An international scoring system for self-reported health complaints in adolescents.

BACKGROUND: Aimed to develop a unitary scoring system for the 'Health Behaviour in school-aged Children' (HBSC) symptom checklist that would facilitate cross-national comparisons and interpretation. Rasch measurement analysis and investigation of differential item functioning (DIF) were conducted. M...

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Published in:European Journal of Public Health Vol. 18; no. 3; pp. 294 - 300
Main Authors: Ravens-Sieberer U, Erhart M, Torsheim T, Hetland J, Freeman J, Danielson M, Thomas C
Format: research Journal Article
Published: Oxford University Press / USA Jun2008
Online Access:View this record in EBSCOhost
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      dt: Jun2008
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        atl: An international scoring system for self-reported health complaints in adolescents.
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          Ravens-Sieberer U
          Erhart M
          Torsheim T
          Hetland J
          Freeman J
          Danielson M
          Thomas C
        affil: School of Public Health, WHO Collaborating Center for Child and Adolescent Health Promotion, University of Bielefeld, Germany. U.Ravens-Sieberer@uni-bielefeld.de
      sug:
        subj:
          Adolescent Medicine Methods
          Adolescent Psychology
          Data Analysis, Statistical
          Severity of Illness Indices
          Adolescence
          Adolescent Behavior
          Africa, Northern
          Child
          Ethnological Research
          Europe
          Factor Analysis
          Female
          Logistic Regression
          Male
          Psychometrics
          Reproducibility of Results
          Self Disclosure
          Surveys
          World Health Organization
          Human
          Adolescent: 13-18 years
          Child: 6-12 years
          Female
          Male
      ab: BACKGROUND: Aimed to develop a unitary scoring system for the 'Health Behaviour in school-aged Children' (HBSC) symptom checklist that would facilitate cross-national comparisons and interpretation. Rasch measurement analysis and investigation of differential item functioning (DIF) were conducted. METHODS: Data were obtained from the 'WHO collaborative study HBSC 2001/2002'. A total of 162,305 students aged 11, 13 and 15 years from 35 European and North American Countries were surveyed. Unidimensionality of the items and local independence were tested using means of confirmatory factor analysis. DIF across countries, age groups and gender was investigated using a logistic regression procedure. Item and person parameters were estimated according to the Rating Scale Model (RSM). RESULTS: All items proved to be unidimensional. One item displayed noticeable DIF across countries and was discarded. The remaining items were functioning equally across subgroups. The RSM analysis resulted in Rasch model conform item parameter estimation. Infit mean square values between 0.84 and 1.35 revealed acceptable item fit. CONCLUSION: The control of DIF enables comparable and unbiased assessment of subjective health complaints across countries, age groups and gender. A scoring algorithm could be developed which enables a cross-cultural comparable and interval-scaled assessment of subjective health complaints.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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