在南美洲的 SAYCARE 研究中测量社会经济地位和环境因素：方法的可靠性。

Measuring Socioeconomic Status and Environmental Factors in the SAYCARE Study in South America: Reliability of the Methods.

机构信息

Youth/Child and Cardiovascular Risk and Environmental Research Group, Department of Preventative Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil.

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.

出版信息

Obesity (Silver Spring). 2018 Mar;26 Suppl 1:S14-S22. doi: 10.1002/oby.22115.

DOI:10.1002/oby.22115

PMID:29464918

Abstract

OBJECTIVE

This paper aimed to test the reliability of two questionnaires in studies involving children and adolescents (aged 3-18 years) in seven South American cities. One assesses socioeconomic status (SES) and the other measures environmental factors.

METHODS

The SES questionnaire was composed of 14 questions, which included the presence of several consumer goods, domestic services, family income, parental education level, and current parental occupation status. The environmental questionnaire was composed of 15 questions to measure the social and infrastructure characteristics of the area of residence. Parents or guardians completed the questionnaires on behalf of their children. Adolescents answered the questions themselves for environmental factors, while those related to SES factors were answered by their parents or guardians. We analyzed the reliability of the questionnaires through kappa coefficient determination. Multilevel linear regression models were applied to calculate the correlation between the total household scores, the household income, and parents' education level.

RESULTS

The environmental questionnaire showed good reproducibility in both age groups (k = 0.132-0.612 in children and k = 0.392-0.746 in adolescents). The SES questionnaire showed strong reliability in both age groups for all indicators (k = 0.52-1.00 in children and k = 0.296-0.964 in adolescents).

CONCLUSIONS

Our multiple indicator questionnaires focused on environmental factors and SES in pediatric health surveys provided useful and easily applicable additional indicators to measure these important determinants of cardiovascular health.

摘要

目的

本文旨在检验两份问卷在涉及 7 个南美城市的儿童和青少年（3-18 岁）研究中的可靠性。一份问卷评估社会经济地位（SES），另一份问卷衡量环境因素。

方法

SES 问卷由 14 个问题组成，包括存在几种消费品、家庭服务、家庭收入、父母教育水平和当前父母职业状况。环境问卷由 15 个问题组成，用于测量居住区域的社会和基础设施特征。父母或监护人代表子女填写问卷。青少年自己回答与环境因素有关的问题，而与 SES 因素有关的问题则由他们的父母或监护人回答。我们通过kappa 系数确定来分析问卷的可靠性。应用多级线性回归模型计算家庭总得分、家庭收入和父母教育水平之间的相关性。