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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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Byrne, P., Jones, S., & Williams, R. L. (2004) · Current Opinion in Psychiatry · doi:10.1097/01.yco.0000133827.11672.42 · Cited by 9
Examining price promotions, venue and place of residence as predictors of alcohol consumption
Raciti, M., O’Hara, R. L., Sharma, B., Reinhard, K., & Davies, F. (2013) · Journal of Social Marketing · doi:10.1108/20426761311297207 · Cited by 9
Helmet Use and Self-Reported Risk Taking in Skiing and Snowboarding
Bianchi, G., Brügger, O., Niemann, S., & Cavegn, M. (2010) · Journal of ASTM International · doi:10.1520/jai102811 · Cited by 9
Peña, J. B., Zayas, L. H., Cabrera-Nguyen, P., & Vega, W. A. (2011) · American Journal of Public Health · doi:10.2105/ajph.2011.300344 · Cited by 9
“Our study used self-reported measures that may not be accurate despite previous research suggesting that such items have produced valid responses.(61,62) Although youths attending public school in the Dominican Republic represent a significant proportion of the overall adolescent population, results from this study ma…”
ResultThis Ad is for You: Targeting and the Effect of Alcohol Advertising on Youth Drinking
Molloy, E. (2015) · Health Economics · doi:10.1002/hec.3126 · Cited by 9
Resiliency in adolescent college students
Ahern, N. R. (2007) · Journal of International Crisis and Risk Communication Research · Cited by 9
Terry‐McElrath, Y. M., O’Malley, P. M., & Johnston, L. D. (2017) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntx074 · Cited by 9
Predicting Adolescent Electronic Cigarette Use: Differences by Never, Ever, and Current Users
Enlow, P. T., Williford, D. N., Romm, K. F., Dino, G., Blank, M. D., Murray, P. J., Banvard-Fox, C., & Duncan, C. L. (2021) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsab082 · Cited by 9
Kinder und Jugendliche: Die Gesundheit der heranwachsenden Generation
Richter, M., Bohn, V., & Lampert, T. (2011) · VS Verlag für Sozialwissenschaften eBooks · doi:10.1007/978-3-531-92790-9_27 · Cited by 9
Influences of Fertility Status on Risky Driving Behaviour
Biassoni, F., Iannello, P., Antonietti, A., & Ciceri, M. R. (2016) · Applied Cognitive Psychology · doi:10.1002/acp.3283 · Cited by 18
Sleep Behaviors of Infants and Young Children
Duzinski, S. V., Yuma, P., Fung, A., Brown, J. M., Wheeler, T. C., Barczyk, A. N., & Lawson, K. A. (2013) · Journal of Trauma Nursing · doi:10.1097/jtn.0000000000000011 · Cited by 9
Sexual risky behaviour among Slovak adolescents and young adults: social and psychological factors
Kalina, O. (2012) · University of Groningen research database (University of Groningen / Centre for Information Technology) · Cited by 9
McGovern, M. P., Dunn, J. A., Bonnell, L. N., Leibowitz, G. S., Waddell, E. N., Rose, G. L., & Littenberg, B. (2023) · Journal of Primary Care & Community Health · doi:10.1177/21501319231200302 · Cited by 8
“52,53”
Liu, X., Zhang, Y., Ran, F., Zeng, J., & Liu, Y. (2025) · Children and Youth Services Review · doi:10.1016/j.childyouth.2025.108663 · Cited by 8
Conduct problems and sexting: Gender differences
Mariamo, A., Martin‐Storey, A., Déry, M., Tomasiello, M., & Temcheff, C. E. (2024) · Computers in Human Behavior · doi:10.1016/j.chb.2024.108152 · Cited by 9
Huang, H., Chen, T., Chen, F., Magnus, J. H., Rice, J. C., Yen, Y., & Hsu, C. (2009) · Journal of School Health · doi:10.1111/j.1746-1561.2008.00378.x · Cited by 8
Vivo, S., McCoy, S. I., López-Peña, P., Muñoz, R., Larrieu, M. I., & Celhay, P. (2016) · Development Engineering · doi:10.1016/j.deveng.2016.06.002 · Cited by 8
“…bias, and to discuss the extent to which these errors might be related to level of privacy or interviewer’s gender, as previous studies have suggested (Langhaug et al., 2011; Tourangeau and Smith, 1998; Brener et al., 2003; Gribble and Miller, 2000; Sedla, 2010; Lothen-Kline et al., 2003).”
BackgroundResultEinarsdóttir, G., Hansla, A., & Johansson, L. (2018) · Nordic Psychology · doi:10.1080/19012276.2018.1457452 · Cited by 9
Ekstam, U., Linnanmäki, K., & Pirjo Aunio, A. (2017) · LUMAT International Journal on Math Science and Technology Education · doi:10.31129/lumat.5.1.253 · Cited by 8
Predictors and Consequences of Pediatric Pain Symptom Trajectories: A 14-Year Longitudinal Study
Mun, C. J., Lemery‐Chalfant, K., Wilson, M. N., & Shaw, D. S. (2021) · Pain Medicine · doi:10.1093/pm/pnab173 · Cited by 8
“Fifth, the assessment of substance use in the present study was based upon self-report, which is generally regarded as a reliable and valid method to measure adolescent substance use [53].”
MethodMojtahedzadeh, N., Neumann, F. A., Rohwer, E., Nienhaus, A., Augustin, M., Harth, V., Zyriax, B., & Mache, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18158213 · Cited by 8
“After all, self-assessments of health behaviour are not subject to objectivity and may additionally be distorted by social desirability [169].”
BackgroundSchleimer, J. P., Smith, N., Zaninovic, V., Keyes, K. M., Castillo‐Carniglia, Á., Rivera‐Aguirre, A., & Cerdá, M. (2021) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2021.103494 · Cited by 9
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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