Abstract | BACKGROUND: Agreement between self-reported data and data obtained from medical records is far from perfect and few studies have analyzed the element of language when self-reported data are given in one language and this information is recorded in another language in the medical record. Our objective was to assess agreement between self-reported data and medical record data with regard to prenatal risk factors in pregnant Latina women. METHODS: We interviewed 350 Latina women at >or =20 weeks' gestation regarding alcohol use, tobacco use, use of prenatal vitamins, age, education, use of prenatal care, and medical conditions. Kappa statistic (kappa) and 95% confidence intervals (95% CIs) were used to calculate agreement between self-reported responses and medical record data. Multiple logistic regression analysis was used to evaluate effect of maternal characteristics on likelihood of disagreement. RESULTS: Agreement between self-reported and medical record data was generally lower for behavioral factors (alcohol kappa=0.37 and prenatal vitamin use kappa=0.09) than for medical conditions ( anemia kappa=0.63, gestational diabetes kappa=0.83, and hypertension kappa=0.68). In general, maternal characteristics did not significantly predict patterns of disagreement. CONCLUSIONS: Among pregnant Latina women, self-reported data on behavioral factors had lower agreement than self-reported data on medical conditions. Further study is needed to define the effect of other factors, such as social norms, on accuracy of self-reported data during pregnancy.
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Authors | Nancy A Hessol, Brian Missett, Elena Fuentes-Afflick |
Journal | Archives of medical research
(Arch Med Res)
2004 May-Jun
Vol. 35
Issue 3
Pg. 241-5
ISSN: 0188-4409 [Print] United States |
PMID | 15163467
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Alcohol Drinking
- Behavior
- Cohort Studies
- Female
- Hispanic or Latino
- Humans
- Language
- Middle Aged
- Odds Ratio
- Pregnancy
- Pregnancy Complications
(diagnosis)
- Pregnant Women
- Prenatal Care
- Risk Factors
- Smoking
- Vitamins
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