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. 1999 Jan;53(1):38–42. doi: 10.1136/jech.53.1.38

Influence of proxy respondents in children's health interview surveys

L Rajmil, E Fernandez, R Gispert, M Rue, J P Glutting, A Plasencia, A Segura
PMCID: PMC1756765  PMID: 10326051

Abstract

STUDY OBJECTIVES: To study the influence of the proxy respondent on health interview surveys in children. DESIGN: Cross sectional study. SETTING: Children under the age of 15 years drawn from the general population of Catalonia, Spain. PARTICIPANTS: The Catalan Health Interview Survey consisted of a multistage probability sample representative to the population of Catalonia. The sample size was 2433 children younger than 15 years of age. The interviews were answered by proxy respondents (the mother, father, or other carer), with the questionnaire adapted for the proxy respondent. Logistic regression models were used to analyse the relation between the proxy respondent's characteristics and health status and health care utilisation, controlling for the effect of sociodemographic factors. MAIN RESULTS: Proxy respondent's characteristics influenced the reports of chronic conditions and accidents within the last year. Proxy respondents over 55 years (OR = 0.47; 95% CI = 0.26, 0.82), men (OR = 0.69; 95% CI = 0.53, 0.89), the father (OR = 0.66; 95% CI = 0.50, 0.89), and the grandparents (OR = 0.49; 95% CI = 0.26, 0.89), reported a lower rate of chronic conditions. Age of the proxy 55 years or greater (OR = 0.41; 95% CI = 0.20, 0.82), men (OR = 0.70; 95% CI = 0.52, 0.94), fathers (OR = 0.68; 95% CI = 0.49, 0.92), and grandparents (OR = 0.40; 95% CI = 0.18, 0.85) showed a lower probability to report accidents. No variables related to the proxy were associated with physician visits or hospitalisation in the previous year. CONCLUSIONS: Selected characteristics of the proxy respondent can influence responses to health surveys involving children. A minimum set of basic data should be collected from the proxy respondent to evaluate different patterns of response.

 

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Selected References

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  1. Denham S. A. Maternal emotional responsiveness and toddlers' social-emotional competence. J Child Psychol Psychiatry. 1993 Jul;34(5):715–728. doi: 10.1111/j.1469-7610.1993.tb01066.x. [DOI] [PubMed] [Google Scholar]
  2. Domingo Salvany A., Marcos Alonso J. Propuesta de un indicador de la "clase social" basado en la ocupación. Gac Sanit. 1989 Jan-Feb;3(10):320–326. doi: 10.1016/s0213-9111(89)70948-1. [DOI] [PubMed] [Google Scholar]
  3. Epstein A. M., Hall J. A., Tognetti J., Son L. H., Conant L., Jr Using proxies to evaluate quality of life. Can they provide valid information about patients' health status and satisfaction with medical care? Med Care. 1989 Mar;27(3 Suppl):S91–S98. [PubMed] [Google Scholar]
  4. Fowler F. J., Jr The redesign of the National Health Interview Survey. Public Health Rep. 1996 Nov-Dec;111(6):508–511. [PMC free article] [PubMed] [Google Scholar]
  5. Gilpin E. A., Pierce J. P., Cavin S. W., Berry C. C., Evans N. J., Johnson M., Bal D. G. Estimates of population smoking prevalence: self-vs proxy reports of smoking status. Am J Public Health. 1994 Oct;84(10):1576–1579. doi: 10.2105/ajph.84.10.1576. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Glaser A. W., Davies K., Walker D., Brazier D. Influence of proxy respondents and mode of administration on health status assessment following central nervous system tumours in childhood. Qual Life Res. 1997 Jan;6(1):43–53. doi: 10.1023/a:1026465411669. [DOI] [PubMed] [Google Scholar]
  7. Gryboski K. L. Maternal and non-maternal time-allocation to infant care, and care during infant illness in rural Java, Indonesia. Soc Sci Med. 1996 Jul;43(2):209–219. doi: 10.1016/0277-9536(95)00363-0. [DOI] [PubMed] [Google Scholar]
  8. Harel Y., Overpeck M. D., Jones D. H., Scheidt P. C., Bijur P. E., Trumble A. C., Anderson J. The effects of recall on estimating annual nonfatal injury rates for children and adolescents. Am J Public Health. 1994 Apr;84(4):599–605. doi: 10.2105/ajph.84.4.599. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Herjanic B., Reich W. Development of a structured psychiatric interview for children: agreement between child and parent on individual symptoms. J Abnorm Child Psychol. 1982 Sep;10(3):307–324. doi: 10.1007/BF00912324. [DOI] [PubMed] [Google Scholar]
  10. KRUEGER D. E. Measurement of prevalence of chronic disease by household interviews and clinical evaluations. Am J Public Health Nations Health. 1957 Aug;47(8):953–960. doi: 10.2105/ajph.47.8.953. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Liberatos P., Link B. G., Kelsey J. L. The measurement of social class in epidemiology. Epidemiol Rev. 1988;10:87–121. doi: 10.1093/oxfordjournals.epirev.a036030. [DOI] [PubMed] [Google Scholar]
  12. MECHANIC D., NEWTON M. SOME PROBLEMS IN THE ANALYSIS OF MORBIDITY DATA. J Chronic Dis. 1965 Jun;18:569–580. doi: 10.1016/0021-9681(65)90078-0. [DOI] [PubMed] [Google Scholar]
  13. Magaziner J., Simonsick E. M., Kashner T. M., Hebel J. R. Patient-proxy response comparability on measures of patient health and functional status. J Clin Epidemiol. 1988;41(11):1065–1074. doi: 10.1016/0895-4356(88)90076-5. [DOI] [PubMed] [Google Scholar]
  14. Mosely R. R., 2nd, Wolinsky F. D. The use of proxies in health surveys. Substantive and policy implications. Med Care. 1986 Jun;24(6):496–510. doi: 10.1097/00005650-198606000-00004. [DOI] [PubMed] [Google Scholar]
  15. Poulter N. R., Chang C. L., Farley T. M., Marmot M. G. Reliability of data from proxy respondents in an international case-control study of cardiovascular disease and oral contraceptives. World Health Organization Collaborative Study of Cardiovascular Disease and Steroid Hormone Contraception. J Epidemiol Community Health. 1996 Dec;50(6):674–680. doi: 10.1136/jech.50.6.674. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Rothman M. L., Hedrick S. C., Bulcroft K. A., Hickam D. H., Rubenstein L. Z. The validity of proxy-generated scores as measures of patient health status. Med Care. 1991 Feb;29(2):115–124. doi: 10.1097/00005650-199102000-00004. [DOI] [PubMed] [Google Scholar]
  17. Sprangers M. A., Aaronson N. K. The role of health care providers and significant others in evaluating the quality of life of patients with chronic disease: a review. J Clin Epidemiol. 1992 Jul;45(7):743–760. doi: 10.1016/0895-4356(92)90052-o. [DOI] [PubMed] [Google Scholar]
  18. Tennant A., Badley E. M., Sullivan M. Investigating the proxy effect and the saliency principle in household based postal questionnaires. J Epidemiol Community Health. 1991 Dec;45(4):312–316. doi: 10.1136/jech.45.4.312. [DOI] [PMC free article] [PubMed] [Google Scholar]

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