Reproducibility of a Self-administered Questionnaire for Dietary Habits, Smoking, and Drinking
Reproducibility of results from a self-administered questionnaire on dietary habits (the frequency of taking various foods and eating habits), smoking and drinking was examined to study the reliability of the questionnaire, stability of lifestyle, and the validity of the questionnaire in assessing l...
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| Published in | Nippon Eiseigaku Zasshi (Japanese Journal of Hygiene) Vol. 48; no. 6; pp. 1048 - 1057 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English Japanese |
| Published |
Japan
The Japanese Society for Hygiene
01.02.1994
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5082 1882-6482 |
| DOI | 10.1265/jjh.48.1048 |
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| Abstract | Reproducibility of results from a self-administered questionnaire on dietary habits (the frequency of taking various foods and eating habits), smoking and drinking was examined to study the reliability of the questionnaire, stability of lifestyle, and the validity of the questionnaire in assessing lifestyle as a risk factor in chronic diseases. The study sample included 120 males and 173 females in a rural town in Kyoto Prefecture, who participated in a series of three health examinations in 1988, 1989, and 1992. A survey using the same questionnaire was performed before each health examination. Reproducibility was assessed by correlation (Spearman's rank correlation coefficient or kappa coefficient), exact agreement of category answered, and comparison of mean frequency. An attempt was made to separate reliability and stability from reproducibility using the data from the questionnaire obtained in the three years. Good reproducibility for one-year and four-year intervals was found for foods taken habitually or often (boiled rice, cooked rice gruel with tea, milk, coffee, fruits and bread), and habits (eating breakfast, some eating habits, smoking and drinking). The same was also found for cigaratte or alcohol consumption among current consumers except that cigarette consumption over a four-year interval was more likely to change. The reliability of the questionnaire and stability of these items were considered satisfactory, suggesting that the questionnaire was a valid method of assessing long-term lifestyle. Poor reproducibility of results regarding consumption of green-yellow and other vegetables indicated both poor reliability and a change in consumption over four years, and suggested poor validity. However, disagreement in more than one category of vegetables was not large and misclassification in assessing them as risk factors and changes in frequency of consumption may not be large either. Although correlation coefficients for the items of dairy food and eating snacks were fair, disagreement in more than one category was relatively large which may have caused misclassification. The mean frequency of consumption of pickles and fishpaste, ham or sausage significantly decreased over the four year interval. This may reflect the influence of health education on reducing salt intake. |
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| AbstractList | Reproducibility of results from a self-administered questionnaire on dietary habits (the frequency of taking various foods and eating habits), smoking and drinking was examined to study the reliability of the questionnaire, stability of lifestyle, and the validity of the questionnaire in assessing lifestyle as a risk factor in chronic diseases. The study sample included 120 males and 173 females in a rural town in Kyoto Prefecture, who participated in a series of three health examinations in 1988, 1989, and 1992. A survey using the same questionnaire was performed before each health examination. Reproducibility was assessed by correlation (Spearman's rank correlation coefficient or kappa coefficient), exact agreement of category answered, and comparison of mean frequency. An attempt was made to separate reliability and stability from reproducibility using the data from the questionnaire obtained in the three years. Good reproducibility for one-year and four-year intervals was found for foods taken habitually or often (boiled rice, cooked rice gruel with tea, milk, coffee, fruits and bread), and habits (eating breakfast, some eating habits, smoking and drinking). The same was also found for cigarette or alcohol consumption among current consumers except that cigarette consumption over a four-year interval was