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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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Risk and protective factors for opioid misuse in American Indian adolescents
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“First, data were based on self-report measures, which may underestimate actual substance use rates in adolescents (Brener et al., 2003), though the ADAS has good empirical support for assessing adolescent substance use (Wills et al.”
MethodBegdache, L., Sadeghzadeh, S., Derose, G., & Abrams, C. (2020) · Nutrients · doi:10.3390/nu13010024 · Cited by 38
“In fact, research on self-reported data describes that responses tend to be accurate when there is a great sense of privacy and lack of associated stigma [42].”
BackgroundHossain, A., & Munam, A. M. (2022) · Computers in Human Behavior Reports · doi:10.1016/j.chbr.2022.100181 · Cited by 39
Longitudinal Consistency in Self-Reported Age of First Vaginal Intercourse among Young Adults
Goldberg, S. K., Haydon, A. A., Herring, A. H., & Halpern, C. T. (2012) · The Journal of Sex Research · doi:10.1080/00224499.2012.719169 · Cited by 34
“In addition, evidence suggests that when respondents are asked to retrospectively recall behaviors, events that occur more frequently are reported with less accuracy, particularly as length of recall period increases (Brener et al., 2003; Jaccard & Wan, 1995).”
BackgroundSchool-based primary NCD risk reduction: education and public health perspectives
Bay, J. L., Hipkins, R., Siddiqi, K., Huque, R., Dixon, R., Shirley, D., Tairea, K., Yaqona, D., Mason‐Jones, A. J., & Vickers, M. H. (2016) · Health Promotion International · doi:10.1093/heapro/daw096 · Cited by 38
Inability to Access Addiction Treatment Among Street-Involved Youth in a Canadian Setting
Phillips, M., DeBeck, K., Desjarlais, T., Morrison, T., Feng, C. X., Kerr, T. H., & Wood, E. (2014) · Substance Use & Misuse · doi:10.3109/10826084.2014.891618 · Cited by 32
Parkes, A., Strange, V., Wight, D., Bonell, C. P., Copas, A. J., Henderson, M., Buston, K., Stephenson, J., Johnson, A., Allen, E., et al. (2010) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2010.05.010 · Cited by 33
“The study suffers from several limitations, notably its use of self-reported measures of sensitive behaviour.[35] In general, inclusion of questions regarding same-sex behaviour appeared acceptable to both schools and young people.”
King, C. A., Hill, R. M., Wynne, H., & Cunningham, R. M. (2012) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2012.680188 · Cited by 33
“Despite the strengths of self-report questionnaires, cognitive and situational factors have been found to impact adolescents' reports of certain mental health risk factors, including suicidal behavior, alcohol use, and violent behavior (Brener, Billy, & Grady, 2003 ).”
BackgroundTran, D. T., Phongsavan, P., Bauman, A. E., Havea, D., & Galea, G. (2006) · Asia Pacific Journal of Public Health · doi:10.1177/10105395060180020201 · Cited by 33
de Looze, M. E., Harakeh, Z., van Dorsselaer, S. A. F. M., Raaijmakers, Q. A. W., Vollebergh, W., & ter Bogt, T. (2012) · Journal of Adolescence · doi:10.1016/j.adolescence.2012.02.009 · Cited by 33
Age of Smoking Milestones: Longitudinal Inconsistencies and Recanting
Kaestle, C. E. (2015) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2014.12.005 · Cited by 33
“For example, males are less likely to report that they have been honest in health-related surveys [27].”
BackgroundJia, Y., Konold, T. R., Cornell, D. G., & Huang, F. L. (2016) · Educational and Psychological Measurement · doi:10.1177/0013164416671767 · Cited by 35
“Consistent with previous research on the impact of validity screening in adolescents (Brener et al., 2003; Fan et al., 2006), the current investigation of high school students revealed that even a relatively small proportion of invalid respondents (7.66% of the total high school sample) had a…”
ResultInfluentialInnovative Techniques for Evaluating Behavioral Nutrition Interventions
Scherr, R. E., Laugero, K. D., Graham, D. J., Cunningham, B. T., Jahns, L., Lora, K. R., Reicks, M. M., & Mobley, A. R. (2017) · Advances in Nutrition · doi:10.3945/an.116.013862 · Cited by 32
Youth Observation of E-Cigarette Use in or Around School, 2019
Dai, H. D. (2021) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2020.07.022 · Cited by 32
Lauby, J. L., LaPollo, A. B., Herbst, J. H., Painter, T. M., Batson, H., Pierre, A., & Milnamow, M. (2010) · AIDS Education and Prevention · doi:10.1521/aeap.2010.22.5.402 · Cited by 32
McKelvey, K., Attonito, J. M., Madhivanan, P., Jaber, R., Yi, Q., Mzayek, F., & Maziak, W. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.06.038 · Cited by 32
“However, research among adolescents has shown strong agreement between self-reported smoking rates and those verified with biochemical measures (Brener et al., 2003).”
BackgroundJones, D. J., Hussong, A. M., Manning, J., & Sterrett, E. (2008) · Cultural Diversity & Ethnic Minority Psychology · doi:10.1037/1099-9809.14.3.266 · Cited by 31
van de Bongardt, D., Reitz, E., & Deković, M. (2015) · The Journal of Sex Research · doi:10.1080/00224499.2015.1046155 · Cited by 30
Denoth, F., Scalese, M., Siciliano, V., Renzo, L. D., LORENZO, A. D., & Molinaro, S. (2015) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-015-0225-9 · Cited by 30
Zambon, A., Lemma, P., Borraccino, A., Dalmasso, P., & Cavallo, F. (2006) · European Journal of Public Health · doi:10.1093/eurpub/ckl051 · Cited by 31
Afifi, R. A., El Asmar, K., Bteddini, D., Assi, M., Yassin, N., Bitar, S., & Ghandour, L. (2020) · Journal of Religion and Health · doi:10.1007/s10943-019-00789-8 · Cited by 30
Zuo, X., Zhao, L., Li, Y., He, W., Yu, C., & Wang, Z. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1309210 · Cited by 38
Allowing for Nondisclosure in High Suicide Risk Groups
Podlogar, M. C., & Joiner, T. E. (2019) · Assessment · doi:10.1177/1073191119845495 · Cited by 29
Davison, J., Michelle Share, S., Hennessy, M., Bunting, B. P., Markovina, J., & Stewart-Knox, B. J. (2015) · Food Quality and Preference · doi:10.1016/j.foodqual.2015.06.014 · Cited by 31
Shukla, K. D., & Wiesner, M. (2015) · Violence and Victims · doi:10.1891/0886-6708.vv-d-12-00042 · Cited by 30
“However, self-reports capture a broader picture of the students’ personal experiences and are especially useful for health-risk behavior studies (e.g., Brener et al., 2003; Farrington et al., 2003).”
BackgroundOutdoor music festivals: Cacophonous consumption or melodious moderation?
Martinus, T., McAlaney, J., McLaughlin, L. J., & Smith, H. (2010) · Drugs Education Prevention and Policy · doi:10.3109/09687630903357692 · Cited by 30
Looby, A. R., Bravo, A. J., Kilwein, T. M., Zimmerman, L. M., & Pearson, M. R. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.01.009 · Cited by 29
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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