paper
“Of 85 women we sampled from NHS who had reported high blood pressure and responded to a validation questionnaire, only one denied elevated blood pressure (reporting that she in fact had hypotension).(21) Self reported hypertension was found to have high vaildity compared to the medical records. Of 51 women who reported hypertension for whom we were able to obtain medical records, hypertension (bl”
From Infertility, fertility treatment, and risk of hypertension (2015) · cites this paper as [21]
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“The validity of these self-reported diseases has been documented (21,22).”
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Validation of Self-reported Cancers in the California Teachers Study
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BackgroundMilk and other dairy foods and risk of hip fracture in men and women
Feskanich, D., Meyer, H. E., Fung, T. T., Bischoff-Ferrari, H. A., & Willett, W. C. (2017) · Osteoporosis International · doi:10.1007/s00198-017-4285-8 · Cited by 86
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Self-citationHair dye use and the risk of developing systemic lupus erythematosus: A cohort study
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Self-citationRegular Yogurt Intake and Risk of Cardiovascular Disease Among Hypertensive Adults
Buendia, J. R., Li, Y., Hu, F. B., Cabral, H., Bradlee, M. L., Quatromoni, P. A., Singer, M. R., Curhan, G. C., & Moore, L. L. (2018) · American Journal of Hypertension · doi:10.1093/ajh/hpx220 · Cited by 79
“18,19 In the NHS, 77% of 51 cases of self-reported HBP in the validation study had either systolic blood pressure or diastolic blood pressure levels >160 or 95 mm Hg via standard BP measurement.”
Agreement between women's and providers' assessment of hormonal contraceptive risk factors
Shotorbani, S., Miller, L., Blough, D. K., et al. (2006) · Contraception · doi:10.1016/j.contraception.2005.12.001 · Cited by 78
“In conclusion, self-reported medical history is a valuable epidemiologic and diagnostic tool of increasing importance as health care efficiencies are being sought in various clinical settings [13,25–28].”
BackgroundMilk Consumption During Teenage Years and Risk of Hip Fractures in Older Adults
Feskanich, D., Bischoff-Ferrari, H. A., Frazier, A. L., & Willett, W. C. (2013) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2013.3821 · Cited by 81
Self-citationRotating Night Shifts and Risk of Skin Cancer in the Nurses’ Health Study
Schernhammer, E. S., Razavi, P., Li, T. Y., Qureshi, A. A., & Han, J. (2011) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djr044 · Cited by 78
Horn, J., Tanz, L. J., Stuart, J. J., Markovitz, A. R., Skurnik, G., Rimm, E. B., Missmer, S. A., & Rich-Edwards, J. W. (2018) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.15452 · Cited by 81
Lawson, C. C., Johnson, C. Y., Chavarro, J. E., Hibert, E. N. L., Whelan, E. A., Rocheleau, C. M., Grajewski, B. A., Schernhammer, E. S., & Rich-Edwards, J. W. (2015) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3482 · Cited by 83
“nurses in the similar NHS I and NHS II were shown to report health data accurately for several medical conditions (31, 32).”
BackgroundUrinary melatonin and risk of incident hypertension among young women
Forman, J. P., Curhan, G. C., & Schernhammer, E. S. (2010) · Journal of Hypertension · doi:10.1097/hjh.0b013e3283340c16 · Cited by 76
Greendale, G. A., Unger, J. B., Rowe, J. W., & Seeman, T. E. (1999) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1999.tb03835.x · Cited by 76
Documentation of Chronic Disease Measures in the Health and Retirement Study (HRS/AHEAD)
Fisher, G., Faul, J., & Weir, D. (2005) · doi:10.7826/isr-um.06.585031.001.05.0011.2005 · Cited by 88
Hundrup, Y. A., Høidrup, S., Obel, E. B., & Rasmussen, N. K. (2004) · Scandinavian Journal of Public Health · doi:10.1080/14034940310017490 · Cited by 76
“These results are in accordance with the fact that recollection of the year of the fracture depends on the time elapsed since the fracture (11).”
