Journal of Substance Use, June 2010; 15(3): 166–173
ISSN 1465-9891 print/ISSN 1475-9942 online © 2010 Informa UK Ltd.
DOI: 10.3109/14659890903013091
TJSU 1465-9891 1475-9942 Journal of Substance Use, Vol. 1, No. 1, Jul 2009: pp. 0–0 Journal of Substance Use
ORIGINAL ARTICLE
A comparison of self-reported alcohol use measures
by early adolescents: Questionnaires versus diary
Comparing self-reported alcohol-use measures I. M. Koning et al.
INA M. KONING
1
, ZEENA HARAKEH
1
, RUTGER C. M. E. ENGELS
2
, &
WILMA A. M. VOLLEBERGH
1
1
Interdisciplinary Social Science, Utrecht University, Utrecht, The Netherlands, and
2
Behavioural
Science Institute, Radboud University Nijmegen, Nijmegen, the Netherlands
Abstract
To examine the reliability of self-reports on prevalence, frequency and quantity of drinking in early
adolescents by comparing questionnaires with diary reports. Retrospective data were obtained with a
questionnaire after conducting a 1-month daily diary on alcohol use in a sample of 78 early adoles-
cents. Sensitivity, specificity, positive, negative predictive values and correlations were calculated to
test whether questionnaire reports corresponded with diary reports. Adolescents reported higher
prevalence of drinking in diary reports than questionnaire reports. The sensitivity and negative pre-
dicted value of drinking prevalence were low, whereas the specificity and positive predicted value
were high. Frequency of drinking reported in diary reports were highly correlated with questionnaire
reports, whereas for the quantity of drinking only a moderate correlation was found. No significant
differences were found for the average frequency and quantity of drinking between questionnaire and
diary reports. Questionnaire reports tend to underestimate the prevalence of drinking in early adoles-
cents compared to diary reports, whereas for frequency and quantity of drinking questionnaire
reports proved to be reliable.
Keywords: Early adolescents, self-report, alcohol use.
Introduction
Epidemiological studies on alcohol use in adolescents are mostly based on retrospective
self-report measures. These studies showed alarmingly high alcohol consumption patterns
in adolescents, in particular in some European countries, such as England, Italy, and the
Netherlands (Hibell, Andersson, Bjarnasson, Ahlström, Balakireva, Okkevi, & Morgan,
2004). However, it has been suggested that adolescents might, unintentionally, underre-
port their alcohol consumption due to the fact that memory biases come across when
information on their drinking behaviour is asked in a retrospective manner (Leigh,
Correspondence: Ina M. Koning, Interdisciplinary Social Science, Utrecht University, PO Box 80.140, 3508 TC Utrecht, The
Netherlands. Tel: 31 30 2531873. Fax: 31 30 2534733. E-mail: i.koning@uu.nl
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