Validity of self-reported causes of subfertility
| Autor: | de Boer, E.J., den Tonkelaar, I., Burger, C.W., van Leeuwen, F.E., Project group, O.M.E.G.A. |
|---|---|
| Přispěvatelé: | Obstetrics & Gynecology, VU University medical center |
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Self Disclosure Psychometrics Epidemiology media_common.quotation_subject medicine.medical_treatment Endometriosis Fertility Fertilization in Vitro Test validity Medical Records Cohort Studies Age Distribution Surveys and Questionnaires Humans Medicine Netherlands media_common Gynecology In vitro fertilisation business.industry Data Collection Medical record Reproducibility of Results medicine.disease Infertility Mental Recall Educational Status Female business Cohort study |
| Zdroj: | American Journal of Epidemiology, 161(10), 978-986. Oxford University Press American Journal of Epidemiology, 161, 978-986. Oxford University Press de Boer, E J, den Tonkelaar, I, Burger, C W, van Leeuwen, F E & Project group, O M E G A 2005, ' Validity of self-reported causes of subfertility ', American Journal of Epidemiology, vol. 161, pp. 978-986 . https://doi.org/10.1093/aje/kwi120 |
| ISSN: | 0002-9262 |
| DOI: | 10.1093/aje/kwi120 |
| Popis: | The authors assessed the accuracy of cause(s) of subfertility as reported by women in a self-administered questionnaire in comparison with medical record information, in a nationwide cohort study of women receiving in vitro fertilization treatment in the Netherlands (n = 9,164) between 1983 and 1995. Validity was expressed as sensitivity and specificity, and reliability was expressed by the kappa statistic and overall agreement between self-reports and medical records for various subfertility categories. The sensitivity for subfertility attributed to tubal, male, hormonal, cervical, uterine, and idiopathic factors and for endometriosis was 84%, 78%, 65%, 40%, 46%, 59%, and 83%, respectively. The corresponding kappas were 0.79, 0.71, 0.38, 0.34, 0.13, 0.50, and 0.52, respectively. For 54% of all women who reported two or more causes of subfertility, the medical record revealed only one major factor. Conversely, for 43% of all women whose subfertility was attributed to two or more major factors in the record, only one factor was reported by the women. Older age at the time of filling out the questionnaire, low educational level, long duration of subfertility, and pre-in vitro fertilization treatment were associated with less accurate reporting. The results indicate that the validity of self-reports for tubal and male subfertility is satisfactory. For unexplained subfertility, the validity is moderate; for other causes of subfertility and when two causes of subfertility play a role, the validity is low. Copyright |
| Databáze: | OpenAIRE |
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