THE EFFECTS OF A TARGETED "EARLY BIRD" INCENTIVE STRATEGY ON RESPONSE RATES, FIELDWORK EFFORT, AND COSTS IN A NATIONAL PANEL STUDY.

Adaptive survey designs are increasingly used by survey practitioners to counteract ongoing declines in household survey response rates and manage rising fieldwork costs. This paper reports findings from an evaluation of an early-bird incentive (EBI) experiment targeting high-effort respondents who participate in the 2019 wave of the US Panel Study of Income Dynamics. We identified a subgroup of high-effort respondents at risk of nonresponse based on their prior wave fieldwork effort and randomized them to a treatment offering an extra time-delimited monetary incentive for completing their interview within the first month of data collection (treatment group; N = 800) or the standard study incentive (control group; N = 400). In recent waves, we have found that the costs of the protracted fieldwork needed to complete interviews with high-effort cases in the form of interviewer contact attempts plus an increased incentive near the close of data collection are extremely high. By incentivizing early participation and reducing the number of interviewer contact attempts and fieldwork days to complete the interview, our goal was to manage both nonresponse and survey costs. We found that the EBI treatment increased response rates and reduced fieldwork effort and costs compared to a control group. We review several key findings and limitations, discuss their implications, and identify the next steps for future research.

Specific domains of positive childhood experiences (PCEs) associated with improved adult health: A nationally representative study.

Background: Positive childhood experiences (PCEs) are supportive relationships and environments associated with improved health when aggregated into composite scores. Adverse childhood experiences (ACEs), a reciprocal measure to PCEs, are associated with worse health in aggregate scores and when disaggregated into measures of specific ACE types (hereafter domains). Understanding the associations between specific PCE domains and health, while accounting for ACEs, may direct investigations and intervention planning to foster PCE exposure. Methods: We analyzed data from the nationally representative United States longitudinal Panel Study of Income Dynamics. Five PCE domains were examined: (i) peer support and healthy school climate, (ii) neighborhood safety, (iii) neighborhood support, and nurturing relationships with (iv) maternal and (v) paternal figures. Survey weighted logistic regression models tested associations between each PCE domain measure and adult general health rating, controlling for demographic covariates and nine ACE exposures: physical, emotional, or sexual abuse/assault; emotional neglect; witnessing intimate partner violence or household substance use; having a parent with mental illness; any parental separation or divorce; and/or having a deceased or estranged parent. Secondary outcomes included adult functional status and mental and physical health diagnoses. We also tested for statistical interactions between PCE domain and ACE score measures. Results: The sample included 7105 adults. Higher scores for the "peer support and healthy school climate" and "neighborhood safety" domain measures showed the most protective relationships with the adverse health conditions tested, most notably for mental illness. The relationship between PCE domain measures and health outcomes was attenuated, but not statistically moderated by ACE exposure. Conclusion: Experiencing childhood peer support, a healthy school climate, and neighborhood safety were especially protective against multiple adult health conditions, including for ACE exposed individuals. Interventions that promote PCEs may yield population health gains.

Parents' Adverse and Positive Childhood Experiences and Offspring Involvement With the Criminal Legal System.

Importance: Intergenerational cycles of adversity likely increase one's risk of criminal legal system involvement, yet associations with potential contributors, such as parents' adverse childhood experiences (ACEs) and positive childhood experiences (PCEs), have not been explored. Objective: To investigate the association of parents' ACEs and PCEs with their adult children's involvement in US legal systems, from arrest to conviction. Design, Setting, and Participants: The study team analyzed data from the Panel Study of Income Dynamics (PSID), a nationally representative cohort study of families in the US. PSID-2013 survey data were merged with the 2014 PSID Childhood Retrospective Circumstances Study (CRCS), collected May 2014 to January 2015, which asked adults aged 18 to 97 years to retrospectively report on their childhood experiences. Parents and their adult children were linked in the data set. Data were analyzed from October 2022 to September 2023. Main Outcomes and Measures: The child arrest outcome was regressed on parents' ACE and PCE scores using logistic regression models. In addition, multinomial logistic regression models were used to assess the associations of parents' ACE and PCE scores with the number of times their child was arrested and convicted. Results: Of 12 985 eligible individuals, 8072 completed the CRCS. Among CRCS participants, there were 1854 eligible parent-child dyads (ie, parents and their adult children) that formed the analytic sample. The mean (SD) age of offspring at the time of CRCS completion was 38.5 (10.9) years, and 1076 offspring (51.3%) were female. Having 4 or more parental ACEs was associated with 1.91-fold (95% CI, 1.14-3.22) higher adjusted odds of arrest before age 26 and 3.22-fold (95% CI, 1.62-6.40) higher adjusted odds of conviction before age 26 years, compared with children of parents without ACEs. These associations persisted after controlling for parental PCEs. Conclusions and Relevance: In this nationally representative study, children of parents with higher ACEs were at greater risk of arrest during adolescence and young adulthood, even after controlling for parents' PCEs. Addressing and preventing childhood adversity through multigenerational life course approaches may help disrupt intergenerational pathways to the criminal legal system.

