Abstract
Purpose: Indicators such as country of birth and language spoken at home have been used as proxy measures
for ethnic background, but the validity of these indicators in surveys among school children remains unclear.
This study aimed at comparing item response and student–parent agreement on four questions about
country of birth and language spoken at home in three European countries.Methods: We analyzed data from the Health Behaviour in School-aged Children (HBSC) Child–Parent
Validation Study 2005, including 486 matched student–parent pairs from Denmark, Hungary, and Scotland.
Selected items from the internationally standardized HBSC questionnaire were completed by 11-year-old
students and their parents. We examined item response and student–parent agreement on the four HBSC
Ethnic Background Indicators: the student’s country of birth, mother’s country of birth, father’s country of
birth, and language usually spoken at home.Results: All item response rates were high for both students (>92%) and parents (>96%). The percent
student–parent agreement was high on all four items (97%). The strength of agreement ranged from good
to excellent for all items indicated by the kappa value (between .60 and 1.00). Results were robust across
countries.Conclusions: Our findings suggest that students as young as 11 years are able to provide valid responses to
four simple questions about country of birth and language spoken at home. The four HBSC Ethnic Background
Indicators can be useful in epidemiologic studies on identification of subgroups that may receive unequal
prevention services or in assessment of how risk factors, symptoms, and diseases may differ by ethnic
background among school children.
Original language | English |
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Pages (from-to) | 272-277 |
Number of pages | 6 |
Journal | Journal of Adolescent Health |
Volume | 49 |
Issue number | 3 |
DOIs | |
Publication status | Published - Sept 2011 |
Keywords
- children
- ethnic background
- validity
- survey
- cross-national
- socioeconomic-status
- health behaviour
- aged children
- Physical activity
- proxy reports
- East London
- adolescents
- reliability
- questionnaire