Objectives As more children use mobile (cellular) telephones, public anxiety grows about the possible adverse health effects of radiofrequency (RF) exposure upon developing nervous systems. Most epidemiological studies investigating the health effects of mobile telephones have relied on self-reports from questionnaires. While there are some validation studies investigating the accuracy of self-reported mobile phone use in adults and adolescents, self-reported laterality of use has not been validated at any age. Although this study mainly sought to validate the accuracy of self-reported laterality of mobile telephone use in adolescents, investigation also covered number and duration of calls.
Methods We monitored 455 calls in 30 students, mean age (SD) 14 (0.4) years. For 1 week, participants used hardware modified phones (HMPs) which logged dosimetric parameters such as laterality (side of head), date, number and duration of calls. These ‘gold standard’ measurements were compared with questionnaire self-reported laterality and estimated typical weekly phone use.
Results Agreement between HMPs and self-reported laterality was modest (κ=0.3, 95% CI 0.0 to 0.6). Concordance between HMP measured and self-reported number of calls was fair (intraclass correlation coefficient (ICC)=0.38, 95% CI 0.07 to 0.69), but poor for duration (ICC=0.01, 95% CI 0.00 to 0.37) with wide limits of agreement for both.
Conclusions These results suggest that adolescent self-reported laterality was of limited validity. Adolescent self-reported phone use by number and duration of calls was generally inaccurate but comparable to recent adult studies. Epidemiological studies of mobile phone use based on self-reported information may underestimate true associations with health effects.
- Laterality determination
- mobile phones
- exposure assessment
- epidemiology, adolescents
- environmental exposures
- public health
- exposure assessment
- electromagnetic fields
- non-ionizing radiation
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Funding The Australian Centre for Radiofrequency Bioeffects Research (ACRBR) and Dr Benke are supported by the National Health and Medical Research Council of Australia.
Competing interests Michael Abramson holds shares in Telstra and SingTel which operate mobile telephone networks in Australia. He has also received research support from the GSM Association. Ray McKenzie is an employee of Telstra Corporation Limited, which operates mobile telephone networks in Australia. The other authors declare no competing interest.
Ethics approval This study was conducted with the approval of the Standing Committee on Ethics in Research Involving Humans (SCERH) at Monash University.
Provenance and peer review Not commissioned; externally peer reviewed.