Positive Childhood Experiences and Adult Health Outcomes.

OBJECTIVES: Adverse childhood experiences (ACEs) can drive poor adult mental and physical health, but the impact of early life protective factors should not be overlooked. Positive childhood experiences (PCEs) measures quantify protective factors, but evidence is lacking on their link to health conditions independent of ACEs in nationally representative studies. This study examines associations between composite PCE score and adult health, adjusting for ACEs. METHODS: The most recent 2017 wave of the Panel Study of Income Dynamics, a nationally representative study and its 2014 Childhood Retrospective Circumstances supplement (n = 7496) collected adult health outcomes, PCEs, and ACEs. Multivariable logistic regression assessed associations between PCE score and adult self-rated health or condition diagnosis, with and without ACEs adjustment. Cox proportional hazards models examined relationships between PCEs, ACEs, and annual risk of diagnosis. RESULTS: Adults with 5 to 6 PCEs had 75% (95% confidence interval [CI], 0.58-0.93) of the risk of fair/poor overall health and 74% of the risk of any psychiatric diagnosis (CI, 0.59-0.89) compared with those with 0 to 2 PCEs, independent of ACEs. In survival analysis models accounting for PCEs and ACEs, reporting 5 to 6 PCEs was associated with a 16% lower annual hazard of developing any adult psychiatric or physical condition (hazard ratio, 0.84; CI, 0.75-0.94); reporting 3+ ACEs was associated with a 42% higher annual hazard (CI, 1.27-1.59). CONCLUSIONS: PCEs were independently associated with lower risks of fair or poor adult health, adult mental health problems, and developing any physical or mental health condition at any given age after adjusting for ACEs.

Transitioning to a Mixed-Mode Study Design in a National Household Panel Study: Effects on Fieldwork Outcomes, Sample Composition and Costs.

The U.S. Panel Study of Income Dynamics (PSID) made a planned transition to a web-first mixed-mode data collection design in 2021 (web and computer-assisted telephone interviewing [CATI]), following nearly five decades of collecting data primarily using CATI with professional interviewers. To evaluate potential effects of mode on fieldwork outcomes, two sequential mixed-mode protocols were introduced using an experimental design. One protocol randomized sample families to a "web-first" treatment, which encouraged response through an online interview, followed by an offer of telephone to complete the interview; a second protocol randomized sample families to a "CATI-first" treatment until the last phase of fieldwork when the option to complete a web interview was offered. This paper examines the comparative effects of the two protocols on fieldwork outcomes, including response rates, interviewer contact attempts, fieldwork duration, and cost. Comparisons are also made with fieldwork outcomes and characteristics of non-responding sample members from the prior-wave when a traditional telephone design was used. We found that the web-first design compared to the CATI-first design led to comparably high response rates, and faster interview completion with lower effort and cost. With some notable exceptions, compared to the prior wave, the mixed-mode design reduced effort and had generally similar patterns of non-response among key respondent subgroups. The results provide new empirical evidence on the effects of mixing modes on fieldwork outcomes and costs and contribute to the small body of experimental evidence on the use of mixed-mode designs in household panel studies.

Switching from Telephone to Web-First Mixed-Mode Data Collection: Results from the Transition into Adulthood Supplement to the US Panel Study of Income Dynamics†.

