Validity of the 'Ten Questions' for screening serious childhood disability

Results from urban Bangladesh

S. S. Zaman, N. Z. Khan, S. Islam, S. Banu, S. Dixit, Patrick Shrout, M. Durkin

Research output: Contribution to journalArticle

Abstract

A survey of 2576 children aged two to nine years was carried out in Dhaka, Bangladesh, as part of a collaborative study to test the validity of a questionnaire (the Ten Questions) for screening severe childhood disabilities in community settings. Approximately 7% of the children were positive on the screen and this rate was slightly higher in boys than girls. The sensitivity, specificity and negative predictive value of the Ten Questions were perfect or nearly perfect for severe and moderate (serious) disabilities. The positive predictive value was only 22% for serious disabilities, but 70% of children classified as false positives were found to have mild disabilities or other conditions (such as ear infections) for which early detection and treatment could be beneficial. No major age or gender differences in the validity of the questionnnaire were apparent, but this finding needs additional study and confirmation with studies based on larger samples. In general, the results indicate that the Ten Questions is a valid tool for screening serious disabilities in children and can potentially improve the efficiency of health services by reducing the number of children requiring attention from professionals. Future studies using the Ten Questions should foster greater attention to the dimensions of childhood disability as a public health problem in the less developed world.

Original languageEnglish (US)
Pages (from-to)613-620
Number of pages8
JournalInternational Journal of Epidemiology
Volume19
Issue number3
StatePublished - 1990

Fingerprint

Bangladesh
Disability
Screening
Public health
Medical problems
Health
Gender Differences
Health Services
Public Health
Ear
False Positive
Questionnaire
Specificity
Infection
Childhood
Sensitivity and Specificity
Children
Valid

ASJC Scopus subject areas

  • Epidemiology
  • Statistics, Probability and Uncertainty
  • Applied Mathematics
  • Physiology (medical)
  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Validity of the 'Ten Questions' for screening serious childhood disability : Results from urban Bangladesh. / Zaman, S. S.; Khan, N. Z.; Islam, S.; Banu, S.; Dixit, S.; Shrout, Patrick; Durkin, M.

In: International Journal of Epidemiology, Vol. 19, No. 3, 1990, p. 613-620.

Research output: Contribution to journalArticle

Zaman, S. S. ; Khan, N. Z. ; Islam, S. ; Banu, S. ; Dixit, S. ; Shrout, Patrick ; Durkin, M. / Validity of the 'Ten Questions' for screening serious childhood disability : Results from urban Bangladesh. In: International Journal of Epidemiology. 1990 ; Vol. 19, No. 3. pp. 613-620.
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