more likely to change. The reliability of the questionnaire and stability of these items were considered satisfactory, suggesting that the questionnaire was a valid method of assessing long-term lifestyle. Poor reproducibility of results regarding consumption of green-yellow and other vegetables indicated both poor reliability and a change in consumption over four years, and suggested poor validity. However, disagreement in more than one category of vegetables was not large and misclassification in assessing them as risk factors and changes in frequency of consumption may not be large either. Although correlation coefficients for the items of dairy food and eating snacks were fair, disagreement in more than one category was relatively large which may have caused misclassification. The mean frequency of consumption of pickles and fishpaste, ham or sausage significantly decreased over the four year interval. This may reflect the influence of health education on reducing salt intake.Reproducibility of results from a self-administered questionnaire on dietary habits (the frequency of taking various foods and eating habits), smoking and drinking was examined to study the reliability of the questionnaire, stability of lifestyle, and the validity of the questionnaire in assessing lifestyle as a risk factor in chronic diseases. The study sample included 120 males and 173 females in a rural town in Kyoto Prefecture, who participated in a series of three health examinations in 1988, 1989, and 1992. A survey using the same questionnaire was performed before each health examination. Reproducibility was assessed by correlation (Spearman's rank correlation coefficient or kappa coefficient), exact agreement of category answered, and comparison of mean frequency. An attempt was made to separate reliability and stability from reproducibility using the data from the questionnaire obtained in the three years. Good reproducibility for one-year and four-year intervals was found for foods taken habitually or often (boiled rice, cooked rice gruel with tea, milk, coffee, fruits and bread), and habits (eating breakfast, some eating habits, smoking and drinking). The same was also found for cigarette or alcohol consumption among current consumers except that cigarette consumption over a four-year interval was more likely to change. The reliability of the questionnaire and stability of these items were considered satisfactory, suggesting that the questionnaire was a valid method of assessing long-term lifestyle. Poor reproducibility of results regarding consumption of green-yellow and other vegetables indicated both poor reliability and a change in consumption over four years, and suggested poor validity. However, disagreement in more than one category of vegetables was not large and misclassification in assessing them as risk factors and changes in frequency of consumption may not be large either. Although correlation coefficients for the items of dairy food and eating snacks were fair, disagreement in more than one category was relatively large which may have caused misclassification. The mean frequency of consumption of pickles and fishpaste, ham or sausage significantly decreased over the four year interval. This may reflect the influence of health education on reducing salt intake. Reproducibility of results from a self-administered questionnaire on dietary habits (the frequency of taking various foods and eating habits), smoking and drinking was examined to study the reliability of the questionnaire, stability of lifestyle, and the validity of the questionnaire in assessing lifestyle as a risk factor in chronic diseases. The study sample included 120 males and 173 females in a rural town in Kyoto Prefecture, who participated in a series of three health examinations in 1988, 1989, and 1992. A survey using the same questionnaire was performed before each health examination. Reproducibility was assessed by correlation (Spearman's rank correlation coefficient or kappa coefficient), exact agreement of category answered, and comparison of mean frequency. An attempt was made to separate reliability and stability from reproducibility using the data from the questionnaire obtained in the three years. Good reproducibility for one-year and four-year intervals was found for foods taken habitually or often (boiled rice, cooked rice gruel with tea, milk, coffee, fruits and bread), and habits (eating breakfast, some eating habits, smoking and drinking). The same was also found for cigaratte or alcohol consumption among current consumers