We conducted an experiment to evaluate the effects on fieldwork outcomes and interview mode of switching to a web-first mixed-mode data collection design (self-administered web interview and interviewer-administered telephone interview) from a telephone-only design. We examine whether the mixed-mode option leads to better survey outcomes, based on response rates, fieldwork outcomes, interview quality, and costs. We also examine respondent characteristics associated with completing a web interview rather than a telephone interview. Our mode experiment study was conducted in the 2019 wave of the Transition into Adulthood Supplement (TAS) to the US Panel Study of Income Dynamics (PSID). TAS collects information biennially from approximately 3,000 young adults in PSID families. The shift to a mixed-mode design for TAS was aimed at reducing costs and increasing respondent cooperation. We found that for mixed-mode cases compared to telephone only cases, response rates were higher, interviews were completed faster and with lower effort, the quality of the interview data appeared better, and fieldwork costs were lower. A clear set of respondent characteristics reflecting demographic and socioeconomic characteristics, technology availability and use, time use, and psychological health were associated with completing a web interview rather than a telephone interview.

Under my skin: Parenting behavior and children's cortisol in the Los Angeles family and neighborhood survey.

This study examined links between aspects of parenting behavior and children's cortisol and whether those links varied by child behavioral problems and ethnicity. Participants included children ages 9-15 (N = 159, 75% Latinx) and their primary caregivers from the Los Angeles Family and Neighborhood Survey (L.A.FANS; Wave 2). Children provided saliva upon waking, 30 min after waking, and at bedtime which was analyzed for cortisol. Analyses revealed associations between parenting behavior and cortisol were greater among children who had behavioral problems and these associations were stronger among non-Latinx White children compared to Latinx children. This study moves beyond the current literature by investigating these important associations in a predominately Latinx urban sample of children.

Discrimination and Subsequent Mental Health, Substance Use, and Well-being in Young Adults.

OBJECTIVES: Discrimination has been shown to have profound negative effects on mental and behavioral health and may influence these outcomes early in adulthood. We aimed to examine short-term, long-term, and cumulative associations between different types of interpersonal discrimination (eg, racism, sexism, ageism, and physical appearance discrimination) and mental health, substance use, and well-being for young adults in a longitudinal nationally representative US sample. METHODS: We used data from 6 waves of the Transition to Adulthood Supplement (2007-2017, 1834 participants) of the Panel Study of Income Dynamics. Outcome variables included self-reported health, drug use, binge drinking, mental illness diagnosis, Languishing and Flourishing score, and Kessler Psychological Distress Scale score. We used logistic regression with cluster-robust variance estimation to test cross-sectional and longitudinal associations between discrimination frequency (overall, cumulative, and by different reason) and outcomes, controlling for sociodemographics. RESULTS: Increased discrimination frequency was associated with higher prevalence of languishing (relative risk [RR] 1.34 [95% CI 1.2-1.4]), psychological distress (RR 2.03 [95% CI 1.7-2.4]), mental illness diagnosis (RR 1.26 [95% CI 1.1-1.4]), drug use (RR 1.24 [95% CI 1.2-1.3]), and poor self-reported health (RR 1.26 [95% CI 1.1-1.4]) in the same wave. Associations persisted 2 to 6 years after exposure to discrimination. Similar associations were found with cumulative high-frequency discrimination and with each discrimination subcategory in cross-sectional and longitudinal analyses. CONCLUSIONS: In this nationally representative longitudinal sample, current and past discrimination had pervasive adverse associations with mental health, substance use, and well-being in young adults.

Intergenerational Associations between Parents' and Children's Adverse Childhood Experience Scores.

BACKGROUND: Adverse childhood experiences (ACEs) are stressful childhood events associated with behavioral, mental, and physical illness. Parent experiences of adversity may indicate a child's adversity risk, but little evidence exists on intergenerational links between parents' and children's ACEs. This study examines these intergenerational ACE associations, as well as parent factors that mediate them. METHODS: The Panel Study of Income Dynamics (PSID) 2013 Main Interview and the linked PSID Childhood Retrospective Circumstances Study collected parent and child ACE information. Parent scores on the Aggravation in Parenting Scale, Parent Disagreement Scale, and the Kessler-6 Scale of Emotional Distress were linked through the PSID 1997, 2002, and 2014 PSID Childhood Development Supplements. Multivariate linear and multinomial logistic regression models estimated adjusted associations between parent and child ACE scores. RESULTS: Among 2205 parent-child dyads, children of parents with four or more ACEs had 3.25-fold (23.1% [95% CI 15.9-30.4] versus 7.1% [4.4-9.8], p-value 0.001) higher risk of experiencing four or more ACEs themselves, compared to children of parents without ACEs. Parent aggravation, disagreement, and emotional distress were partial mediators. CONCLUSIONS: Parents with higher ACE scores are far more likely to have children with higher ACEs. Addressing parenting stress, aggravation, and discord may interrupt intergenerational adversity cycles.

