Mazur Joanna, Sentenac Mariane, Brooks Fiona, Małkowska-Szkutnik Agnieszka, Gajewski Jakub, Gavin Aoife
Zakład Zdrowia Dzieci i Młodzieży, Instytut Matki i Dziecka, Warszawa.
Med Wieku Rozwoj. 2013 Apr-Jun;17(2):157-64.
The Chronic Conditions Short Questionnaire (CCSQ) included as an optional package in the Health Behaviour in School-aged Children (HBSC) study protocol identifies adolescents with chronic conditions, and helps to understand the psychosocial impact of such illnesses. However, reliability of the results depends on the proper definition of the group with chronic conditions.
of this paper is to report on the validity of self-reported data on chronic conditions obtained from the CCSQ questionnaire used in a large school-based population study.
The data was obtained from the 2010 HBSC study conducted in Poland in a group of 4570 pupils aged 13-17. The CCSQ includes three questions about chronic illness or disabilities occurrence diagnosed by a physician, and its selected consequences (missing school classes, medication). Four complex continuous scales were used as validation modules: the subjective complaints checklist and three sub-scales from the abbreviated Child Health and Illness Profile (CHIP-AE) questionnaire. The oldest age group was additionally asked about functional difficulties in: seeing, hearing, speaking, moving and breathing. Analysis of Variance with the post hoc test was used to compare subgroups of students defined according to CCSQ and functional difficulties.
Chronic conditions were reported by 20.3% of young respondents (95% confidence interval 19.2-21.5%). A statistically significant difference was found between the mean indexes of all validation scales when comparing healthy and chronically-ill students meeting criteria of CCSQ. The difference increases in comparison with chronically-ill students with functional difficulties, missing classes or taking medication.
The CCSQ questionnaire is an appropriate tool for assessing the occurrence of long-term health problems from the perspective of adolescents. The instrument also importantly allows for an assessment of the impact of chronic and long-term conditions on medication usage and hindered access to education. Occurrence of long-term health problems is a significant confounding variable that should be routinely included in school surveys on health and health behaviours.
《慢性病简短问卷》（CCSQ）作为《学龄儿童健康行为》（HBSC）研究方案中的一个可选包，用于识别患有慢性病的青少年，并有助于了解此类疾病的心理社会影响。然而，结果的可靠性取决于慢性病群体的恰当定义。
是报告在一项大型基于学校的人群研究中，从CCSQ问卷获得的慢性病自我报告数据的有效性。
数据来自2010年在波兰进行的HBSC研究，研究对象为4570名13至17岁的学生。CCSQ包括三个关于医生诊断的慢性病或残疾发生情况及其选定后果（缺课、用药）的问题。使用四个复杂的连续量表作为验证模块：主观症状清单和简化版儿童健康与疾病概况（CHIP - AE）问卷的三个子量表。此外，还询问了年龄最大的年龄组在视力、听力、言语、行动和呼吸方面的功能困难情况。采用方差分析及事后检验来比较根据CCSQ和功能困难定义的学生亚组。
20.3%的年轻受访者报告患有慢性病（95%置信区间19.2 - 21.5%）。在比较符合CCSQ标准的健康学生和慢性病学生时，发现所有验证量表的平均指标存在统计学显著差异。与有功能困难、缺课或用药的慢性病学生相比，差异增大。
CCSQ问卷是从青少年角度评估长期健康问题发生情况的合适工具。该工具还重要地允许评估慢性病和长期状况对用药及受教育机会受阻的影响。长期健康问题的发生是一个重要的混杂变量，应常规纳入学校关于健康和健康行为的调查中。
