VALIDITY OF THE 10 QUESTIONS SCREEN FOR CHILDHOOD DISABILITY - RESULTS FROM POPULATION-BASED STUDIES IN BANGLADESH, JAMAICA, AND PAKISTAN

被引：113

作者：

DURKIN, MS

DAVIDSON, LL

DESAI, P

HASAN, ZM

KHAN, N

SHROUT, PE

THORBURN, MJ

WANG, W

ZAMAN, SS

机构：

[1] Gertrude H. Sergievsky Center, Columbia University, New York, NY

[2] Division of Epidemiology, Columbia University, New York, NY

[3] Department of Pediatrics, Columbia University, New York, NY

[4] Department of Social and Preventive Medicine, University of the West Indies, Mona

[5] Department of Neuropsychiatry, Jinnah Postgraduate Medical Centre, Karachi

[6] Child Development Center, dhaka, Dhaka Shishu Children’s Hospital

[7] Department of Psychology, New York University, New York, NY

[8] Division of Biostatistics, School of Public Health, Columbia University, New York, NY

[9] Department of Psychology, University of Dhaka, Dhaka

来源：

EPIDEMIOLOGY | 1994年 / 5卷 / 03期

关键词：

CHILD DEVELOPMENT DISORDERS; CROSS CULTURAL COMPARISON; DISABILITY; EPIDEMIOLOGIC METHODS; PREDICTIVE VALUE OF TESTS; QUESTIONNAIRES; REPRODUCIBILITY OF RESULTS; SENSITIVITY; SPECIFICITY; SCREENING;

D O I：

10.1097/00001648-199405000-00005

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

An international study to validate the Ten Questions screen for serious childhood disability was undertaken in communities in Bangladesh, Jamaica, and Pakistan, where community workers screened more than 22,000 children ages 2-9 years. All children who screened positive, as well as random samples of those who screened negative, were referred for clinical evaluations. Applying comparable diagnostic criteria, the sensitivity of the screen for serious cognitive, motor, and seizure disabilities is acceptable (80-100%) in all three populations, whereas the positive predictive values range from 3 to 15%. These results confirm the usefulness of the Ten Questions as a low cost and rapid screen for these disabilities, although not for vision and hearing disabilities, in populations where few affected children have previously been identified and treated. They also show that the value of the Ten Questions for identifying disability in underserved populations is limited to that of a screen; more thorough evaluations of children screened positive are necessary to distinguish true- from false-positive results and to identify the nature of the disability if present.

引用

页码：283 / 289

页数：7

共 34 条

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