Cited by 1,101Health Education and ValidationAdolescent Health and BehaviorsSurvey Methodology and Nonresponse

Reliability of the 1999 youth risk behavior survey questionnaire

BRENER, N, KANN, L, MCMANUS, T, KINCHEN, S, SUNDBERG, E, ROSS, J·2002·Journal of Adolescent Health

Abstract

Purpose To assess the test-retest reliability of the 1999 Youth Risk Behavior Survey (YRBS) questionnaire.Methods A sample of 4,619 male and female high school students from white, black, Hispanic, and other racial/ethnic groups completed the YRBS questionnaire on two occasions approximately two weeks apart. The questionnaire assesses a broad range of health risk behaviors. This study used a protocol that maintained anonymity yet allowed matching of Time-1 and Time-2 responses. The authors computed a kappa statistic for the 72 items measuring health risk behaviors, and compared group prevalence estimates at the two testing occasions.Results Kappas ranged from 23.6% to 90.5%, with a mean of 60.7% and a median of 60.0%. Kappas did not differ by gender, grade, or race/ethnicity of the respondent. About one in five items (22.2%) had significantly different prevalence estimates at Time 1 vs. Time 2. Ten items, or 13.9%, had both kappas below 61% and significantly different Time-1 and Time-2 prevalence estimates.Conclusions Overall, students appeared to report health risk behaviors reliably over time, but several items need to be examined further to determine whether they should be revised or deleted in future versions of the YRBS.

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Crossref · 10.1016/s1054-139x(02)00339-7

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Authors
BRENER, N., KANN, L., MCMANUS, T., KINCHEN, S., SUNDBERG, E., & ROSS, J.
Affiliations
  • Centers for Disease Control and Prevention (US)
  • ORC Macro (United States) (US)
Corresponding author
BRENER, N
Venue
Journal of Adolescent Health
Publisher
Elsevier BV
Published
2002-10
Volume
31
Issue
4
Pages
336-342
ISSN
1054-139X (ISSN-L)
OpenAlex
W2161621299
Cited by
1,101
References
34
Citations by year
2026: 10 · 2025: 24 · 2024: 22 · 2023: 26 · 2022: 46 · 2021: 53 · 2020: 67 · 2019: 50 · 2018: 57 · 2017: 60 · 2016: 46 · 2015: 71 · 2014: 66 · 2013: 47 · 2012: 63
FWCI
120.74
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Adolescent Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Education › Health Education and Validation
  • Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
  • Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
Keywords
Youth Risk Behavior Survey, test-retest reliability, health risk behaviors, high school students, kappa statistic, adolescent health, racial and ethnic differences, prevalence estimates
MeSH terms
Adolescent, Adolescent Behavior, Female, Health Surveys, Humans, Male, Surveys and Questionnaires, Risk-Taking, United States, Reproducibility of Results, Health Behavior

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