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Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature
Abstract
We reviewed the existing empirical literature to assess cognitive and situational factors that may affect the validity of adolescents' self-reports of alcohol and other drug use, tobacco use, behaviors related to unintentional injuries and violence, dietary behaviors, physical activity, and sexual behavior. Specifically, we searched for peer-reviewed journal articles published in 1980 or later that examined the factors affecting self-report of the six categories of behavior listed above. We also searched for studies describing objective measures for each behavior. Self-reports of each of six types of health-risk behaviors are affected by both cognitive and situational factors. These factors, however, do not threaten the validity of self-reports of each type of behavior equally. The importance of assessing health-risk behaviors as part of research activities involving adolescents necessitates the use of self-report measures. Researchers should familiarize themselves with the threats to validity inherent in this type of assessment and design research that minimizes these threats as much as possible.
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“we ensured privacy and gave participants self-administered computerized assessments. The use of such techniques shows reliability and validity for self-report (Brener, Billy, & Grady, 2003).”
From Understanding the Role of Alcohol, Anxiety, and Trait Mindfulness in the Perpetration of Physical and Sexual Dating Violence in Emerging Adults. (2018) · cites this paper as Brener, Billy, & Grady, 2003
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“Nonetheless self-reported behavior can be a useful indicator of actual behavior in many situations [29, 31].”
BackgroundMotivational and sportspersonship profiles of elite athletes in relation to doping behavior
Barkoukis, V., Lazuras, L., Tsorbatzoudis, H., & Rodafinos, A. (2010) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2010.10.003 · Cited by 113
Silins, E., Fergusson, D. M., Patton, G. C., Horwood, L. J., Olsson, C. A., Hutchinson, D. M., Degenhardt, L. J., Tait, R. J., Borschmann, R., Coffey, C., et al. (2015) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2015.08.034 · Cited by 117
Korinek, K., & Smith, K. R. (2011) · Social Science & Medicine · doi:10.1016/j.socscimed.2011.02.046 · Cited by 112
Reborn a Virgin: Adolescents’ Retracting of Virginity Pledges and Sexual Histories
Rosenbaum, J. E. (2006) · American Journal of Public Health · doi:10.2105/ajph.2005.063305 · Cited by 112
“All survey data are compromised somewhat by inaccurate responses, but reports of intimate behaviors, including sexual activities, are particularly vulnerable because of respondents’ tendency to answer survey questions in accordance with their current attitudes toward sexuality as well as their current behaviors; when…”
BackgroundVan De Looij‐Jansen, P. M., & De Wilde, E. J. (2008) · Health Services Research · doi:10.1111/j.1475-6773.2008.00860.x · Cited by 102
“Factors considered especially influential include the presence of others while responding to questions and the respondents’ perceptions of privacy or confidentiality (Brener, Billy, and Grady 2003; Bowling 2005).”
BackgroundCicolini, G., Simonetti, V., Comparcini, D., Celiberti, I., Nicola, M. D., Capasso, L., Flacco, M. E., Bucci, M., Mezzetti, A., & Manzoli, L. (2013) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2013.10.010 · Cited by 118
“Fourth, both adherence and several outcomes (including smoking, alcohol consumption, physical activity, fruit, vegetable and salt intake) were self-reported, and selfreporting can be inaccurate because of recall bias, social desirability bias and errors in self-observation (Brener et al., 2003).”
Clustering of substance use and sexual risk behaviour in adolescence: analysis of two cohort studies
Jackson, C., Sweeting, H. N., & Haw, S. J. (2012) · BMJ Open · doi:10.1136/bmjopen-2011-000661 · Cited by 110
SBIRT-A: Adapting SBIRT to Maximize Developmental Fit for Adolescents in Primary Care
Ozechowski, T. J., Becker, S. J., & Hogue, A. (2015) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2015.10.006 · Cited by 111
Clustering of chronic disease behavioral risk factors in Canadian children and adolescents
Alamian, A., & Paradis, G. (2009) · Preventive Medicine · doi:10.1016/j.ypmed.2009.02.015 · Cited by 111
Flavored Tobacco Products in the United States: A Systematic Review Assessing Use and Attitudes
Feirman, S. P., Lock, D., Cohen, J. E., Holtgräve, D. R., & Li, T. (2015) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntv176 · Cited by 108
Exposure to Advertisements and Susceptibility to Electronic Cigarette Use Among Youth
Dai, H. D., & Hao, J. (2016) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2016.06.013 · Cited by 109
Adolescents and MP3 Players: Too Many Risks, Too Few Precautions
Vogel, I., Verschuure, H., van der Ploeg, C. P. B., Brug, J., & Raat, H. (2009) · PEDIATRICS · doi:10.1542/peds.2008-3179 · Cited by 106
Cranford, J. A., Zucker, R. A., Jester, J. M., Puttler, L. I., & Fitzgerald, H. E. (2010) · Psychology of Addictive Behaviors · doi:10.1037/a0019801 · Cited by 105
Prado, G. J., Córdova, D., Huang, S., Estrada, Y. A., Rosen, A., Bacio, G. A., Jimenez, G. L., Pantin, H. M., Brown, C. H., Velázquez, M.-R., et al. (2012) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2012.06.011 · Cited by 104
Pattussi, M. P., Olinto, M. T. A., Hardy, R., & Sheiham, A. (2007) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.2006.00339.x · Cited by 101
Hogue, A., Becker, S. J., Wenzel, K., Henderson, C. E., Bobek, M., Levy, S., & Fishman, M. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108402 · Cited by 101
Identification and Prediction of Drinking Trajectories in Early and Mid-Adolescence
van der Vorst, H., Vermulst, A. A., Meeus, W., Deković, M., & Engels, R. C. M. E. (2009) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374410902851648 · Cited by 99
“However, according to a review of Brener, Billy, and Grady ( 2003 ), certain factors increase the validity of self-reports, for example, short recall period, specific and simple questions, and providing the respondent privacy during completion of the questionnaire.”
