What question did this study set out to answer?

To evaluate how cultural background and parental educational attainment influence the diagnostic validity of questionnaire items used to screen for atopic eczema.

December 1, 1998British Journal of Dermatology

The influence of cultural and educational factors on the validity of symptom and diagnosis questions for atopic eczema

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Authors

DKD. KramerNaval Medical Center San Diego BBehrendtUniversität Hamburg RRingSt George's, University of London

Discussion

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Implication

Cross-sectional study reveals parental education and geography alter the diagnostic accuracy of eczema screening questions in six-year-olds, indicating survey instruments require local calibration.

Key Points

To evaluate how cultural background and parental educational attainment influence the diagnostic validity of questionnaire items used to screen for atopic eczema.
Analyzed survey responses against physical examinations by a dermatologist in a cross-sectional study of 1511 children aged 6 years from East and West Germany.
Assessed three questionnaire items covering physician-diagnosed eczema, itchy rash persisting for at least 6 months, and neurodermatitis against dermatologist-assessed point prevalence.
Clinical point prevalence of atopic eczema was 11.1% (134 of 1217), whereas questionnaire prevalence was 15.7% for diagnosed eczema, 14.1% for neurodermatitis, and 11.3% for chronic itchy rash.
The recurring itchy rash symptom question demonstrated a sensitivity of 51% compared to clinical diagnosis on the investigation day.
Parents with fewer than 10 years of schooling reported symptoms less frequently, university-educated parents showed unexpectedly lower precision for symptom questions, and symptom-diagnosis concordance was higher in West Germany than East Germany.

Cite This Study

Kramer et al. (1998) studied this question.

synapsesocial.com/papers/6a90a1473f736c3f82c7b395 https://doi.org/10.1046/j.1365-2133.1998.02561.x

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Implication

Cross-sectional study reveals parental education and geography alter the diagnostic accuracy of eczema screening questions in six-year-olds, indicating survey instruments require local calibration.

The influence of cultural and educational factors on the validity of symptom and diagnosis questions for atopic eczema

Discussion

Member takes

Implication

Key Points

Cite This Study

The influence of cultural and educational factors on the validity of symptom and diagnosis questions for atopic eczema

Discussion

Member takes

Implication

Key Points

Cite This Study

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