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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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BackgroundSelf-citationSex-Specific Differential in Risk of Diabetes-Related Macrovascular Outcomes
Lyon, A., Jackson, E. A., Kalyani, R. R., Vaidya, D. M., & Kim, C. (2015) · Current Diabetes Reports · doi:10.1007/s11892-015-0662-x · Cited by 20
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“However, in physicians and other health professionals, self-reported blood pressures have been found to be highly accurate when compared with actual measures, which also suffer from measurement variability.(7,8) As we described previously,(9) an alternative approach to statin prescription that relies on trial data rat…”
ResultWilliams, P. T. (2010) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2010.03.017 · Cited by 20
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“We confirmed that diagnosis of hypertension was reliably reported [23].”
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“However, recent studies suggest that self-reported NMSC has a high degree of accuracy.26 For example, Ming et al.26 found that patients correctly identified their overall NMSC status in 91.8% of cases, and Colditz et al.27 reported from the Nurses Health Study that 90% of self-reported cases of cancer of the skin were…”
BackgroundInfluentialLiu, L., Miura, K., Kadota, A., Fujiyoshi, A., Gracely, E. J., Xue, F., Liu, Z., Takashima, N., Miyagawa, N., Ohkubo, T., et al. (2019) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2019.03.008 · Cited by 14
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“And indeed, the predictive value of self-report of myocardial infarction, stroke, and cancer has been shown to be adequate (Madans, Reuben, Rothwell, Eberhardt, & Feldman, 1999; Rosamond, Sprafka, McGovern, Nelson, & Luepker, 1995; Colditz et al. 1986).”
BackgroundChen, Z., Hu, Y., Hu, F. B., Manson, J. E., Rimm, E. B., Doria, A., & Sun, Q. (2023) · Journal of Nutrition · doi:10.1016/j.tjnut.2023.08.031 · Cited by 15
Plant-Based Diets and Risk of Hip Fracture in Postmenopausal Women
Sotos‐Prieto, M., Rodríguez‐Artalejo, F., Fung, T. T., Meyer, H. E., Hu, F. B., Willett, W. C., & Bhupathiraju, S. N. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.1107 · Cited by 14
Self-citationKhalesi, M., Whiteman, D. C., Rosendahl, C. O., et al. (2015) · Photodermatology Photoimmunology & Photomedicine · doi:10.1111/phpp.12170 · Cited by 14
“Although there is evidence suggesting that self-report of skin cancer history is reasonably reliable (17, 46, 47), we undertook additional steps to ensure the accuracy of previous history of BCCs.”
Method"Gender specific medicine": a focus on gender-differences in hypertension.
Bălan, H., & Popescu, L. (2014) · PubMed · Cited by 14
Pre-diagnostic leukocyte mitochondrial DNA copy number and skin cancer risk
Meng, S., Vivo, I. D., Liang, L., Giovannucci, E. L., Tang, J. Y., & Han, J. (2016) · Carcinogenesis · doi:10.1093/carcin/bgw072 · Cited by 14
“The validity of self-report of BCC is high in this medically sophisticated population (90%) (31,32).”
BackgroundRacial and ethnic disparities in meeting MTM eligibility criteria among patients with asthma
Lu, D., Qiao, Y., Johnson, K., & Wang, J. (2016) · Journal of Asthma · doi:10.1080/02770903.2016.1238927 · Cited by 14
The WECARE Study Collaborative Group, Langballe, R., John, E. M., et al. (2017) · Journal of Cancer Survivorship · doi:10.1007/s11764-017-0648-6 · Cited by 14
Fang, Z., Wu, Y., Li, Y., Zhang, X., Willett, W. C., Eliassen, A. H., ROSNER, B. A., Song, M., Mucci, L. A., & Giovannucci, E. L. (2021) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqab295 · Cited by 16
Self-citationWilliams, P. T., & Franklin, B. A. (2015) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2015.08.011 · Cited by 14
Cronin, B. E., Allsopp, P. J., Slevin, M. M., Magee, P. J., Livingstone, M. B. E., Strain, J., & McSorley, E. M. (2015) · British Journal Of Nutrition · doi:10.1017/s0007114515004948 · Cited by 14
“It has been previously emphasised that care must be taken when using self-reported diagnoses for myocardial infarction and stroke((48)), particularly in trials of Ca supplementation((49)).”
MethodYen, H., Li, W., Dhana, A. V., Li, T., Qureshi, A. A., & Cho, E. (2018) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2018.04.036 · Cited by 16
Adiposity, Adulthood Weight Change, and Risk of Incident Hepatocellular Carcinoma
Simon, T. G., Kim, M. N., Luo, X., Liu, X., Yang, W., Ma, Y., Chong, D. Q., Fuchs, C. S., Stampfer, M. J., Giovannucci, E. L., et al. (2021) · Cancer Prevention Research · doi:10.1158/1940-6207.capr-20-0549 · Cited by 14
Self-citationCardiologists' charting varied by risk factor, and was often discordant with patient report
Gravely‐Witte, S., Stewart, D. E., Suskin, N., et al. (2008) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2007.11.017 · Cited by 14
Alcohol consumption, gender and self-reported hypertension.
Laforge, R., Williams, G. D., & Dufour, M. (1990) · Drug and Alcohol Dependence · doi:10.1016/0376-8716(90)90165-b · Cited by 14
Workplace Social Capital and Employee Health
Oksanen, T. (2009) · UTUPub (University of Turku) · Cited by 14
Kent, B. V., Upenieks, L., Kanaya, A. M., Warner, E. T., Cozier, Y. C., Daviglus, M. L., Eliassen, A. H., Jang, D. Y., & Shields, A. E. (2023) · Annals of Behavioral Medicine · doi:10.1093/abm/kaad007 · Cited by 13
“NHSII obtained medical records from samples of women in the original Nurses’ Health Study, and of the 51 women who reported hypertension for whom medical records were obtained, hypertension (blood pressure greater than 140/90) was confirmed in all cases [46].”
MethodA Comparative Study of Healthy Dietary Patterns for Incident and Fatal Digestive System Cancer
Kim, J., Zhang, Y., Kim, H., Zhang, Y., Zhang, X., & Giovannucci, E. L. (2023) · The American Journal of Gastroenterology · doi:10.14309/ajg.0000000000002448 · Cited by 13
“The con fi rmation rate was estimated to be over 90% for cancer (22).”
Background
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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