Document Detail

Agreement between adolescent self-report and parent reports of health and well-being: results of an epidemiological study.
MedLine Citation:
PMID:  14616908     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine parent and adolescent agreement on physical, emotional, mental and social health and well-being in a representative population. METHODOLOGY: An epidemiological design was used to obtain parent-child/adolescent dyad data on comparable items and scales of a generic measure of health and well-being, the Child Health Questionnaire (parent/proxy report 50 item, self-report 80 item). Scale analysis included intraclass correlations (ICCs) to examine strength of parent-child associations and independent t-tests for differences between adolescents (with or without an illness). Where there were significant differences in scale scores, analysis of variance and two sample t-tests were used to examine the influence of social, demographic, health concern and school variables. Single items were examined for trends in response categories. RESULTS: 2096 parent-adolescent dyads (adolescent mean age of 15.1 years, males 50%, maternal parent 83.2%, biological parent 93.5%). ICCs were strong. Overall, adolescents reported poorer emotional and social health, and clinically significant differences were observed for perceptions of general health (mean difference 8.1/100), frequency and amount of body pain (5.94/100), experience of mental health (5.14/100), and impact of health on family activities (12.43/100), which widen significantly for adolescents with illness. Social, health and school enjoyment and performance significantly widened parent-child differences. CONCLUSIONS: All adolescents were much less optimistic about their health and well-being than their parents, and were only in close agreement on aspects of health and well-being they rated highly. Adolescent reports are more likely to be sensitive to pain, mental health problems, health in general and the impact of their health on family activities.
E Waters; S Stewart-Brown; R Fitzpatrick
Related Documents :
2685738 - Improving access to health services for adolescents from economically disadvantaged fam...
7211988 - An analysis of adolescent health care and the role of the obstetrician-gynecologist.
19930348 - Adolescents' interpretations of parental control: differentiated by domain and types of...
15261638 - Provider self-efficacy and the screening of adolescents for risky health behaviors.
21058128 - Social cognitive and emotional mediators link violence exposure and parental nurturance...
8582478 - The structure of family perceptions among adolescents and their parents: individual sat...
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Child: care, health and development     Volume:  29     ISSN:  0305-1862     ISO Abbreviation:  Child Care Health Dev     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-11-17     Completed Date:  2004-02-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7602632     Medline TA:  Child Care Health Dev     Country:  England    
Other Details:
Languages:  eng     Pagination:  501-9     Citation Subset:  IM    
Centre for Community Child Health, Murdoch Children's Research Institute and Department of Paediatrics, University of Melbourne, Royal Children's Hospital, Melbourne, Australia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Adolescent Psychology
Attitude to Health
Family / psychology
Health Status*
Mental Health
Mood Disorders / psychology
Pain / psychology
Parent-Child Relations
Parents / psychology*
Self Assessment (Psychology)*
Self Concept
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Visual impairment in childhood: insights from a community-based survey.
Next Document:  Negotiating deaf-hearing friendships: coping strategies of deaf boys and girls in mainstream schools...