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Article: Reliability of pubertal self-assessment in Hong Kong Chinese children
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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
2013 Impact Factor: 1.193
 
DOIhttp://dx.doi.org/10.1111/j.1440-1754.2008.01311.x
 
ISI Accession Number IDWOS:000255716000009
 
ReferencesReferences in Scopus
 
DC FieldValue
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.isiWOS:000255716000009
 
dc.identifier.issn1034-4810
2013 Impact Factor: 1.193
 
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
 
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Author Affiliations
  1. Chinese University of Hong Kong