The 130th Annual Meeting of APHA

3043.0: Monday, November 11, 2002 - 8:42 AM

Abstract #38240

Appropriateness of a Spanish version of the Child Health Questionnaire in rural Honduras

Miguel A. Zuniga, MD, DrPH, Health Policy and Management, Texas A&M University School of Rural Public Health, 3000 Briarcrest Drive, Suite 300, Bryan, TX 77802, 979.862.4142, mzuniga@srph.tamu.edu, Peter J. Fos, DDS, PhD, Health Systems Management SL29, Tulane University, 1430 Tulane Avenue, New Orleans, LA 70112, and Genny T. Carrillo-Zuniga, MD, ScD, Center for Environmental and Rural Health, Texas A&M University College of Veterinary Medicine, 4455 TAMU, College Station, TX 77843.

Research Objective: To test validity and reliability of the Child Health Questionnaire (CHQ) in an adolescent population in rural Honduras. To describe adolescent health profiles representing physical, and psychosocial domains. Study Design: Adolescent subjects were selected for self-administration of a Spanish version of the CHQ-87 in an educational setting in a rural community of Honduras. Analysis was performed in 246 usable responses. The Multi-trait Analysis Program was used to perform psychometric analysis of the validity and reliability of the CHQ-87. The use of the CHQ-87 allows for the construction of fourteen adolescent health scales representing physical functioning, role/social-physical, general health, bodily pain, parental impact-time, parental impact-emotional, role/social-emotional/behavioral, self esteem, mental health, and behavior scales. Principal Findings: Psychometric evaluation of the Spanish CHQ-87 shows validity and reliability for country specific usage. Respondents mean age was 15 years, 62% were female, and 35% reported being sick at the time of survey administration. A condition and symptom list shows that the most frequent complaint was headaches (35%) and upper respiratory infections (20%). An analysis of variance shows statistical differences in scale means for those reporting being ill during survey administration in bodily pain, behavior, general health, and family activities. Conclusions: The assessment of health-related quality of life profiles in adolescents offers additional insight to the profiling of age specific health profiles. Questionnaire self-administration was readily accepted and the small rate of missing responses makes the CHQ-87 a useful instrument to assess individual's perspectives of well-being.

Learning Objectives:

Keywords: Adolescent Health, Quality of Life

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Measurement Methods and Issues

The 130th Annual Meeting of APHA