We examined familial and cultural factors predicting parent-child (dis)agreement on child behavior and parenting problems. Immigrant Chinese parents (89.7% mothers; M age = 44.24 years) and their children (62 boys; 57.9%) between the ages of 9 and 17 years (M = 11.9 years, SD = 2.9) completed measures of parent punitive behavior and child problems. Concordance in item profiles and discrepancies in overall problem levels were assessed. Overall, immigrant parents reported fewer child and parenting problems than did their children. Relationship closeness predicted less disagreement in ratings of child internalizing symptoms and punitive parenting. Parental acculturative stress and parent-child acculturation dissonance predicted more disagreement regarding internalizing problems. The findings highlight potential under-identification of internalizing problems among immigrant Chinese families that may be driven by acculturation processes.