RT Journal Article
T1 Agreement of offspring-reported parental smoking status: the RHINESSA generation study
A1 Pape, Kathrine
A1 Svanes, Cecilie
A1 Malinovschi, Andrei
A1 Sánchez Ramos, José Luis
AB Background: With increasing interest in exposure effects across generations, it is crucial to assess the validity ofinformation given on behalf of others.Aims: To compare adult’s report of their parent’s smoking status against parent’s own report and examinepredictors for discrepant answers.Methods: We studied 7185 offspring (18-51 years) and one of their parents, n = 5307 (27-67 years) participating inthe Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study. Information aboutparent’s smoking status during offspring’s childhood and mother’s smoking status during pregnancy was obtainedby questionnaires from parents and their offspring. We calculated sensitivity, specificity and Cohen’s Kappa [κ] foragreement using parent’s own report as the gold standard. We performed logistic regression to examine ifoffspring’s sex, age, educational level, asthma status, own smoking status or parental status, as well as the parent’ssex 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), aslightly 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 logisticregression 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’ smokingstatus (OR 1.73 [95% CI 1.09–2.74]) compared to mothers’ smoking status. Offspring’s sex, asthma status, educationallevel, 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 statuswhen pregnant with them, quite accurately. In the absence of parents’ direct report, offspring’s reports could be valuable.
PB BMC
SN 1471-2458
YR 2019
FD 2019-01
LK http://hdl.handle.net/10272/16371
UL http://hdl.handle.net/10272/16371
LA eng
NO Pape, K., Svanes, C., Malinovschi, A., ... Sánchez Ramos, J. L. (2019). Agreement of offspring-reported parental smoking status: the RHINESSA generation study. BMC Public Health, 19(1). DOI: https://doi.org/10.1186/s12889-019-6414-0
DS Repositorio Institucional de la Universidad de Huelva
RD 31 may 2026