Rona R J, Mosbech J
Division of Community Health, UMDS of Guy's Hospital, UK.
Int J Epidemiol. 1989 Sep;18(3):674-9. doi: 10.1093/ije/18.3.674.
The results of a study to assess the feasibility and acceptability of a questionnaire designed to ascertain occupational history and the repeatability of coding occupational and industrial status using an abbreviated version of the coding status are presented for EEC countries. The study demonstrates the difficulty of recruiting cancer patients below age 65. The percentage of useful information among patients who completed a self-administered questionnaire was slightly lower than those who completed an administered questionnaire but in general the response rate for most items in the questionnaires in any group was above 90%. The repeatability of coding occupational status and industrial status for current or last job was satisfactory with Kappa values of 65% and 76% respectively. The within-individual repeatability for these variables had similar Kappa values. The validity of coding occupational status with an abbreviated version of coding status compared to the full instructions was satisfactory for current or last occupation. However, observer variability may be fairly large for the abbreviated version. An increase in the coding repeatability could probably be achieved with few modifications to the description of occupation status groups and clearer headings for each division of the Industrial Occupation Classification and greater training of coders.
本文展示了一项针对欧盟国家开展的研究结果,该研究旨在评估一份用于确定职业史的问卷的可行性和可接受性,以及使用编码状态的简化版本对职业和行业状况进行编码的重复性。研究表明,招募65岁以下癌症患者存在困难。完成自填式问卷的患者中有用信息的百分比略低于完成他人代填问卷的患者,但总体而言,任何组别的问卷中大多数项目的回复率都高于90%。对当前或上一份工作的职业状况和行业状况进行编码的重复性令人满意,卡帕值分别为65%和76%。这些变量的个体内重复性具有相似的卡帕值。与完整说明相比,使用编码状态的简化版本对当前或上一份职业的职业状况进行编码的有效性令人满意。然而,简化版本的观察者变异性可能相当大。通过对职业状况组的描述进行少量修改、为《工业职业分类》的每个部分设置更清晰的标题以及对编码人员进行更多培训,可能会提高编码的重复性。