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

TitleReliability of pubertal self-assessment in Hong Kong Chinese children
Authors
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
Citation
Journal Of Paediatrics And Child Health, 2008, v. 44 n. 6, p. 353-358 How to Cite?
Abstract
Aim: 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.
Persistent Identifierhttp://hdl.handle.net/10722/169838
ISSN
2013 Impact Factor: 1.193
ISI Accession Number ID
References

 

Author Affiliations
  1. Chinese University of Hong Kong
DC FieldValueLanguage
dc.contributor.authorChan, NPTen_HK
dc.contributor.authorSung, RYTen_HK
dc.contributor.authorKong, APSen_HK
dc.contributor.authorGoggins, WBen_HK
dc.contributor.authorSo, HKen_HK
dc.contributor.authorNelson, EASen_HK
dc.date.accessioned2012-10-25T04:56:12Z-
dc.date.available2012-10-25T04:56:12Z-
dc.date.issued2008en_HK
dc.identifier.citationJournal Of Paediatrics And Child Health, 2008, v. 44 n. 6, p. 353-358en_HK
dc.identifier.issn1034-4810en_HK
dc.identifier.urihttp://hdl.handle.net/10722/169838-
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.en_HK
dc.languageengen_US
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JPCen_HK
dc.relation.ispartofJournal of Paediatrics and Child Healthen_HK
dc.subjectAdolescenceen_HK
dc.subjectHong Kong Chinese childrenen_HK
dc.subjectSexual maturationen_HK
dc.subjectTanner pubertal line-drawing self-assessment questionnaireen_HK
dc.subject.meshAdolescenten_US
dc.subject.meshAdolescent Behavior - Physiologyen_US
dc.subject.meshAsian Continental Ancestry Groupen_US
dc.subject.meshBody Imageen_US
dc.subject.meshBody Mass Indexen_US
dc.subject.meshBreast - Growth & Developmenten_US
dc.subject.meshChilden_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshGenitalia, Female - Growth & Developmenten_US
dc.subject.meshGenitalia, Male - Growth & Developmenten_US
dc.subject.meshHong Kongen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshPhysical Examinationen_US
dc.subject.meshPuberty - Physiology - Psychologyen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshReproducibility Of Resultsen_US
dc.subject.meshSelf-Assessmenten_US
dc.subject.meshSexual Maturation - Physiologyen_US
dc.titleReliability of pubertal self-assessment in Hong Kong Chinese childrenen_HK
dc.typeArticleen_HK
dc.identifier.emailChan, NPT: nptchan@hku.hken_HK
dc.identifier.authorityChan, NPT=rp01680en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1440-1754.2008.01311.xen_HK
dc.identifier.pmid18476928en_HK
dc.identifier.scopuseid_2-s2.0-43549095519en_HK
dc.identifier.hkuros203794-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-43549095519&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume44en_HK
dc.identifier.issue6en_HK
dc.identifier.spage353en_HK
dc.identifier.epage358en_HK
dc.identifier.isiWOS:000255716000009-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridChan, NPT=24178821500en_HK
dc.identifier.scopusauthoridSung, RYT=7101684314en_HK
dc.identifier.scopusauthoridKong, APS=34869982000en_HK
dc.identifier.scopusauthoridGoggins, WB=6701315434en_HK
dc.identifier.scopusauthoridSo, HK=7102300081en_HK
dc.identifier.scopusauthoridNelson, EAS=7402264387en_HK
dc.identifier.citeulike2798506-

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