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  1. Adolescents'knowledge of their health insurance coverage.

    Article - En anglais


    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0307590

    Code Inist : 002B30A03B. Création : 27/11/1998.