Self-reporting versus parental reporting of acute respiratory symptoms of children and their relation to pulmonary function and air pollution.
Background Studies of acute effects of outdoor air pollution on acute respiratory symptoms in children generally rely on reports by parents.
Little is known about the validity of parental reporting of symptoms of their children.
We therefore compared symptoms reported by the parents with self-reported symptoms and measured pulmonary function of 741 7-11-year-old Dutch children.
We also analysed the association of symptoms reported by the child or parent and outdoor air pollution.
Methods The parents of the children completed a daily diary of symptoms of their children for about 3 months.
The children reported presence of acute respiratory symptoms in the preceding week before a pulmonary function test was conducted (6-10 test days).
Results Children reported between 80% and 220% more acute respiratory symptoms than their parents for them in the same period.
The agreement between symptom reports by the parent and the child was low to moderate (Kappa between 0.22 for eye irritation and 0.43 for fever).
Presence of cough reported by child or parent was associated with similar small decrements in forced vital capacity (FVC), forced expiratory volume in one second (FEV1.0) and especially peak expiratory flow (PEF) and maximal mid-expiratory flow (FEF25-75).
The largest pulmonary function decrements were found when symptoms were reported by both parent and child.
Symptoms reported by either child or parent were not associated with air pollution. (...)
Mots-clés Pascal : Appareil respiratoire pathologie, Aigu, Fonction respiratoire, Pollution air, Autoperception, Perception sociale, Parent, Epidémiologie, Facteur risque, Enfant, Homme, Santé et environnement, Toxicité, Pays Bas, Europe, Etude comparative
Mots-clés Pascal anglais : Respiratory disease, Acute, Lung function, Air pollution, Self perception, Social perception, Parent, Epidemiology, Risk factor, Child, Human, Health and environment, Toxicity, Netherlands, Europe, Comparative study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0223910
Code Inist : 002B30A02A. Création : 16/11/1999.