Parent-teen Concordance of Selected Adverse Childhood Experiences in a National Sample of Teenagers: Findings From National Health Interview Survey - Teen.

Details

• Alternative Title:
  Child Abuse & Neglect, 2025, v. 163: Parent-teen Concordance of Selected Adverse Childhood Experiences in a National Sample of Teenagers: Findings From National Health Interview Survey - Teen.
• Journal Article:
  Child Abuse & Neglect
• Personal Author:
  Ng, Amanda E. ; Swedo, Elizabeth ; Zablotsky, Benjamin ; Black, Lindsey I. ; Niolon, Phyllis Holditch ; Bose, Jonaki ; Blumberg, Stephen J.
• Description:
  Parent-reported surveys are commonly used in child health research. However, few national surveys have examined concordance between parent- and teen-reported Adverse Childhood Experiences (ACEs).
  
  To examine concordance between parent- and teen-reported ACEs among a nationally representative sample of teens and understand sociodemographic correlates of concordance.
  
  Data were collected as part of the National Health Interview Survey (NHIS), an annual nationally representative survey of the United States, with parent-reported interviews and its follow-back survey, the National Health Interview Survey-Teen (NHIS-Teen), a self-administered web survey of youth aged 12-17 years.
  
  Parent- and teen-reported ACEs, and several measures of concordance (e.g. weighted Cohen's kappa, prevalence adjusted bias adjusted kappa (PABAK)) are presented. Unadjusted logistic regressions tested associations between sociodemographic characteristics and likelihood of concordance for each ACE.
  
  ACEs prevalence based on parent report were lower compared to teen report (e.g. victim of or witnessed violence in the neighborhood, 6.5 % parent-reported vs. 15.5 %, teen-reported). Weighted Cohen's kappa statistics showed fair to moderate agreement (ks ranging from 0.27 to 0.53), with PABAK statistics showing slightly higher levels (ks ranging from 0.41 to 0.88).
  
  There is discordance in ACEs reporting between teens and their parents, with parents less likely to report that their teen experience an ACE than teens are. This emphasizes the importance of collecting information directly from teenagers, which may help inform intervention work.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Adolescent
  • Female
  • Male
  • Adverse Childhood Experiences
  • Child
  • Parents
  • Health Surveys
  • Child Abuse
• Keywords:
  • Adolescent health
  • Adverse childhood experiences
  • Concordance
  • National Health Interview Survey
  • National Health Interview Survey-Teen
  • Social determinants of health
• Source:
  Child Abuse & Neglect, 2025, v. 163
• DOI:
  https://doi.org/10.1016/j.chiabu.2025.107339
• ISSN:
  0145-2134 ; 1873-7757
• Pubmed ID:
  40020334
• Pubmed Central ID:
  PMC12129094
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  107339 (19 pdf pages)
• Volume:
  163
• Download URL:
  https://stacks.cdc.gov/view/cdc/261642/cdc_261642_DS1.pdf
• File Type:
  [PDF - 335.32 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:d9e814a960a1faf34dd541fc50931cde128eada47d5eefbe1d46d52ba9f241f6149da76d8785d570eda96ce8c6cd6743c09678858347c999c3e908ebb1d74d2c