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Hyojee Joung 2 Articles
Test-Retest Reliability of a Questionnaire for the Korea Youth Risk Behavior Web-Based Survey.
Jisuk Bae, Hyojee Joung, Jong Yeon Kim, Kyoung Nam Kwon, Young Taek Kim, Soon Woo Park
J Prev Med Public Health. 2010;43(5):403-410.
DOI: https://doi.org/10.3961/jpmph.2010.43.5.403
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AbstractAbstract PDF
OBJECTIVES
A web-based survey has been administered annually since 2005 throughout Korea to assess the prevalence of adolescent health risk behaviors among middle and high school students. The aim of this study was to evaluate the test-retest reliability of the Korea Youth Risk Behavior Web-based Survey (KYRBWS) questionnaire. METHODS: A convenience sample of 2298 middle and high school students participated in self-administered questionnaire surveys twice, approximately two weeks apart, in 2008. The percent agreement, kappa statistics, and prevalence rates at the first and second surveys were computed for the core subset of 39 self-reported health risk behavior indices of the KYRBWS. RESULTS: Among 39 indices, seven indices had kappas > or = 0.81 and all of the indices had kappas > or = 0.41. Based on non-overlapping 95% confidence intervals, three indices had significantly different prevalence rates between the first and second surveys. In the subgroup analyses by school grade and gender, two indices had significantly different reliability estimates between middle and high school students. There were no significantly different reliability estimates between male and female students, except for one index. CONCLUSIONS: This study demonstrated that the reliability estimates for the KYRBWS questionnaire are varied, but generally reliable over time. The indices with low reliability estimates need to be evaluated further in order to determine whether the indices should be modified or deleted from future versions of the KYRBWS.
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Validity of Self-Reported Height, Weight, and Body Mass Index of the Korea Youth Risk Behavior Web-Based Survey Questionnaire.
Jisuk Bae, Hyojee Joung, Jong Yeon Kim, Kyoung Nam Kwon, Yoonjung Kim, Soon Woo Park
J Prev Med Public Health. 2010;43(5):396-402.
DOI: https://doi.org/10.3961/jpmph.2010.43.5.396
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AbstractAbstract PDF
OBJECTIVES
Self-reported anthropometric values, such as height and weight, are used to calculate body mass index (BMI) and assess the prevalence of obesity among adolescents. The aim of this study was to evaluate the validity of self-reported height, weight, and BMI of the Korea Youth Risk Behavior Web-based Survey questionnaire. METHODS: A convenience sample of 137 middle school students and 242 high school students completed a self-administered questionnaire in 2008. Body height and weight were directly measured after self-reported values were obtained from the questionnaire survey. Sensitivity, specificity, and kappa statistics were computed in order to evaluate the validity of the prevalence of obesity (BMI > or = 95th percentile or > or = 25 kg/m2) based on self-reported data. RESULTS: Self-reported weight and BMI tended to be underestimated. Self-reported height tended to be overestimated among middle school females and high school males. Obese adolescents tended to underestimate their weight and BMI and overestimate their height more than non-obese adolescents. The prevalence estimate of obesity based on self-reported data (10.6%) was lower than that based on directly measured data (15.3%). The estimated sensitivity of obesity based on self-reported data was 69.0% and the specificity was 100.0%. The value of kappa was 0.79 (95% confidence interval, 0.70-0.88). CONCLUSIONS: This study demonstrated that self-reported height and weight may lead to the underestimation of BMI and consequently the prevalence of obesity. These biases should be taken into account when self-reported data are used for monitoring the prevalence and trends of obesity among adolescents nationwide.
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