Article: Reliability of pubertal self-assessment in Hong Kong Chinese children

File Download
  • No File Attached
Links for fulltext
(May Require Subscription)
Supplementary
  • Basic View
  • Metadata View
  • XML View
TitleReliability of pubertal self-assessment in Hong Kong Chinese children
AuthorsChan, NPT1
Sung, RYT1
Kong, APS1
Goggins, WB1
So, HK1
Nelson, EAS1
KeywordsAdolescence
Hong Kong Chinese children
Sexual maturation
Tanner pubertal line-drawing self-assessment questionnaire
Issue Date2008
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JPC
CitationJournal Of Paediatrics And Child Health, 2008, v. 44 n. 6, p. 353-358 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1440-1754.2008.01311.x
AbstractAim: 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.
ISSN1034-4810
2011 Impact Factor: 1.281
2011 SCImago Journal Rankings: 0.091
DOIhttp://dx.doi.org/10.1111/j.1440-1754.2008.01311.x
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorChan, NPT
dc.contributor.authorSung, RYT
dc.contributor.authorKong, APS
dc.contributor.authorGoggins, WB
dc.contributor.authorSo, HK
dc.contributor.authorNelson, EAS
dc.date.accessioned2012-10-25T04:56:12Z
dc.date.available2012-10-25T04:56:12Z
dc.date.issued2008
dc.description.abstractAim: 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.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationJournal Of Paediatrics And Child Health, 2008, v. 44 n. 6, p. 353-358 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1440-1754.2008.01311.x
dc.identifier.citeulike2798506
dc.identifier.doihttp://dx.doi.org/10.1111/j.1440-1754.2008.01311.x
dc.identifier.epage358
dc.identifier.hkuros203794
dc.identifier.issn1034-4810
2011 Impact Factor: 1.281
2011 SCImago Journal Rankings: 0.091
dc.identifier.issue6
dc.identifier.pmid18476928
dc.identifier.scopuseid_2-s2.0-43549095519
dc.identifier.spage353
dc.identifier.urihttp://hdl.handle.net/10722/169838
dc.identifier.volume44
dc.languageeng
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JPC
dc.publisher.placeAustralia
dc.relation.ispartofJournal of Paediatrics and Child Health
dc.relation.referencesReferences in Scopus
dc.subject.meshAdolescent
dc.subject.meshAdolescent Behavior - Physiology
dc.subject.meshAsian Continental Ancestry Group
dc.subject.meshBody Image
dc.subject.meshBody Mass Index
dc.subject.meshBreast - Growth & Development
dc.subject.meshChild
dc.subject.meshCross-Sectional Studies
dc.subject.meshFemale
dc.subject.meshGenitalia, Female - Growth & Development
dc.subject.meshGenitalia, Male - Growth & Development
dc.subject.meshHong Kong
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshPhysical Examination
dc.subject.meshPuberty - Physiology - Psychology
dc.subject.meshQuestionnaires
dc.subject.meshReproducibility Of Results
dc.subject.meshSelf-Assessment
dc.subject.meshSexual Maturation - Physiology
dc.subjectAdolescence
dc.subjectHong Kong Chinese children
dc.subjectSexual maturation
dc.subjectTanner pubertal line-drawing self-assessment questionnaire
dc.titleReliability of pubertal self-assessment in Hong Kong Chinese children
dc.typeArticle
Author Affiliations
  1. Chinese University of Hong Kong