Abstract
The aim of this study was to investigate whether names (surnames and the combination of surnames and first names) are adequate to identify Turkish, Moroccan and Surinamese children in a Dutch population. Parents visiting the Emergency Department of the Sophia Children's Hospital with their child filled in a questionnaire about their ethnic background, socio-economic factors and cultural factors. Patients' names were classified by students with a Turkish, Moroccan and Surinamese (Hindustanic and Creole) background. A combined name-method (surnames in combination with first names) and surnames only were compared with a reference method (ethnicity by parents' country of birth). The validity of both name methods and the measurements of agreement (κ) of both comparisons were analysed. Turkish names showed good validity measurements between the combined name-method and the reference method (sensitivity of 81% and a positive predictive value of 86%). The Arabic names were distinguishable with a sensitivity of 77%, specificity of 99% and positive predictive value of 87%. Surinamese names were less easy to distinguish from the other names (69, 96 and 69% respectively). Overall, the measurement of agreement showed a κ of 0.69 in the comparison between the classification of the combined names and the classification by parent's country of birth. The classification of the combined names was slightly better than the classification by surnames only. Conclusions: Names can be used to identify Turkish and Arabic (Moroccan) children in a routinely registered database of Dutch children. For Surinamese names this method is less suitable.
References
Senior PA, Bhopal R. Ethnicity as a variable in epidemiological research. Br Med J 1994; 309: 327–330.
Bhopal R, Donaldson L. White, European, Western, Caucasian, or what? Inappropriate labelling in research on race, ethnicity, and health. Am J Public Health 1998; 88(9): 1303–1307.
Chaturvedi N, McKeigue PM. Methods for epidemiological surveys of ethnic minority groups. J Epidemiol Community Health 1994; 48(2): 107–111.
Bruijnzeels MA. [Measurement of ethnic backgrounds] [inDutch]. Amsterdam: Zorgonderzoek Nederland, 1999.
Nicoll A, Bassett K, Ulijaszek SJ. What's in a name? Accuracy of using surnames and forenames in ascribing Asian ethnic identity in English populations. J Epidemiol Community Health 1986; 40(4): 364–368.
Coldman AJ, Braun T, Gallagher RP. The classification of ethnic status using name information. J Epidemiol Comm Health 1988; 42: 390–395.
Choi BCK, Hanley AJG, Holowaty EJ, Dale D. Use of Surnames to identify individuals of Chinese ancestry. Am J Epidemiol 1993; 138(9): 723–734.
Harding S, Dews H, Simpson S. The potential to identify South Asians using a computerised algorithm to classify names. Population Trends 1999; 97: 46–49.
Harland JO, White M, Bhopal RS, Raybould S, Unwin NC, Alberti KGMM. Identifying Chinese populations in the UK for epidemiological research: Experience of a name analysis of the FHSA register. Soc Public Health 1997; 111: 331–337.
Razum O, Zeeb H, Beck K, Becher H, Ziegler H, Stegmaier C. Combining a name algorithm with a capture- recapture method to retrieve cases of Turkish descent from a German population-based cancer registry. Eur J Cancer 2000; 36(18): 2380–2384.
Razum O, Zeeb H, Akgun S. How useful is a namebased algorithm in health research among Turkish migrants in Germany? Trop Med Int Health 2001; 6(8): 654–661.
Manna DR, Bootsma AH, Lamberts SW, Mackenbach JP. [Relation between ethnicity and reason for referral of new patients to the internal medicine outpatient clinic of the Academic Hospital Rotterdam-Dijkzigt, 1997] [in Dutch]. Ned Tijdschr Geneeskd 2000; 144(37): 1785–1789.
Striptiaan van A. [What's in a name? Slavery and name giving in suriname during the 18th and 19th century] [in Dutch] (internet); 1990.
Martineau A, White M. What's not in a name. The accuracy of using names to ascribe religious and geographical origin in a British population. J Epidemiol Comm Health 1998; 52: 336–337.
Perez-Stable EJ, Hiatt RA, Sabogal F, Otero-Sabogal R. Use of Spanish surnames to identify latinos: Comparison to self-identification. J Natl Cancer Inst Monogr 1995; 18: 11–15.
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Bouwhuis, C.B., Moll, H.A. Determination of ethnicity in children in the Netherlands: Two methods compared. Eur J Epidemiol 18, 385–388 (2003). https://doi.org/10.1023/A:1024205226239
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DOI: https://doi.org/10.1023/A:1024205226239