American Journal of Epidemiology Vol. 147, No. 2: 136-140
Copyright © 1998 by The Johns Hopkins University School of Hygiene and Public Health
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Validity and Reliability of Subject and Mother Reporting of Perinatal Factors
1 Department of Epidemiology and Biostatistics, University of South Carolina Columbia, SC
2 Division of Public Health Sciences, Fred Hutchinson Cancer Research Center Seattle, WA
3 Department of Epidemiology, University of Washington Seattie, WA
4 Maternal and Child Health Program, University of Washington Seattle, WA
5 Department of Biostatistics, University of Washington Seattle, WA
6 Department of Obstetrics and Gynecology, University of Washington Seattle, WA
The authors used data from a population-based case-control study of breast cancer in women aged 
44 years (cases, n = 975; controls, n = 866) conducted between 1994 and 1996 in three counties of western Washington state to assess the validity and reliability of reported perinatal factors. For a sample of participants, exposure information from self-administered questionnaires was validated with information from birth certificates (cases, n = 378; controls, n = 283). Detailed information regarding perinatal characteristics of their daughters was also collected from subjects' mothers (case mothers, n = 510; control mothers, n = 436) to assess the reliability of subjects' reporting of these events. Although reporting of birth weight by subjects (cases, r = 0.83; controls, r = 0.80) and their mothers (case mothers, r = 0.89; control mothers, r = 0.84) was highly correlated with the birth certificates, there was differential measurement error by subjects; cases reported birth weight accurately on average, but controls tended to underestimate their birth weight. Agreement between the subject and mother report was excellent for birth weight (cases, r = 0.85; controls, r = 0.87) and good for other perinatal factors, but birth order and maternal diethyistilbestrol use were underreported among cases and reported accurately among controls. Differential measurement error of birth weight by case-control status resulted in based odds ratios for breast cancer risk. Am J Epidemiol 1998;147:136–40.
breast neoplasms; perinatal care; reliability; validity
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