Nelson D E, Holtzman D, Bolen J, Stanwyck C A, Mack K A
Behavioral Surveillance Branch, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, USA.
Soz Praventivmed. 2001;46 Suppl 1:S3-42.
To assess the reliability and validity of measures on the BRFSS, to assist users in evaluating the quality of BRFSS data, and to identify areas for further research.
Review and summary of reliability and validity studies of measures on the BRFSS and studies of measures that were the same or similar to those on the BRFSS from other surveys.
Measures determined to be of high reliability and high validity were current smoker, blood pressure screening, height, weight, and BMI, and several demographic characteristics. Measures of both moderate reliability and validity included when last mammography was received, clinical breast exam, sedentary lifestyle, intense leisure-time physical activity, and fruit and vegetable consumption. Few measures were of low validity and only one measure was determined to be of low reliability. Several other measures were of high or moderate reliability or validity, but not both. The reliability or validity could not be determined for some measures, primarily due to lack of research.
Most questions on the core BRFSS instrument were at least moderately reliable and valid, and many were highly reliable and valid. Additional research is needed for some measures.
评估行为危险因素监测系统(BRFSS)各项测量指标的信度和效度,帮助使用者评估BRFSS数据的质量,并确定有待进一步研究的领域。
回顾并总结BRFSS各项测量指标的信度和效度研究,以及其他调查中与BRFSS相同或相似测量指标的研究。
确定为具有高信度和高效度的指标有当前吸烟者、血压筛查、身高、体重和体重指数(BMI),以及若干人口统计学特征。信度和效度中等的指标包括上次接受乳房X光检查的时间、临床乳房检查、久坐不动的生活方式、高强度休闲时间体力活动以及水果和蔬菜摄入量。效度低的指标很少,只有一项指标被确定为信度低。其他一些指标具有高信度或高效度,但并非两者兼具。部分指标的信度或效度无法确定,主要原因是缺乏相关研究。
BRFSS核心工具中的大多数问题至少具有中等信度和效度,许多问题具有高信度和高效度。一些指标还需要进一步研究。