An Experimental Evaluation of an Online Interview Scheduler: Effects on Fieldwork Outcomes.

In recent years, household surveys have expended significant effort to counter well-documented increases in direct refusals and greater difficulty contacting survey respondents. A substantial amount of fieldwork effort in panel surveys using telephone interviewing is devoted to the task of contacting the respondent to schedule the day and time of the interview. Higher fieldwork effort leads to greater costs and is associated with lower response rates. A new approach was experimentally evaluated in the 2017 wave of the Panel Study of Income Dynamics (PSID) Transition into Adulthood Supplement (TAS) that allowed a randomly selected subset of respondents to choose their own day and time of their telephone interview through the use of an online appointment scheduler. TAS is a nationally representative study of US young adults aged 18-28 years embedded within the worlds' longest running panel study, the PSID. This paper experimentally evaluates the effect of offering the online appointment scheduler on fieldwork outcomes, including number of interviewer contact attempts and interview sessions, number of days to complete the interview, and response rates. We describe panel study members' characteristics associated with uptake of the online scheduler and examine differences in the effectiveness of the treatment across subgroups. Finally, potential cost-savings of fieldwork effort due to the online appointment scheduler are evaluated.

A Note on "Sequential Neighborhood Effects" by Hicks et al. (2018).

We revisit a novel causal model published in Demography by Hicks et al. (2018), designed to assess whether exposure to neighborhood disadvantage over time affects children's reading and math skills. Here, we provide corrected and new results. Reconsideration of the model in the original article raised concerns about bias due to exposure-induced confounding (i.e., past exposures directly affecting future exposures) and true state dependence (i.e., past exposures affecting confounders of future exposures). Through simulation, we show that our originally proposed propensity function approach displays modest bias due to exposure-induced confounding but no bias from true state dependence. We suggest a correction based on residualized values and show that this new approach corrects for the observed bias. We contrast this revised method with other causal modeling approaches using simulation. Finally, we reproduce the substantive models from Hicks et al. (2018) using the new residuals-based adjustment procedure. With the correction, our findings are essentially identical to those reported originally. We end with some conclusions regarding approaches to causal modeling.

Effects of the COVID-19 crisis on survey fieldwork: Experience and lessons from two major supplements to the U.S. Panel Study of Income Dynamics.

Two major supplements to the Panel Study of Income Dynamics (PSID) were in the field during the COVID-19 outbreak in the United States: the 2019 waves of the PSID Child Development Supplement (CDS-19) and the PSID Transition into Adulthood Supplement (TAS-19). Both CDS-19 and TAS-19 abruptly terminated all face-to-face fieldwork and, for TAS-19, shifted interviewers from working in a centralized call center to working from their homes. Overall, COVID-19 had a net negative effect on response rates in CDS-19 and terminated all home visits that represented an important study component. For TAS-19, the overall effect of Covid-19 was uncertain, but negative. The costs were high of adapting to COVID-19 and providing paid time-off benefits to staff affected by the pandemic. Longitudinal surveys, such as CDS, TAS, and PSID, that span the pandemic will provide valuable information on its life course and intergenerational consequences, making ongoing data collection of vital importance.

Data Collection on Sensitive Topics with Adolescents Using Interactive Voice Response Technology.

We describe the development and implementation of a survey administered using interactive voice response (IVR) technology to collect information on sensitive topics in a US national sample of adolescents age 12-17. Respondents were participants in the Panel Study of Income Dynamics 2014 Child Development Supplement (N=1,098). We review questionnaire design, fieldwork protocols, data quality and completeness, and respondent burden. We find that in the context of research on sensitive topics with adolescents, IVR is a cost-efficient and flexible method of data collection that yields high survey response rates and low item nonresponse rates with distributions on key variables that are comparable to other national studies.

Adverse Childhood Experiences and Household Out-of-Pocket Healthcare Costs.

