A. Todorov et C. Kirchner, Bias in proxies' reports of disability: Data from the national health interview survey on disability, AM J PUB HE, 90(8), 2000, pp. 1248-1253
Citations number
21
Categorie Soggetti
Public Health & Health Care Science","Envirnomentale Medicine & Public Health","Medical Research General Topics
Objectives. These studies examined whether differences between self-reports
and proxy reports of disabilities reflect proxy response biases or only re
spondent selection factors.
Methods. The data were from the National Health Interview Survey on Disabil
ity (1994-1995, phases 1 and 2). In study 1, reports of disabilities were r
egressed on respondent status, self vs proxy, and demographic factors. In s
tudy 2, the ratios of the proportions of self-reports and proxy reports of
disabilities were regressed on independent lay ratings of observability of
these disabilities and their "interactional" nature. In study 3, the disabi
lity reports for people who differed in respondent status in one phase but
self-reported the same disability in the other phase were compared.
Results. In study 1, proxies underreported disabilities for people aged 18
to 64 years but overreported for people 65 years or older. In study 2, the
observability and interactional scores accounted for more than 60% of the v
ariance of self and proxy differences in an inverse relationship. study 3 c
onfirmed the basic findings of study 1.
Conclusions. Use of proxies in representative surveys on disability introdu
ces systematic biases, affecting national disability estimates.