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The Annie E. Casey Foundation ranked the state 48th in its 2003-4 Kids Count index of problem indicators.
A standardized behaviour coding form was employed to document problem indicators, i.e. behaviour suggestive of problems with a particular question.
Coding summaries reflecting the relative frequency of problem indicators across all interviews were produced for each question.
Problem indicators "inadequate answer" and "item non-response" (i.e. missing) were assigned during a follow-up interview and by a subsequent analysis of the completed questionnaires.
Test interviews were also used to test and modify problem indicators for behaviour coding and to finalise the cognitive interview protocol.
To compare the estimates obtained from the various conduct problem indicators with those for depression, the dichotomised MFQ scores were entered either on their own or together with conduct problems ever or conduct problem trajectory classes in logistic regression models.
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However, it is somewhat arbitrary what rate of a problem indicator should be considered high enough to constitute a problem with the question.
Questions in which at least one problem indicator occurred in 15% or more of interviews are shown in Table 2. "Item non-response", "inadequate answer" and "don't know" indicate serious problems likely to influence the quality of resulting data.
According to a guideline cut-off point proposed in the literature [ 8, 9], questions were classified as problematic if 15% or more of responders had problem(s) with a question, i.e. at least one problem indicator was assigned to the question in 15% or more of the interviews.
Drs. Flynn and Wells (2013) provide an overview on consumption indicators; environmental background indicators such as availability information; alcohol-attributable problems; indicators for alcohol-attributable health outcomes (both chronic and acute); and, last but not least, law enforcement indicators.
To track sex and gender differences in the occurrence of chronic diseases or other health problems, indicators should capture the interaction between biological, socio-economic and behavioural factors, cumulative exposures to different types of stress (e.g. in workplaces, in families), and patterns of health problems, such as heart disease, among women and men.
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