INTRODUCTION: Adverse childhood experiences are associated with higher risk of common chronic mental and physical illnesses in adulthood, but little evidence exists on whether this influences medical costs or expenses. This study estimated increases in household medical expenses associated with adults' reported adverse childhood experience scores. METHODS: Household out-of-pocket medical cost and adverse childhood experience information was collected in the 2011 and 2013 waves of the Panel Study of Income Dynamics and its linked 2014-2015 Panel Study of Income Dynamics Childhood Retrospective Circumstances Study supplement and analyzed in 2017. Generalized linear regression models estimated adjusted annual household out-of-pocket medical cost differences by retrospective adverse childhood experience count and compared costs by family type and size. Logistic models estimated odds of out-of-pocket costs that were >10% of household income or >100% of savings, as well as odds of household debt. RESULTS: Adverse childhood experience scores were associated with higher out-of-pocket costs. Annual household total out-of-pocket medical costs were $184 (95% CI=$90, $278) or 1.18-fold higher when respondents reported one to two adverse childhood experiences and $311 (95% CI=$196, $426) or 1.30-fold higher when three or more adverse childhood experiences were reported by an adult in the household. Odds of household medical costs >10% of income, >100% of savings, and the presence of household medical debt were 2.48-fold (95% CI=1.40, 4.38), 2.25-fold (95% CI=1.69, 2.99), and 2.29-fold (95% CI=1.56, 3.34) higher when an adult in the household reported three or more adverse childhood experiences compared with none. CONCLUSIONS: Greater exposure to adverse childhood experiences is associated with higher household out-of-pocket medical costs and financial burden in adulthood.

Parents' Adverse Childhood Experiences and Their Children's Behavioral Health Problems.

: media-1vid110.1542/5789654354001PEDS-VA_2018-0023Video Abstract BACKGROUND AND OBJECTIVES: Adverse childhood experiences (ACEs) include stressful and potentially traumatic events associated with higher risk of long-term behavioral problems and chronic illnesses. Whether parents' ACE counts (an index of standard ACEs) confer intergenerational risk to their children's behavioral health is unknown. In this study, we estimate the risk of child behavioral problems as a function of parent ACE counts. METHODS: We obtained retrospective information on 9 ACEs self-reported by parents and parent reports of their children's (1) behavioral problems (using the Behavior Problems Index [BPI]), (2) attention-deficit/hyperactivity disorder diagnosis, and (3) emotional disturbance diagnosis from the 2013 Panel Study of Income Dynamics (PSID) core interview and the linked PSID Childhood Retrospective Circumstances Study and 2014 PSID Child Development Supplement. Multivariate linear and logistic regression models were used to estimate child behavioral health outcomes by parent retrospective ACE count. RESULTS: Children of parents with a history of 4 or more ACEs had on average a 2.3-point (95% confidence interval [CI]: 1.3-3.2) higher score on the BPI, 2.1 times (95% CI: 1.1-3.8) higher odds of hyperactivity, and 4.2 times (95% CI: 1.7-10.8) higher odds of an emotional disturbance diagnosis than children of parents with no ACEs. Maternal ACEs revealed a stronger association with child behavior problems than paternal ACEs. Relationships between parents' 9 component ACEs individually and children's BPI scores revealed consistently positive associations. Mediation by parent emotional distress and aggravation were observed. CONCLUSIONS: Parents with greater exposure to ACEs are more likely to have children with behavioral health problems.

Fifty Years of the Panel Study of Income Dynamics: Past, Present, and Future.

The Panel Study of Income Dynamics (PSID) is the world's longest running household panel survey. Beginning in 1968, it has collected data on the same families and their descendants, making it an essential part of America's data infrastructure for empirically based social science research. PSID arose from the War on Poverty as a tool for evaluating poverty dynamics, and this year marks 50 years of data collection. Because of its long history and distinctive design of following adult children as they form their own households, PSID is uniquely positioned to address emerging social and behavioral research questions and related policy issues. This overview presents the design and structural aspects and its evolution over the past 50 years, the successes of the current survey, possible future directions, and the value of using the PSID to understand the challenges facing American families.

Sequential Neighborhood Effects: The Effect of Long-Term Exposure to Concentrated Disadvantage on Children's Reading and Math Test Scores.