except that cigarette consumption over a four-year interval was more likely to change. The reliability of the questionnaire and stability of these items were considered satisfactory, suggesting that the questionnaire was a valid method of assessing long-term lifestyle. Poor reproducibility of results regarding consumption of green-yellow and other vegetables indicated both poor reliability and a change in consumption over four years, and suggested poor validity. However, disagreement in more than one category of vegetables was not large and misclassification in assessing them as risk factors and changes in frequency of consumption may not be large either. Although correlation coefficients for the items of dairy food and eating snacks were fair, disagreement in more than one category was relatively large which may have caused misclassification. The mean frequency of consumption of pickles and fishpaste, ham or sausage significantly decreased over the four year interval. This may reflect the influence of health education on reducing salt intake. Reproducibility of results from a self-administered questionnaire on dietary habits (the frequency of taking various foods and eating habits), smoking and drinking was examined to study the reliability of the questionnaire, stability of lifestyle, and the validity of the questionnaire in assessing lifestyle as a risk factor in chronic diseases. The study sample included 120 males and 173 females in a rural town in Kyoto Prefecture, who participated in a series of three health examinations in 1988, 1989, and 1992. A survey using the same questionnaire was performed before each health examination. Reproducibility was assessed by correlation (Spearman's rank correlation coefficient or kappa coefficient), exact agreement of category answered, and comparison of mean frequency. An attempt was made to separate reliability and stability from reproducibility using the data from the questionnaire obtained in the three years. Good reproducibility for one-year and four-year intervals was found for foods taken habitually or often (boiled rice, cooked rice gruel with tea, milk, coffee, fruits and bread), and habits (eating breakfast, some eating habits, smoking and drinking). The same was also found for cigarette or alcohol consumption among current consumers except that cigarette consumption over a four-year interval was more likely to change. The reliability of the questionnaire and stability of these items were considered satisfactory, suggesting that the questionnaire was a valid method of assessing long-term lifestyle. Poor reproducibility of results regarding consumption of green-yellow and other vegetables indicated both poor reliability and a change in consumption over four years, and suggested poor validity. However, disagreement in more than one category of vegetables was not large and misclassification in assessing them as risk factors and changes in frequency of consumption may not be large either. Although correlation coefficients for the items of dairy food and eating snacks were fair, disagreement in more than one category was relatively large which may have caused misclassification. The mean frequency of consumption of pickles and fishpaste, ham or sausage significantly decreased over the four year interval. This may reflect the influence of health education on reducing salt intake. |
| Author | HAYASHI, Kyohei KAWAI, Keiichi AOIKE, Akira HIGASHI, Akane OZASA, Kotaro LIANG, Hongbo WATANABE, Yoshiyuki SHIMOUCHI, Akira |
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| References | 1) Block, G.: A review of validity of dietary assessment methods, Am. J. Epidemiol., 115, 492-505 (1982). 14) Jacobson, J. B. and Bonaa, K. H.: The reproducibility of dietary data from a self-administered questionnaire. The Tromso Study, Int. J. Epidemiol., 19, 349-353 (1990). 9) Fleiss, J. L.: Statistical Methods for Rates and Proportion, pp. 212-225, John Wiley & Sons, New York (1981). 19) 町役場内部資料 15) 名倉隆夫:過去の食生活と胃癌-群馬県における患者対照研究から-,日本公衛誌,36,209-219(1989). 13) Linsted, K. D. and Kuzma, J. W.: Longterm (24 year) recall reliability in cancer cases and controls using a 21-item food frequency questionnaire, Nutr. Cancer, 12, 135-149 (1989). 16) 深尾彰,清水弘之,前沢政次,久道茂:質問票による食習慣調査の再現性に関する検討,日本公衛誌,37,347-352(1990). 6) Heise, D. R.: Separating reliability and stability in test-retest correlation, Am. Sociol. Rev., 34, 93-101 (1969). 11) Nomura, A., Hankin, J. H. and Rhoads, G. G.: The reproducibility of dietary intake data in a prospective study of gastrointestinal cancer, Am. J. Clin. Nutr., 29, 1432-1436 (1976). 