Limited validity of parental recall on pregnancy, birth, and early childhood at child age 10 years

Merlijne Jaspers*, Gea de Meer, Frank C. Verhulst, Johan Ormel, Sijmen A. Reijneveld

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Objective: Evidence on the validity of parental recall of early childhood behavior is lacking. Our aim was to examine the validity of parental recall at child age 10-12 years for maternal lifestyle during pregnancy, the birth characteristics, and early childhood behavior.

Study Design and Setting: The study population comprised 2,230 children and their parents. Children aged 10-12 years were recruited from elementary schools (response: 76.0%). Parents were asked to recall lifestyle during pregnancy, birth characteristics, and childhood behavior at age 4-6 years. Recalled data were compared with information registered by Preventive Child Healthcare (PCH) from birth onwards.

Results: For birth weight and gestational age, we found no systematic difference between recalled and PCH-registered data; 95% limits of agreement were +/- 1.2 pounds (600 g) and +/- 2.4 weeks, respectively. For maternal alcohol use during pregnancy and early childhood behavior problems, Cohen's kappas were low (0.03-0.11). Compared with PCH registration, parents tended to overreport at age 10-12 years. In contrast, kappa was high for maternal smoking during pregnancy (0.77).

Conclusion: Retrospectively collected information on lifestyle during pregnancy, birth, and early childhood behavior is sometimes biased, which limits its value in estimating the contribution of early-life adversity to health in later life. (C) 2010 Elsevier Inc. All rights reserved.

Original languageEnglish
Pages (from-to)185-191
Number of pages7
JournalJournal of Clinical Epidemiology
Volume63
Issue number2
DOIs
Publication statusPublished - Feb-2010

Keywords

  • Validity
  • Recall bias
  • Parent
  • Child
  • Early-life adversity
  • Mental health
  • MENTAL-HEALTH
  • OBSTETRIC COMPLICATIONS
  • MATERNAL RECALL
  • SLEEP PROBLEMS
  • RISK-FACTORS
  • WEIGHT
  • AGREEMENT
  • MOTHERS
  • INFANCY
  • PSYCHOPATHOLOGY

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