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Table 3 Agreement rate (%), overstatement* rate (%), understatement* rate (%), and their 95% confidence intervals (CI)* for education level by gender, age, and cause of death: Reliability between Korea National Health and Nutrition Survey (NHANES) data and death certificate data

From: Consistency between education reported in health survey and recorded in death certificate

 

No. of subjects

Agreement rate (95% CI)

Overstatement rate (95% CI)

Understatement rate (95% CI)

Five educational groups (college or higher, high school, middle school, elementary school, no education)

All subjects

511

70.7 (66.8–74.6)

17.0 (13.7–20.3)

12.3 (9.5–15.1)

Gender

    

   Men

296

65.9 (60.5–71.3)

19.3 (14.8–23.8)

14.9 (10.8–19.0)

   Women

215

77.2 (71.6–82.8)

14.0 (9.4–18.6)

8.8 (5.0–12.6)

Age groups

    

   20–64

199

65.8 (59.2–72.4)

17.6 (12.3–22.9)

16.6 (11.4–21.8)

   65+

312

73.7 (68.8–78.6)

16.7 (12.6–20.8)

9.6 (6.3–12.9)

Duration between health survey and death

   3.4 years or less

255

69.4 (63.8–75.1)

19.2 (14.4–24.1)

11.4 (7.5–15.3)

   3.5–7.1 years

256

71.9 (66.4–77.4)

14.8 (10.5–19.2)

13.3 (9.1–17.4)

Cause of death

    

   Cancer

124

71.0 (63.0–79.0)

17.7 (11.0–24.4)

11.3 (5.7–16.9)

   Cardiovascular disease

132

69.7 (61.9–77.5)

18.2 (11.6–24.8)

12.1 (6.5–17.7)

   External causes

60

65.0 (52.9–77.1)

15.0 (6.0–24.0)

20.0 (9.9–30.1)

   Other causes

195

72.8 (66.6–79.0)

16.4 (11.2–21.6)

10.8 (6.4–15.2)

Three educational groups (college or higher, high and middle school, elementary school or less)

All subjects

511

88.9 (86.2–91.6)

5.9 (3.9–7.9)

5.3 (3.4–7.2)

Gender

    

   Men

296

86.2 (82.3–90.1)

6.8 (3.9–9.7)

7.1 (4.2–10.0)

   Women

215

92.6 (89.1–96.1)

4.7 (1.9–7.5)

2.8 (0.6–5.0)

Age groups

    

   20–64

199

80.9 (75.4–86.4)

8.5 (4.6–12.4)

10.6 (6.3–14.9)

   65+

312

93.9 (91.2–96.6)

4.2 (2.0–6.4)

1.9 (0.4–3.4)

Duration between health survey and death

   3.4 years or less

255

89.4 (85.6–93.2)

6.3 (3.3–9.2)

4.3 (1.8–6.8)

   3.5–7.1 years

256

88.3 (84.3–92.2)

5.5 (2.7–8.3)

6.3 (3.3–9.2)

Cause of death

    

   Cancer

124

84.7 (78.4–91.0)

11.3 (5.7–16.9)

4.0 (0.6–7.4)

   Cardiovascular disease

132

87.1 (81.4–92.8)

6.8 (2.5–11.1)

6.1 (2.0–10.2)

   External causes

60

86.7 (78.1–95.3)

1.7 (0.0–5.0)

11.7 (3.6–19.8)

   Other causes

195

93.3 (89.8–96.8)

3.1 (0.7–5.5)

3.6 (1.0–6.2)

  1. *Overstatement refers to the inflated educational level recorded in death certificate compared with that in NHANES, while understatement means the reverse. Confidence intervals for agreement rate, overstatement rate, and understatement rate were calculated by asymptotic method.