To determine the accuracy of adolescents'self-report of health insurance coverage, using parents'report as a comparison standard.
Two separate samples of urban, school-based adolescents and their parents completed self-administered questionnaires about type of health insurance coverage.
Sample 1 included 123 and Sample 2 included 93 adolescent-parent pairs.
Percent agreement and the kappa statistic were determined for each of the sample groups, and for males versus females and older (>14 years) versus younger (<=14 years) adolescents.
In Sample 1,33% of adolescent respondents responded « don't know » to the question about type of insurance coverage, and 4% left the question blank ; in Sample 2,3% answered « don't know, » with none leaving the question blank.
For Sample 1, we found a 57% rate of agreement of adolescents with their parents, and a corresponding kappa of. 21.
Females and older subjects demonstrated greater accuracy, with kappa's all in the range. 13-29.
In Sample 2,73% of subjects agreed with parents'report, with a kappa of. 48.
Females and older subjects also demonstrated greater accuracy, with the highest kappa of. 59 demonstrated by older females.
Excluding those responding with « don't know, » we found overall percent agreement with parents of 87% in Sample 1 and 73% in Sample 2 ; the corresponding kappas were. 47 and. 51.
Females demonstrated higher agreement with parents in both samples. (...)
Mots-clés Pascal : Connaissance, Assurance maladie, Adolescent, Homme, Validité, Fiabilité, Etude comparative, Parent, Accord interjuge
Mots-clés Pascal anglais : Knowledge, Health insurance, Adolescent, Human, Validity, Reliability, Comparative study, Parent, Interrater agreement
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0307590
Code Inist : 002B30A03B. Création : 27/11/1998.