3) 福田勝洋,柴田彰:ライフスタイル測定の信頼性,癌の臨床,37,212-216(1991). 5) Carmines, E. G. and Zellar, R. A.: Reliability and Validity Assessment, pp. 9-51, SAGE Publications, Inc., Bevery Hills (1979).(水野欽司,野嶋栄一郎訳:テストの信頼性と妥当性,pp.1-60,朝倉書店,東京,1983 12) Colditz, G. A., Willett, W. C., Stampfer, M. J., Sampson, L., Rosner, B., Hennekens, C. H. and Speizer, F. E.: The influence of age, relative weight, smoking, and alcohol intake on the reproducibility of a dietary questionnaire, Int. J. Epidemiol., 16, 392-398 (1987). 20) 池田順子,永田久紀,東あかね,渡辺能行,川井啓市:質問紙を用いた食生活調査による食塩摂取状況の推定方法,日衛誌,43,907-916(1988). 2) Willett, W.: Nutritional Epidemiology, pp. 69-91, Oxford University Press, New York (1990). 22) 福澤陽一郎,岸本拓治,阿部美代子,多田學,増田登,重松峻夫:過去20年間の食生活習慣,喫煙習慣,飲酒習慣の変化が脳卒中に及ぼす影響について-島根県隠岐島の追跡調査から-,日衛誌,43,890-903(1990). 7) 文部省がん特別研究総括班(班長菅野晴夫)内研究班,コホート研究による発がん要因の評価に関する研究班(班長青木國雄):がんコホート研究の概要(1986∼1991年度),pp.1-19,愛知がんセンター,名古屋(1992). 10) 丹後俊郎:医学への統計学,pp.59-82,朝倉書店,東京(1983). 21) Watanabe, Y.: A case-control study of diet and some factors in colorectal cancer in Kyoto, Japan, J. Kyoto Pref. Univ. Med., 95, 1583-1597 (1986). 18) 厚生省保健医療局健康増進栄養課編:健康づくりのための食生活指針,pp.1-24,第一出版,東京(1985). 8) Siegel, S.: Nonparametric Statistics, For the Behavioral Sciences, McGraw-Hill Book, New York(1956).(藤本煕訳:ノンパラメトリック統計学,pp.208-220,マクグロウヒルブック,東京,1983 17) Cohen, J.: Weighted kappa: Nominal scale agreement with provision for scaled disagreement or partial credit, Psychol. Bull., 70, 213-220 (1968). 4) 久保奈佳子,大野良之:ライフスタイル調査における回答の再現性,癌の臨床,37,217-223(1991). |
| References_xml | – reference: 13) Linsted, K. D. and Kuzma, J. W.: Longterm (24 year) recall reliability in cancer cases and controls using a 21-item food frequency questionnaire, Nutr. Cancer, 12, 135-149 (1989). – reference: 17) Cohen, J.: Weighted kappa: Nominal scale agreement with provision for scaled disagreement or partial credit, Psychol. Bull., 70, 213-220 (1968). – reference: 22) 福澤陽一郎,岸本拓治,阿部美代子,多田學,増田登,重松峻夫:過去20年間の食生活習慣,喫煙習慣,飲酒習慣の変化が脳卒中に及ぼす影響について-島根県隠岐島の追跡調査から-,日衛誌,43,890-903(1990). – reference: 15) 名倉隆夫:過去の食生活と胃癌-群馬県における患者対照研究から-,日本公衛誌,36,209-219(1989). – reference: 10) 丹後俊郎:医学への統計学,pp.59-82,朝倉書店,東京(1983). – reference: 12) Colditz, G. A., Willett, W. C., Stampfer, M. J., Sampson, L., Rosner, B., Hennekens, C. H. and Speizer, F. E.: The influence of age, relative weight, smoking, and alcohol intake on the reproducibility of a dietary questionnaire, Int. J. Epidemiol., 16, 392-398 (1987). – reference: 16) 深尾彰,清水弘之,前沢政次,久道茂:質問票による食習慣調査の再現性に関する検討,日本公衛誌,37,347-352(1990). – reference: 8) Siegel, S.: Nonparametric Statistics, For the Behavioral Sciences, McGraw-Hill Book, New York(1956).(藤本煕訳:ノンパラメトリック統計学,pp.208-220,マクグロウヒルブック,東京,1983) – reference: 11) Nomura, A., Hankin, J. H. and Rhoads, G. G.: The reproducibility of dietary intake data in a prospective study of gastrointestinal cancer, Am. J. Clin. Nutr., 29, 1432-1436 (1976). – reference: 1) Block, G.: A review of validity of dietary assessment methods, Am. J. Epidemiol., 115, 492-505 (1982). – reference: 18) 厚生省保健医療局健康増進栄養課編:健康づくりのための食生活指針,pp.1-24,第一出版,東京(1985). – reference: 21) Watanabe, Y.: A case-control study of diet and some factors in colorectal cancer in Kyoto, Japan, J. Kyoto Pref. Univ. Med., 95, 1583-1597 (1986). – reference: 2) Willett, W.: Nutritional Epidemiology, pp. 69-91, Oxford University Press, New York (1990). – reference: 4) 久保奈佳子,大野良之:ライフスタイル調査における回答の再現性,癌の臨床,37,217-223(1991). – reference: 19) 町役場内部資料 – reference: 3) 福田勝洋,柴田彰:ライフスタイル測定の信頼性,癌の臨床,37,212-216(1991). – reference: 6) Heise, D. R.: Separating reliability and stability in test-retest correlation, Am. Sociol. Rev., 34, 93-101 (1969). – reference: 7) 文部省がん特別研究総括班(班長菅野晴夫)内研究班,コホート研究による発がん要因の評価に関する研究班(班長青木國雄):がんコホート研究の概要(1986∼1991年度),pp.1-19,愛知がんセンター,名古屋(1992). – reference: 20) 池田順子,永田久紀,東あかね,渡辺能行,川井啓市:質問紙を用いた食生活調査による食塩摂取状況の推定方法,日衛誌,43,907-916(1988). – reference: 5) Carmines, E. G. and Zellar, R. A.: Reliability and Validity Assessment, pp. 9-51, SAGE Publications, Inc., Bevery Hills (1979).(水野欽司,野嶋栄一郎訳:テストの信頼性と妥当性,pp.1-60,朝倉書店,東京,1983) – reference: 9) Fleiss, J. L.: Statistical Methods for Rates and Proportion, pp. 212-225, John Wiley & Sons, New York (1981). – reference: 14) Jacobson, J. B. and Bonaa, K. H.: The reproducibility of dietary data from a self-administered questionnaire. The Tromso Study, Int. J. Epidemiol., 19, 349-353 (1990). |
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| Title | Reproducibility of a Self-administered Questionnaire for Dietary Habits, Smoking, and Drinking |
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