Howard C A, Samet J M, Buechley R W, Schrag S D, Key C R
Am J Epidemiol. 1983 Jan;117(1):27-34. doi: 10.1093/oxfordjournals.aje.a113512.
A prevalence survey of respiratory diseases was conducted in Albuquerque, New Mexico, with the objective of explaining differing patterns of respiratory disease epidemiology in Hispanic and non-Hispanic whites (Anglos). The study population was selected at random from the 1978 R.L. Polk & Co. Directory. This paper focuses on methodological issues raised during the conduct of the study: response rates, potential language barriers and bias, and identification of Hispanics by surnames. Mail, telephone, and personal interview approaches were used to obtain adequate response rates, which ranged from 60% in Hispanic males to 78% in Anglo females; 22% of Hispanic males refused interview. Fewer Hispanics returned mailed questionnaires than responded to telephone interviewing. Spanish language was increasingly preferred as the respondent's age increased. Two methods of ethnic identification by surname (1980 Census List of Spanish Surnames and a computer program, GUESS (Generally Useful Ethnic Search System) were compared to the self-reported ethnicity of respondents. The GUESS Program was more sensitive than the census list, but the census list was more specific. The combination of both methods produced a 90% sensitivity and 97% specificity in males. Intermarriage reduced the accuracy in females.
在新墨西哥州的阿尔伯克基市进行了一项呼吸系统疾病患病率调查,目的是解释西班牙裔和非西班牙裔白人(盎格鲁人)呼吸系统疾病流行病学的不同模式。研究人群是从1978年R.L.波尔克公司名录中随机选取的。本文重点关注研究实施过程中出现的方法学问题:回应率、潜在的语言障碍和偏差,以及通过姓氏识别西班牙裔。采用邮件、电话和个人访谈的方式以获得足够的回应率,回应率从西班牙裔男性的60%到盎格鲁女性的78%不等;22%的西班牙裔男性拒绝接受访谈。回复邮寄问卷的西班牙裔人数少于接受电话访谈的人数。随着受访者年龄的增加,越来越多的人倾向于使用西班牙语。将两种通过姓氏识别种族的方法(1980年西班牙姓氏普查名单和一个名为GUESS(通用族裔搜索系统)的计算机程序)与受访者自我报告的种族进行了比较。GUESS程序比普查名单更敏感,但普查名单更具特异性。两种方法结合在男性中产生了90%的敏感度和97%的特异性。异族通婚降低了女性的准确率。