Validity of self-reported mammography: examining recall and covariates among older women in a Health Maintenance Organization.

摘要: Self-reports of screening are frequently used in place chart abstraction, particularly outpatient settings, because they generally less expensive and provide the only information available. The authors expanded literature on validation self-reported mammography by including validity recall assessing covariates a setting where women were examined more than once. In 1995, this study validated use sample 949 aged 50-80 years who members health maintenance organization with centralized automated records mammographic examinations. majority had mammogram within previous 2 according to self-reports records, but rates exceeded record 8.2%. Sensitivity was high (93.8%), whereas specificity low (53.6%). overall agreement between 82.7%. kappa value 0.52, indicating fair beyond chance. Modeling logistic regression revealed that being college graduate having first-degree relative breast cancer significantly associated accurate recall. Comparison actual time interval data disagreements consisted largely women's underestimates since their last screening. These results add knowledge about settings screened