Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1994-3-22
pubmed:abstractText
Data on self-reported cancer from a health interview survey carried out in 1991 in the southeastern Netherlands by means of a postal questionnaire (n = 17,940) were validated against records from a population-based cancer registry. The sensitivity of the questionnaire was 0.552 (95% confidence interval (CI) 0.507-0.597), and the specificity was 0.995 (95% CI 0.994-0.996). The survey underestimated cancer prevalence in the population by 25%. Of the 212 false negative cases, 46% were registered with non-melanoma skin cancer. After the exclusion of nonmelanoma skin cancer from cancer registry records, cancer prevalence was overestimated by the survey by a negligible 2%. The misclassification of cancer by the postal survey was differential according to age, sex, education, and degree of urbanization. The survey overestimated cancer prevalence ratios for men versus women, old respondents versus young respondents, and urban residents versus rural residents. The prevalence ratios for respondents with a low educational level versus those with a high level were underestimated using survey data. These patterns remained essentially the same after exclusion of nonmelanoma skin cancer from the cancer registry records. This study shows that both overall cancer prevalence and differences in cancer prevalence between subgroups of the population may be biased when health interview survey data are used. If explicit attention is paid to nonmelanoma skin cancer in survey questions, this might improve the validity of overall cancer prevalence estimates, but not that of comparisons between subgroups of the population.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0002-9262
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
139
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
408-14
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
Validation of cancer prevalence data from a postal survey by comparison with cancer registry records.
pubmed:affiliation
Department of Public Health, Erasmus University Medical School, Rotterdam, The Netherlands.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't