Burgess Diana J, Powell Adam A, Griffin Joan M, Partin Melissa R
Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, MN 55417, USA.
Prev Med. 2009 Feb;48(2):99-107. doi: 10.1016/j.ypmed.2008.11.014. Epub 2008 Dec 11.
Many estimates of cancer screening are based on self-reported screening behavior. There is growing concern that self-reported screening measures may be less accurate among members of racial and ethnic minority groups. This would have considerable implications for research on racial and ethnic disparities in cancer screening.
To review the literature on the relationship between race/ethnicity and the accuracy of self-reported cancer screening behavior and develop a conceptual framework that would provide a deeper understanding of factors underlying this relationship.
We developed a conceptual framework drawing from diverse literatures including validation studies examining the accuracy of self-reported cancer screening behaviors and articles on survey response bias.
Evidence suggests that racial and ethnic minorities may be less likely to provide accurate reports of their cancer screening behavior and that overreporting may be particularly problematic. Research conducted in other areas suggests that these sources of measurement error may stem from cognitive and motivational processes and that they can be moderated by question wording and data collection characteristics. At this point, however, the quality of the evidence is not strong and more research is needed before definitive conclusions can be drawn.
许多癌症筛查评估是基于自我报告的筛查行为。人们越来越担心，自我报告的筛查措施在种族和少数民族群体成员中可能不太准确。这将对癌症筛查中种族和民族差异的研究产生重大影响。
回顾关于种族/民族与自我报告的癌症筛查行为准确性之间关系的文献，并建立一个概念框架，以更深入地理解这种关系背后的因素。
我们从包括检验自我报告癌症筛查行为准确性的验证研究和关于调查应答偏差的文章等多种文献中构建了一个概念框架。
有证据表明，种族和少数民族可能不太可能准确报告他们的癌症筛查行为，而且过度报告可能尤其成问题。在其他领域进行的研究表明，这些测量误差来源可能源于认知和动机过程，并且可以通过问题措辞和数据收集特征来调节。然而，目前证据质量不强，在得出明确结论之前还需要更多研究。
