Abstract
Aim
A global question on chronic morbidity is included in many national health interview surveys. According to a recent EU Commission regulation, information on this item should be collected in all EU member states. However, little is known about the reliability and validity of such a question.
Subject and methods
The reliability of a global question on chronic morbidity was investigated among persons who participated in 2001 in both the Belgian health interview survey (HIS) and the national population census (n = 2,871) by using kappa statistics and logistic regression. In addition, data from the HIS 2001 and 2004 (n = 21,376) were used to study estimates and determinants of the sensitivity of this global chronic morbidity measure among people with specific chronic diseases.
Results
In terms of reliability, the kappa statistic showed only moderate agreement (0.559; 95 % CI 0.523–0.594). Additionally, the sensitivity of the global question on chronic morbidity ranged from 49.9 to 87.2 %, depending on the type of disease. A much higher sensitivity was observed among people who rated their health status to be moderate to bad (adjusted OR 3.85; 95 % CI 3.17–4.69).
Conclusion
Self-reported chronic morbidity, measured by a single and global question, is a reasonably reliable instrument to measure ill health. The global instrument provides useful information on the burden of disease, because it takes into account the relevance of the diseases for the people themselves.
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References
Aromaa A, Koponen P, Tafforeau J, Vermeire C (2003) Evaluation of health interview surveys and health examination surveys in the European Union. Eur J Pub Health 13:67–72
Bombak AE, Bruce SG (2012) Self-rated health and ethnicity: focus on indigenous populations. Int J Circumpolar Health 71. doi:10.3402/ijch.v71i0.18538
Bombard JM, Powell KE, Martin LM, Helmick CG, Wilson WH (2005) Validity and reliability of self-reported arthritis: Georgia senior centers, 2000–2001. Am J Prev Med 28:251–258
Brix TH, Kyvik KO, Hegedus L (2001) Validity of self-reported hyperthyroidism and hypothyroidism: comparison of self-reported questionnaire data with medical record review. Thyroid 11:769–773
Burata V, Frova L, Gargiulo L, Gianicolo E, Prati S, Quattrociocchi L (2003) Development of a common instrument for chronic physical conditions. In: Nossikov A, Gudex C (eds) Development of common instruments for health surveys. Ios Press, Amsterdam, pp 21–34
Cox B, Van OH, Cambois E, Jagger C, le Roy S, Robine JM, Romieu I (2009) The reliability of the Minimum European health module. Int J Public Health 54:55–60
Crossley TF, Kennedy S (2002) The reliability of self-assessed health status. J Health Econ 21:643–658
Dal Grande E, Fullerton S, Taylor AW (2012) Reliability of self-reported health risk factors and chronic conditions questions collected using the telephone in South Australia, Australia. BMC Med Res Methodol 12:108
de Bruin A, Picavet HS, Nossikov A (1996) Health Interview Surveys: towards international harmonization of methods and instruments. World Health Organisation, Copenhagen
Deeg DJ, Kriegsman DM (2003) Concepts of self-rated health: specifying the gender difference in mortality risk. Gerontologist 43:376–386
Demarest S, Van der Heyden J, Charafeddine R, Drieskens S, Gisle L, Tafforeau J (2013) Methodological basics and evolution of the Belgian Health Interview Survey 1997–2008. Arch Public Health 71(1):24. doi:10.1186/0778-7367-71-24
Engstad T, Bonaa KH, Viitanen M (2000) Validity of self-reported stroke: The Tromso Study. Stroke 31:1602–1607
Fowles JB, Fowler EJ, Craft C (1998) Validation of claims diagnoses and self-reported conditions compared with medical records for selected chronic diseases. J Ambul Care Manag 21:24–34
Goldberg D, Williams P (1988) A user’s guide to the General Health Questionnaire. NFER-NELSON, Berkshire
Groves R, Fowler F, Couper M, Lepkowski J, Singer E, Tourangeau R (2004) Survey methodology. Wiley, Hoboken
Horton R (2005) The neglected epidemic of chronic disease. Lancet 366:1514
Jagger C, Robine JM, Van Oyen H, Cambois E (2008) Life expectancy with chronic morbidity. In: Giampaoli S, Van Oyen H, Devillé W, Verschuuren M (eds) Major and chronic diseases report 2007. European Commission, Luxemburg, pp 292–304
Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174
Macintyre S, Der G, Norrie J (2005) Are there socioeconomic differences in responses to a commonly used self report measure of chronic illness? Int J Epidemiol 34:1284–1290
Martin LM, Leff M, Calonge N, Garrett C, Nelson DE (2000) Validation of self-reported chronic conditions and health services in a managed care population. Am J Prev Med 18:215–218
Mathers CD, Loncar D (2006) Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 3(11):e442
McDowell I, Newell C (1996) Measuring health. A guide to rating scales and questionnaires. Oxford University Press, New York
Menon C, Gipson K, Bowe WP, Hoffstad OJ, Margolis DJ (2008) Validity of subject self-report for acne. Dermatology 217:164–168
Murray CJ, Vos T, Lozano R et al (2012) Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2197–2223
Piot P, Ebrahim S (2010) Prevention and control of chronic diseases. BMJ 341:c4865
Robine JM, Jagger C, Romieu I (2002) Selection of a coherent set of health indicators for the European Union. Phase II: final report, Euro-Reves
Sullivan DF (1971) A single index of mortality and morbidity. HSMHA Health Rep 86:347–354
Verschuuren M, Gissler M, Kilpelainen K, Tuomi-Nikula A, Sihvonen AP, Thelen J, Gaidelyte R, Ghirini S, Kirsch N, Prochorskas R, Scafato E, Kramers P, Aromaa A (2013) Public health indicators for the EU: the joint action for ECHIM (European Community Health Indicators & Monitoring). Arch Public Health 71(1):12. doi:10.1186/0778-7367-71-12
Wikman A, Marklund S, Alexanderson K (2005) Illness, disease, and sickness absence: an empirical test of differences between concepts of ill health. J Epidemiol Community Health 59:450–454
Zajacova A, Dowd JB (2011) Reliability of self-rated health in US adults. Am J Epidemiol 174:977–983
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Van der Heyden, J., De Bacquer, D., Tafforeau, J. et al. Reliability and validity of a global question on self-reported chronic morbidity. J Public Health 22, 371–380 (2014). https://doi.org/10.1007/s10389-014-0624-9
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DOI: https://doi.org/10.1007/s10389-014-0624-9