THE ACCURACY OF SELF-REPORT OF HERPES-ZOSTER

被引:26
作者
SCHMADER, K
GEORGE, LK
NEWTON, R
HAMILTON, JD
机构
[1] DUKE UNIV,MED CTR,DEPT PSYCHIAT & SOCIOL,DURHAM,NC 27710
[2] DUKE UNIV,MED CTR,DEPT MED,DIV GERIATR,DURHAM,NC 27710
[3] DUKE UNIV,MED CTR,DEPT MED,DIV INFECT DIS,DURHAM,NC 27710
[4] VET AFFAIRS MED CTR,MED RES SERV,DURHAM,NC 27710
[5] VET AFFAIRS MED CTR,GERIATR RES EDUC & CLIN CTR,INFECT DIS SECT,DURHAM,NC 27710
关键词
HERPES ZOSTER; SHINGLES; ELDERLY; AGED; QUESTIONNAIRES;
D O I
10.1016/0895-4356(94)90132-5
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The accuracy of self-report of herpes tester was investigated in the Duke Established Populations for Epidemiological Studies of the Elderly, a longitudinal study of 4162 community-dwelling elderly persons residing in North Carolina, 1986-1993. The authors compared self-reports of tester with physician diagnosis of tester and with a tester verification questionnaire (ZVQ). Compared to physician diagnosis, 3.2% (95% confidence interval 0-6.1%) of self-reports of tester (n = 31) were false-positive and no denials of tester (n = 63) were false-negative. The agreement of self-reports to physician diagnosis was 98.9%, the sensitivity and negative predictive value were 100%, the specificity was 98.4% and the positive predictive value was 96.7%. The ZVQ comparisons were similarly high. These data suggest that the frequency of false-positive and false-negative reports of tester is low in this elderly population. Zoster self-reports appear to be accurate and suitable for epidemiological investigations.
引用
收藏
页码:1271 / 1276
页数:6
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