Publication in refereed journal
香港中文大学研究人员 ( 现职)
Professor Edmund Anthony Severn NELSON (儿科学系) |
苏鸿钧博士 (儿科学系) |
高威廉教授 (赛马会公共卫生及基层医疗学院) |
江碧珊教授 (内科及药物治疗学系) |
陈抱弟女士 (那打素护理学院) |
全文
数位物件识别号 (DOI) http://dx.doi.org/10.1111/j.1440-1754.2008.01311.x |
引用次数
Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/44WOS source URL
Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/46Scopus source URL
其它资讯
摘要Aim: To validate a Tanner stages self-assessment questionnaire using gender-specific line drawings and brief explanatory text in Chinese. Methods: Design: A cross sectional study design. Setting: One primary and two secondary schools. Participants: 172 boys and 182 girls aged between 8 and 18 years. Main outcome measures: Students' self-assessments of pubertal maturation were compared with assessments made by a same gender rater using visual depiction physical examination. Raters' physical examinations were performed after the children had answered the self-assessment questionnaire individually and in private. Raters were blinded to the self-assessment results. Accuracy rates and weighted kappa statistic were used to evaluate the degree of agreement between children and raters. Results: Substantial to almost perfect agreement was found between self- and rater's assessments of breast development and pubic hair growth in girls [weighted kappa 0.72 (P < 0.0001, 95% CI 0.66, 0.79) and 0.83 (P < 0.0001, 95% CI 0.78, 0.87) respectively]. Moderate to substantial agreement was found between self- and rater's assessments of male genital development and pubic hair growth [weighted kappa 0.58 (P < 0.0001, 95% CI 0.48, 0.68) and 0.80 (P < 0.0001, 95% CI 0.74, 0.86) respectively]. Most agreements between self- and rater's assessments differed by only one Tanner stage. Agreement was higher for girls than boys. Girls tended to overestimate their breast stages and boys tended to underestimate their genitalia development. Conclusion: This study confirms that a Tanner pubertal self-assessment questionnaire with line drawings and explanatory Chinese text can reliably estimate sexual maturation status in Hong Kong Chinese children. ? 2008 The Authors.
着者Chan N.P.T., Sung R.Y.T., Kong A.P.S., Goggins W.B., So H.K., Nelson E.A.S.
期刊名称Journal of Paediatrics and Child Health
出版年份2008
月份6
日期1
卷号http://aims.cuhk.edu.hk/converis/portal/Publication/44
期次6
出版社Blackwell Publishing Inc.
出版地United Kingdom
页次353 - 358
国际标準期刊号1034-4810
电子国际标準期刊号1http://aims.cuhk.edu.hk/converis/portal/Publication/440-1754
语言英式英语
关键词Adolescence, Hong Kong Chinese children, Sexual maturation, Tanner pubertal line-drawing self-assessment questionnaire