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Agreement of offspring-reported parental smoking status: the RHINESSA generation study

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dc.contributor Háskóli Íslands
dc.contributor University of Iceland
dc.contributor.author Pape, Kathrine
dc.contributor.author Svanes, Cecilie
dc.contributor.author Malinovschi, Andrei
dc.contributor.author Benediktsdóttir, Bryndís
dc.contributor.author Lodge, Caroline
dc.contributor.author Janson, Christer
dc.contributor.author Moratalla, Jesus
dc.contributor.author Sánchez-Ramos, José Luis
dc.contributor.author Bråbäck, Lennart
dc.contributor.author Holm, Mathias
dc.contributor.author Jögi, Rain
dc.contributor.author Bertelsen, Randi Jacobsen
dc.contributor.author Sigsgaard, Torben
dc.contributor.author Johannessen, Ane
dc.contributor.author Schlünssen, Vivi
dc.date.accessioned 2020-05-26T14:46:03Z
dc.date.available 2020-05-26T14:46:03Z
dc.date.issued 2019-01-21
dc.identifier.citation Pape, K., Svanes, C., Malinovschi, A. et al. Agreement of offspring-reported parental smoking status: the RHINESSA generation study. BMC Public Health 19, 94 (2019). https://doi.org/10.1186/s12889-019-6414-0
dc.identifier.issn 1471-2458
dc.identifier.uri https://hdl.handle.net/20.500.11815/1845
dc.description Publisher's version (útgefin grein)
dc.description.abstract Background: With increasing interest in exposure effects across generations, it is crucial to assess the validity of information given on behalf of others. Aims: To compare adult’s report of their parent’s smoking status against parent’s own report and examine predictors for discrepant answers. Methods: We studied 7185 offspring (18-51 years) and one of their parents, n = 5307 (27-67 years) participating in the Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study. Information about parent’s smoking status during offspring’s childhood and mother’s smoking status during pregnancy was obtained by questionnaires from parents and their offspring. We calculated sensitivity, specificity and Cohen’s Kappa [κ] for agreement using parent’s own report as the gold standard. We performed logistic regression to examine if offspring’s sex, age, educational level, asthma status, own smoking status or parental status, as well as the parent’s sex and amount of smoking during childhood predicted disagreement. Results: The sensitivity for offspring’s correct report of parent’s smoking status during childhood (0-10 years) was 0.82 (95% CI 0.81-0.84), specificity was 0.95 (95% CI 0.95-0.96) and a good agreement was observed, κ = 0.79 (95% CI 0.78-0.80). Offspring’s report of mothers’ smoking status during pregnancy showed a lower sensitivity, 0.66 (95% CI 0.60-0.71), a slightly lower specificity, 0.92 (95% CI 0.90-0.95) and a good agreement, κ = 0.61 (95% CI 0.55-0.67). In multivariate logistic regression analysis, offspring not having children was a predictor for discrepant answers (odds ratio [OR] 2.11 [95% CI 1.21-3.69]). Low amount of parents’ tobacco consumption, < 10 cigarettes/day (OR 2.72 [95% CI 1.71-4.31]) also predicted disagreement compared to ≥10 cigarettes per day, and so did offspring’s reports of fathers’ smoking status (OR 1.73 [95% CI 1.09-2.74]) compared to mothers’ smoking status. Offspring’s sex, asthma status, educational level, smoking status or age was not related to discrepant answers. Conclusions: Adults report their parent’s smoking status during their childhood, as well as their mother’ smoking status when pregnant with them, quite accurately. In the absence of parents’ direct report, offspring’s reports could be valuable.
dc.description.sponsorship The RHINESSA/RHINE/ECRHS studies have received funding from The Faculty of Health, Aarhus University, Denmark (Project No. 240008), The Wood Dust Foundation (Project No. 444508795), The Danish Lung Association, the Swedish Heart and Lung Foundation, the Swedish Association Against Asthma and Allergy, the Swedish Association against Heart and Lung Disease, the Swedish Council for Working Life and Social Research, The Bror Hjerpstedt Foundation, The Vårdal Foundation for Health Care and Allergic Research, The Norwegian Research Council (project 135773/330), The Norwegian Asthma and Allergy Association, HelseVest Norway (Grant no. 911 631), NFR (Grant no. 214123, 230827/F20, 228174), The University of Iceland Research Fund, The Icelandic GP’s Research Fund, The Estonian Science Foundation (Grant No. 4350), The Estonian Research Council (Grant no. PUT562), Australian National Health Medical Research Council, Melbourne University, Sociedad Española de Neumologia y Cirugía Toracica, SEPAR Spain and Horizon2020 PHC1 (Grant no. 633212). For more information, please see www.rhinessa.net. Vivi Schlünssen and Cecilie Svanes are members of the COST BM1201 network. Kathrine Pape received a PhD scholarship from Aarhus University and the Danish Working Environment Research Fund, Denmark (Grant no. 17–2015-09 / 20150067134). The funding bodies have no role in the design of the collection, study and analysis, and interpretation of data and in writing the manuscript.
dc.format.extent 94
dc.language.iso en
dc.publisher Springer Science and Business Media LLC
dc.relation info:eu-repo/grantAgreement/EC/H2020/633212
dc.relation.ispartofseries BMC Public Health;19(1)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Agreement
dc.subject Generation study
dc.subject Parental smoking
dc.subject Self-report
dc.subject Sensitivity
dc.subject Smoking during pregnancy
dc.subject Specificity
dc.subject Tobacco smoking
dc.subject Validation study
dc.subject Reykingar
dc.subject Meðganga
dc.subject Foreldrar
dc.subject Börn
dc.title Agreement of offspring-reported parental smoking status: the RHINESSA generation study
dc.type info:eu-repo/semantics/article
dcterms.license Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.description.version Peer Reviewed
dc.identifier.journal BMC Public Health
dc.identifier.doi 10.1186/s12889-019-6414-0
dc.relation.url https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-6414-0
dc.contributor.department Læknadeild (HÍ)
dc.contributor.department Faculty of Medicine (UI)
dc.contributor.school Heilbrigðisvísindasvið (HÍ)
dc.contributor.school School of Health Sciences (UI)

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