ResultAllesøe, K., Holtermann, A., Aadahl, M., Thomsen, J. F., Hundrup, Y. A., & Søgaard, K. (2014) · European Journal of Preventive Cardiology · doi:10.1177/2047487314554866 · Cited by 76
“Strengths include the large cohort of women in a prospective design, high response rates, and a well known high validity of the self-reported information provided by the nurses.(32) Furthermore, information on incident and previous IHD was obtained through individual linkage to a nationwide hospital register.”
BackgroundAssociation Between Coffee Intake After Diagnosis of Colorectal Cancer and Reduced Mortality
Hu, Y., Ding, M., Yuan, C., Wu, K., Smith-Warner, S. A., Hu, F. B., Chan, A. T., Meyerhardt, J. A., Ogino, S., Fuchs, C. S., et al. (2018) · Gastroenterology · doi:10.1053/j.gastro.2017.11.010 · Cited by 75
Coffee consumption and risk of hypertension: a dose–response meta-analysis of prospective studies
D’Elia, L., Fata, E. L., Galletti, F., Scalfi, L., & Strazzullo, P. (2017) · European Journal of Nutrition · doi:10.1007/s00394-017-1591-z · Cited by 78
“Likewise, a potential limitation may be the heterogeneity in the outcome assessment, since in three studies there was a direct assessment and in one selfreported information [18], that anyhow was found to be highly reliable [38].”
BackgroundNon Melanoma Skin Cancer and Subsequent Cancer Risk
Rees, J. R., Zens, M. S., Gui, J., Celaya, M. O., Riddle, B. L., & Karagas, M. R. (2014) · PLoS ONE · doi:10.1371/journal.pone.0099674 · Cited by 76
“Self-reports of major cancers have previously been shown to be fairly reliable [33,34] and allowed us to identify cancers that would not have been ascertained by our registry (i.”
BackgroundDemographic, Dietary, and Urinary Factors and 24-h Urinary Calcium Excretion
Taylor, E. N., & Curhan, G. C. (2009) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.02620409 · Cited by 75
Cancer After Exposure to Metronidazole
Beard, C. M., Noller, K. L., O’Fallon, W. M., et al. (1988) · Mayo Clinic Proceedings · doi:10.1016/s0025-6196(12)64947-7 · Cited by 75
Epidemiology of Crohn's disease in Regio Leiden, the Netherlands
Shivananda, S., Peña, A. S., Nap, M., et al. (1987) · Gastroenterology · doi:10.1016/0016-5085(87)90558-0 · Cited by 75
Metadata
- Authors
- COLDITZ, G. A., MARTIN, P., STAMPFER, M. J., WILLETT, W. C., SAMPSON, L., ROSNER, B., HENNEKENS, C. H., & SPEIZER, F. E.
- Affiliations
- Brigham and Women's Hospital (US)
- Corresponding author
- COLDITZ, GRAHAM A.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1986-05
- Volume
- 123
- Issue
- 5
- Pages
- 894-900
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W1958805324
- Cited by
- 992
- References
- 0
- Citations by year
- 2026: 13 · 2025: 10 · 2024: 19 · 2023: 25 · 2022: 23 · 2021: 17 · 2020: 27 · 2019: 22 · 2018: 32 · 2017: 40 · 2016: 49 · 2015: 48 · 2014: 40 · 2013: 36 · 2012: 45
- FWCI
- 35.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL24074, HL34594)
- National Cancer Institute (CA-16686)
- Topics
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- questionnaire validation, self-reported illness, breast cancer, skin cancer, thyroid cancer, lung cancer, ovarian cancer, uterine cancer, myocardial infarction, stroke, fracture, hypertension, cholesterol levels, women, risk factors, disease outcome
- MeSH terms
- Adult, Blood Pressure, Cardiovascular Diseases, Cholesterol, Epidemiologic Methods, Female, Follow-Up Studies, Humans, Hypertension, Medical Records, Middle Aged, Morbidity, Neoplasms, Surveys and Questionnaires, United States, Fractures, Bone
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