Validity of occupational histories from proxy respondents

Objective Occupational studies often use data obtained from proxy responden ts. However, few investigations have been conducted oil the validity of occ upational data provided by workers' surrogates. This study aimed to compare self-reported occupational data to information obtained from next-of-kin, as a contribution to assess the validity of using proxy respondents to obta in information about workers. Methods Worker/next-of-kin pairs, residents in Southeastern Brazil, were in terviewed separately in 1998 about worker's occupational past history. The concordance sensitivity and specificity of proxy reports about workers' occ upations were examined comparing to self-reports. Results A total of 2.163 worker/next-of-kin pairs were interviewed The Kapp a statistic for the agreement between worker's and next-of-kin's report abo ut the worker's main occupation was 0.86 (C195%; 0.85 - 0.88). The sensitiv ity of proxy reports on occupations ranged from 77.5% (64.6% - 90.4%) to 98 .9% (97.3% - 100.0%), and specificity ranged from 96.9% (96.0% - 97.7%) to 99.9% (99.7% - 100.0%). Conclusions These are encouraging findings for the toe of proxy respondents in occupational studies when occupations are considered as categorical var iables. However caution is required when assessing occupational exposition by means of cumulative work time because next-of-kin may underestimates thi s information.