Gómez-Marín Orlando, Fleming Lora E, Caban Alberto, Leblanc William G, Lee David J, Pitman Terry
Departments of Epidemiology & Public Health, University of Miami School of Medicine, Miami, Florida 33101, USA.
J Occup Environ Med. 2005 Jan;47(1):79-90. doi: 10.1097/01.jom.0000147213.76606.55.
We sought to assess the validity of using current or most recent occupation as surrogate for longest-held job (and its exposures).
The National Health Interview Survey (NHIS) is an annual, probability, cross-sectional U.S. population survey. The 1986 and 1988 NHIS occupational supplements provided information for more than 49,000 workers. Using Cohen's Kappa, concordance was assessed by occupational group and several subgroups.
Statistically significant results were observed for all occupational groups. More than 70% of 13 broad occupations had a Kappa of 50.0 or greater, with variable concordance by subpopulation. Among 206 occupational groups, there was more variability: Kappa ranged from 92.7 (dentists) to 9.2 (farm managers).
Moderate-to-high levels of agreement was observed in this large, representative sample of US workers. Therefore, current occupation can be used as a surrogate for longest-held job for many occupational subgroups.
我们试图评估用当前或最近的职业作为最长从事工作(及其接触情况)的替代指标的有效性。
美国国家健康访谈调查(NHIS)是一项针对美国人口的年度概率横断面调查。1986年和1988年的NHIS职业补充调查为49000多名工人提供了信息。使用科恩卡方系数,按职业组和几个亚组评估一致性。
所有职业组均观察到具有统计学意义的结果。13个主要职业中超过70%的职业的卡方系数为50.0或更高,不同亚人群的一致性有所不同。在206个职业组中,变异性更大:卡方系数范围从92.7(牙医)到9.2(农场经理)。
在这个具有代表性的美国工人大样本中观察到中等到高水平的一致性。因此,对于许多职业亚组来说,当前职业可以用作最长从事工作的替代指标。