Selling and Buying Sex: A Longitudinal Study of Risk and Protective Factors in Adolescence
Kaestle, C. E. (2012) · Prevention Science · doi:10.1007/s11121-011-0268-8 · Cited by 109
“This may introduce recall bias and misclassification (Brener et al. 2003).”
BackgroundZimmermann, F., & Sieverding, M. (2009) · British Journal of Health Psychology · doi:10.1348/135910709x476558 · Cited by 101
The Consumption of Khat and Other Drugs in Somali Combatants: A Cross-Sectional Study
Odenwald, M. G., Hinkel, H., Schauer, E., Neuner, F., Schauer, M., Elbert, T. R., & Rockstroh, B. S. (2007) · PLoS Medicine · doi:10.1371/journal.pmed.0040341 · Cited by 99
“Self-report of individual drug intake was found to be a reliable and valid measure in Western countries [55], which can be related to other risky behaviors [56].”
BackgroundWills, T. A., Simons, J. S., Sussman, S., & Knight, R. (2016) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2015.08.039 · Cited by 98
The Validity of Teens' and Young Adults' Self-reported Condom Use
Rose, E., DiClemente, R. J., Wingood, G. M., Sales, J. M., Latham, T. P., Crosby, R. A., Zenilman, J. M., Melendez, J. H., & Hardin, J. W. (2009) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpediatrics.2008.509 · Cited by 96
“For instance, estimates of sexual behavior are more likely to be valid if surveys inquire about behaviors that occurred during shorter recall periods.(7,9) Use of cues, such as activities and important events, has also been beneficial.”
BackgroundFactors associated with self-reported risk-taking behaviour on ski slopes
Ruedl, G., Pocecco, E., Sommersacher, R., Gatterer, H., Kopp, M., Nachbauer, W., & Burtscher, M. (2010) · British Journal of Sports Medicine · doi:10.1136/bjsm.2009.066779 · Cited by 96
“the question used to assess risk-taking behaviour has not been formally validated but seems to have face validity. From a psychological point of view, one might claim a psychometric instrument with sufficient validity and reliability for assessing risk-taking behaviour knowing that self- report to one question might l…”
BackgroundPrevalence of binge drinking and associated behaviours among 3286 college students in France
Tavolacci, M., Boerg, E., Richard, L., Meyrignac, G., Déchelotte, P., & Ladner, J. (2016) · BMC Public Health · doi:10.1186/s12889-016-2863-x · Cited by 95
Patient-provider communication, maternal anxiety, and self-care in pregnancy
Nicoloro-SantaBarbara, J., Rosenthal, L., Auerbach, M. V., Kocis, C., Busso, C. E., & Lobel, M. (2017) · Social Science & Medicine · doi:10.1016/j.socscimed.2017.08.011 · Cited by 97
Mojola, S. A., & Everett, B. G. (2012) · Perspectives on Sexual and Reproductive Health · doi:10.1363/4412512 · Cited by 95
Inconsistent Reports of Sexual Intercourse Among South African High School Students
Palen, L., Smith, E. A., Caldwell, L. L., Flisher, A. J., Wegner, L., & Vergnani, T. (2007) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2007.08.024 · Cited by 95
“First participants may not have ccurate or complete memories of their sexual health and ehavior histories [3,4].”
The theory of planned behavior: Precursors of marijuana use in early adolescence?
Malmberg, M., Overbeek, G. J., Vermulst, A. A., Monshouwer, K., Vollebergh, W., & Engels, R. C. M. E. (2011) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2011.10.011 · Cited by 94
Cunningham, R. M., Walton, M. A., Goldstein, A. L., Chermack, S. T., Shope, J. T., Bingham, C. R., Zimmerman, M. A., & Blow, F. C. (2009) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2009.00513.x · Cited by 94
Metadata
- Authors
- Brener, N. D., Billy, J. O. G., & Grady, W. R.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Battelle (US)
- Corresponding author
- Brener, Nancy D
- ORCID
- Brener, Nancy D
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2003-12
- Volume
- 33
- Issue
- 6
- Pages
- 436-457
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W2087261951
- Cited by
- 1,331
- References
- 108
- Citations by year
- 2026: 43 · 2025: 41 · 2024: 38 · 2023: 43 · 2022: 61 · 2021: 74 · 2020: 69 · 2019: 76 · 2018: 88 · 2017: 82 · 2016: 91 · 2015: 113 · 2014: 87 · 2013: 86 · 2012: 55
- FWCI
- 3.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Health and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- self-report validity, adolescent health risk behaviors, alcohol consumption, drug use, tobacco use, unintentional injuries, violence, dietary behavior, physical activity, sexual behavior, cognitive factors, situational factors, objective measures
- MeSH terms
- Adolescent, Adolescent Behavior, Alcoholism, Feeding Behavior, Humans, Risk-Taking, Self-Assessment, Sexual Behavior, Tobacco Use Disorder, Violence, Substance-Related Disorders
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