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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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“Our analysis focused on four groups: (1) exclusive e-cigarette users, who reported currently using e-cigarettes every day or some days and reported no current use of other tobacco products; (2) former cigarette smokers, who had ever smoked 100 cigarettes in their lifetime and reported no current cigarette or any other…”
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Ssewanyana, D., Abubakar, A. A., Mabrouk, A., Kagonya, V., Nasambu, C., Dzombo, J. T., Angwenyi, V., Kabue, M. N., Scerif, G., & Newton, C. R. J. C. (2021) · Frontiers in Reproductive Health · doi:10.3389/frph.2021.659665 · Cited by 18
Colberg, S. R., Kannane, J., & Diawara, N. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18179332 · Cited by 23
“Finally, relying on self-reported data in any research study has its limitations and can be problematic [109,110]; this is particularly true when it comes to data related to physical activity.”
Ospino, G. A. C., & Campo‐Arias, A. (2010) · Medunab · Cited by 18
Toothbrushing and smoking among adolescents - aggregation of health damaging behaviours
Honkala, S., Honkala, E. J., Newton, T., & Rimpelä, A. (2011) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2011.01709.x · Cited by 18
Program Strategies for Adolescent Smoking Cessation
Fritz, D. J., Wider, L. C., Hardin, S. B., & Horrocks, M. (2008) · The Journal of School Nursing · doi:10.1177/10598405080240010401 · Cited by 18
Huang, P., Chen, F. L., Hsu, C.-C., Yen, Y., Chen, T. X., Huang, C., Shi, H., Hu, C. Y., & Lee, C. (2010) · Health Education Research · doi:10.1093/her/cyq014 · Cited by 18
“However, some studies have shown that selfreported data are valid and reliable when the individuals’ privacy is protected [41, 42] and our survey guaranteed privacy due to its anonymous nature.”
BackgroundFranklin, W. B., Katyal, M., Mahajan, R., & Parvez, F. M. (2012) · Journal of Correctional Health Care · doi:10.1177/1078345811435767 · Cited by 18
Bo, A., & Jaccard, J. J. (2020) · BMC Public Health · doi:10.1186/s12889-020-09195-2 · Cited by 19
Alexithymia mediates the association between childhood trauma and adolescent E-cigarette use
Sutherland, B. D., Fallah‐Sohy, N., Kopera, M., Jakubczyk, A., Sutherland, M. T., & Trucco, E. M. (2022) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2022.109500 · Cited by 17
“Moreover, cognitive factors (e.g., comprehension of the question) or situational factors (e.g., stigma about substance use) may have impacted adolescent ’ s honest responding of e-cigarette use (Brener et al., 2003).”
BackgroundRanøyen, I., Jozefiak, T., Wallander, J. L., Lydersen, S., & Indredavik, M. S. (2014) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-014-0888-y · Cited by 19
“Previous studies indicate that adolescents’ self-reports of mental health and health-risk behaviours are generally valid [43].”
BackgroundMcKay, C. D., Schneider, K., Brooks, B. L., Mrázik, M., & Emery, C. A. (2014) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2014.5053 · Cited by 17
Bonar, E. E., Whiteside, L., Walton, M. A., Zimmerman, M. A., Booth, B. M., Blow, F. C., & Cunningham, R. M. (2014) · PubMed · Cited by 17
Gender differences in risk factors for cigarette smoking initiation in childhood
Sylvestre, M., Wellman, R. J., O’Loughlin, E. K., Dugas, E. N., & O’Loughlin, J. L. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.04.004 · Cited by 20
Cheung, A., Cook, S., Kozloff, N., Chee, J. N., Mann, R. E., & Boak, A. (2018) · Canadian Journal of Public Health · doi:10.17269/s41997-018-0144-4 · Cited by 17
Magno, M. B., Leite, K. L. D. F., Pithon, M. M., & Maia, L. C. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2018.12.028 · Cited by 17
Kim, J., Noh, J., Kim, A., & Kwon, Y. D. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16132278 · Cited by 19
“Lastly, smoking and alcohol consumption may have been underestimated because of errors in self-report among adolescents [45,46].”