Prior research has suggested that children living in a disadvantaged neighborhood have lower achievement test scores, but these studies typically have not estimated causal effects that account for neighborhood choice. Recent studies used propensity score methods to account for the endogeneity of neighborhood exposures, comparing disadvantaged and nondisadvantaged neighborhoods. We develop an alternative propensity function approach in which cumulative neighborhood effects are modeled as a continuous treatment variable. This approach offers several advantages. We use our approach to examine the cumulative effects of neighborhood disadvantage on reading and math test scores in Los Angeles. Our substantive results indicate that recency of exposure to disadvantaged neighborhoods may be more important than average exposure for children's test scores. We conclude that studies of child development should consider both average cumulative neighborhood exposure and the timing of this exposure.

Effectiveness of a Time-Limited Incentive on Participation by Hard-to-Reach Respondents in a Panel Study.

We describe an experiment to provide a time-limited incentive among a random sample of 594 hard-to-reach respondents, 200 of whom were offered the incentive to complete all survey components of a study during a three-week winter holiday period. Sample members were primary caregivers of children included in the 2014 Child Development Supplement to the U.S. Panel Study of Income Dynamics. The incentive provided $50 to caregivers who completed a 75-minute telephone interview and whose eligible children each completed a 30-minute interview. Results indicate that the incentive was an effective and cost-efficient strategy to increase short-term response rates with hard-to-reach respondents with no negative impact on final response rates.

Using the Panel Study of Income Dynamics To Analyze Housing Decisions, Dynamics, and Effects.

The Panel Study of Income Dynamics (PSID) is the world's longest running household panel survey. It started in 1968 and has followed the same families-and their descendants-for nearly 50 years. PSID was conducted annually from 1968 through 1997 and has been conducted biennially since 1997. As of 2015, 39 waves of data have been collected. In 2015, interviews were completed with more than 9,000 households and information was collected on about 25,000 household members. PSID has achieved high wave-to-wave response rates throughout most of its history. Since the beginning of the study, detailed information has been collected on family composition, income, assets and debt, public program participation, and housing. At the beginning of the recent housing crisis, PSID began collecting information about mortgage distress and foreclosure activity. PSID currently includes several major supplemental studies. The Child Development Supplement and the Transition into Adulthood Supplement collect detailed information about behavior and outcomes among children and young adults in PSID families, such as educational achievement, health, time use, family formation, and housing-related decisions among young adults. PSID data are publicly available free of charge to researchers; some data available only under contract to qualified researchers allow linkage with various administrative databases and include information such as census tract and block of residence that can be used to describe neighborhood characteristics. PSID data have been widely used to study topics of major interest to Cityscape readers, including housing decisionmaking, housing expenditures and financing, residential mobility and migration, and the effects of neighborhood characteristics on a variety of measures of child and family well-being. This article provides an overview of PSID and its housing- and neighborhood-related measures. We briefly describe studies using PSID on housing-related topics. Finally, we point readers to resources needed to begin working with PSID data.

Using vignettes to rethink Latino-white disparities in self-rated health.

Researchers often rely on respondents' self-rated health (SRH) to measure social disparities in health, but recent studies suggest that systematically different reporting styles across groups can yield misleading conclusions about disparities in SRH. In this study, we test whether this finding extends to ethnic differences in self-assessments of health in particular domains. We document differences between US-born whites and four Latino subgroups in respondents' assessments of health in six health domains using data from the second wave of the Los Angeles Family and Neighborhood Survey (N = 1468). We use both conventional methods and an approach that uses vignettes to adjust for differential reporting styles. Our results suggest that despite consistent evidence from the literature that Latinos tend to rate their overall health more poorly than whites, and that Latino immigrants report worse SRH than US-born Latinos, this pattern is not true of self-reports in individual health domains. We find that at the bivariate level, US-born whites (and often US-born Mexicans) have significantly more pessimistic reporting styles than Latino immigrants. After adding controls, we find evidence of significantly different reporting styles for only one domain: US-born Mexicans and whites consistently interpret head pain more severely than the other Latino subgroups. Finally, we find that both before and after adjusting for differences in rating styles across groups, non-Mexican Latino immigrants report better social and physical functioning and less pain than other groups. Our findings underscore the advantages of domain-specific ratings when evaluating ethnic differences in self-assessments of health. We encourage researchers studying social disparities in health to consider respondents' self-assessments in a variety of domains, and to also investigate (when possible) potential biases in their findings due to different reporting styles. The anchoring vignettes approach we use is one potential method for overcoming biases due to different rating styles across groups.