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Occup Environ Med 59:149-155 doi:10.1136/oem.59.3.149
  • Review

Review of recent epidemiological studies on paternal occupations and birth defects

Table 3

Comparison of occupational exposure assessment sources

Assessment sources Birth certificates Interview Company records Registers
Advantage Ease of access and low cost
 Less recall bias
 The recorded paternal occupation seems more reliable than maternal occupation Detailed information about occupational exposure can be acquired in standard way
 Confounder information may be available Not subject to recall bias and tend to be more complete in recording occupational exposure Ease of assess and low cost
 Less recall bias
 The recorded paternal occupation seems more reliable than maternal occupation
 Investigator can get the outcome information at any time
Disadvantage Incompleteness
 Limited to the title of occupation, information bias is more likely
 Job changing may introduce the possibility of misclassification of exposure status
 Limited confounder information related to congenital malformation Expensive and time consuming
 Certainty depends on the education level and professional knowledge
 Easy to contact effect
 Interview of the spouse may not provide valid and complete information
 Information bias is more likely May lack the updating information about changing of exposure status over time for individual or certain job title
 The completeness and validity of data obtained may be not available
 Information of potential confounders may be insufficient Confounding information may be scanty
 Problem of miscoding and wrong data entry may exist

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