BackgroundReitz, E., van de Bongardt, D., Baams, L., Doornwaard, S. M., Dalenberg, W. G., Dubas, J. S., van Aken, M. A. G., Overbeek, G. J., ter Bogt, T., van den Eijnden, R. J. J. M., et al. (2015) · European Journal of Developmental Psychology · doi:10.1080/17405629.2015.1018173 · Cited by 20
Freeman, W. M., VanGuilder, H. D., Guidone, E., Krystal, J. H., Grant, K. A., & Vrana, K. E. (2011) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145711000046 · Cited by 17
“One difficulty in quantifying the validity of alcohol self-reports is that, unlike other abused substances, alcohol abuse lacks a clinical test to corroborate self-report data (Brener et al., 2003).”
BackgroundMaternal Demandingness and Responsiveness as Predictors of Adolescent Abstinence
Cox, M. F. (2007) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2006.08.005 · Cited by 17
Jones, R. M., Wiseman, K. P., & Kharitonova, M. (2016) · BMC Public Health · doi:10.1186/s12889-016-3579-7 · Cited by 17
“However, self-reported smoking by adolescents is similar to the prevalence given cotinine testing and is considered valid for population-level estimates [28–31].”
ResultOpioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain
Daoust, R., Paquet, J., Gosselin, S., Lavigne, G. J., Cournoyer, A., Piette, E., Morris, J., Castonguay, V., Lessard, J., & Chauny, J. (2019) · Academic Emergency Medicine · doi:10.1111/acem.13628 · Cited by 17
Sports Practice Among Adolescents With Chronic Health Conditions
Pittet, I., Berchtold, A., Akré, C., Michaud, P., & Surı́s, J.-C. (2009) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpediatrics.2009.49 · Cited by 17
Gråstén, A. (2014) · Jyväskylä University Digital Archive (University of Jyväskylä) · doi:10.13140/2.1.4606.8481 · Cited by 17
Wekerle, C., & Tanaka, M. (2010) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2010.502097 · Cited by 20
“Although the same review did not examine dating violence specifically, the authors found a lack of studies on the validation of self-reports of violence-related behaviors or suicide attempts (Brener et al., 2003).”
BackgroundValidity of an online, self-administered Timeline Followback for alcohol use with adolescents
Jensen, N. H., Vallentin-Holbech, L., Dash, G. F., Ewing, S. W. F., & Thomsen, K. R. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1221487 · Cited by 16
Bègue, L., & Treich, N. (2019) · Nutrients · doi:10.3390/nu11071694 · Cited by 17
Kirk‐Provencher, K. T., Schick, M. R., Spillane, N. S., & Tobar-Santamaria, A. L. (2020) · Addictive Behaviors · doi:10.1016/j.addbeh.2020.106441 · Cited by 16
“Secondly, this study relied exclusively on self-report measures which may underestimate the actual prevalence of alcohol use behaviors and sexual assault history for adolescents [62, 63].”
MethodMedia bias exposure and the incidence of COVID-19 in the USA
Spiteri, J. (2021) · BMJ Global Health · doi:10.1136/bmjgh-2021-006798 · Cited by 16
Differences in Alcohol Brand Consumption between Underage Youth and Adults—United States, 2012
Siegel, M., Chen, K., DeJong, W., Naimi, T. S., Ostroff, J., Ross, C. S., & Jernigan, D. H. (2014) · Substance Abuse · doi:10.1080/08897077.2014.883344 · Cited by 16
“Finally, it is possible that respondents either exaggerated or underreported their drinking behavior, although it should be pointed out that research long ago established the validity of substance use surveys completed under conditions of anonymity.(15,16) Quality control procedures that we used to help verify the con…”
BackgroundSchool‐level contextual factors associated with betel quid chewing among schoolchildren in Taiwan
Huang, H., Lee, C., Yen, Y., Chen, T., Chen, F., Ho, P., Lai, T.-C., Tsai, W., & Hsu, C. (2008) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.2008.00442.x · Cited by 16
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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