Document Detail

Youth health-risk behavior assessment in Fiji: the reliability of Global School-based Student Health Survey content adapted for ethnic Fijian girls.
MedLine Citation:
PMID:  20234961     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The Global School-based Student Health Survey (GSHS) is an assessment for adolescent health-risk behaviors and exposures, supported by the World Health Organization. Although already widely implemented - and intended for youth assessment across diverse ethnic and national contexts - no reliability data have yet been reported for GSHS-based assessment in any ethnicity or country-specific population. This study reports test-retest reliability for GSHS content adapted for a female adolescent ethnic Fijian study sample in Fiji.
DESIGN: We adapted and translated GSHS content to assess health-risk behaviors as part of a larger study investigating the impact of social transition on ethnic Fijian secondary schoolgirls in Fiji. In order to evaluate the performance of this measure for our ethnic Fijian study sample (n=523), we examined its test-retest reliability with kappa coefficients, % agreement, and prevalence estimates in a sub-sample (n=81). Reliability among strata defined by topic, age, and language was also examined.
RESULTS: Average agreement between test and retest was 77%, and average Cohen's kappa was 0.47. Mean kappas for questions from core modules about alcohol use, tobacco use, and sexual behavior were substantial, and higher than those for modules relating to other risk behaviors.
CONCLUSIONS: Although test-retest reliability of responses within this country-specific version of GSHS content was substantial in several topical domains for this ethnic Fijian sample, only fair reliability for the module assessing dietary behaviors and other individual items suggests that population-specific psychometric evaluation is essential to interpreting language and country-specific GSHS data.
Anne E Becker; Andrea L Roberts; Alexandra Perloe; Asenaca Bainivualiku; Lauren K Richards; Stephen E Gilman; Ruth H Striegel-Moore
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Validation Studies    
Journal Detail:
Title:  Ethnicity & health     Volume:  15     ISSN:  1465-3419     ISO Abbreviation:  Ethn Health     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-23     Completed Date:  2010-08-03     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  9608374     Medline TA:  Ethn Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  181-97     Citation Subset:  IM    
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MeSH Terms
Fiji / ethnology
Health Surveys*
Questionnaires / standards*
Reproducibility of Results
Risk Assessment*
Young Adult
Grant Support
K23 MH068575/MH/NIMH NIH HHS; K23 MH068575/MH/NIMH NIH HHS; K23 MH068575-05/MH/NIMH NIH HHS

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