Increased reporting of male-to-male sexual activity in a national survey

Increased reporting of male-to-male sexual activity in a national survey
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DOI:
10.1097/00007435-200211000-00005
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发表时间:
2002-11-01
影响因子:
3.1
通讯作者:
Stall, R
Stall, R
中科院分区:
医学4区
文献类型:
--
作者:
Anderson, JE;Stall, R

文献摘要

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背景:预防计划的设计者需要性行为的信息来计划和评估他们的活动。关于性行为的问题已经被添加到一些具有全国代表性的访谈调查中。目的是测量在过去一年中以及自18岁以来从事男性对男性性行为的成年男性的百分比,并观察和解释这些测量结果随时间的变化。研究设计:数据来自综合社会调查,这是一项在1988年、1989年、1990年、1991年、1993年、1994年进行的具有全国代表性的、以家庭为基础的成年人调查,1996年、1998年和2000年。关于性行为的问题是由受访者完成的自我管理问卷的一部分。估计在过去的一年中,自18岁的男性对男性的性别computed.Results:估计在过去的一年中,男性对男性的性别较高的调查开始于1996年(3.1%-3.7%相比,1.7%-2.0%的早期调查),差异仍然具有统计学意义时,控制与无应答相关的背景因素。这些估计数也高于其他类似调查的结果。估计的影响,高水平的缺失数据和未知水平的underreporting.Conclusion:以前估计的规模,这个人口亚组的调查研究的基础上可能太低。需要增加调查受访者的隐私意识和提高数据收集的完整性的方法,以提高敏感性行为的测量质量。
Background: Prevention program designers need information on sexual behaviors to plan and evaluate their activities. Questions on sexual behavior have been added to a number of nationally representative interview surveys.Goal. The goal was to measure the percentage of adult men who have engaged in male-to-male sex in the past year and since age 18 years and to observe and interpret changes over time in these measurements.Study Design: Data are from the General Social Survey, a nationally representative, household-based survey of adults conducted in 1988, 1989, 1990, 1991, 1993, 1994, 1996, 1998, and 2000. Questions on sexual behavior were part of a self-administered questionnaire completed by respondents. Estimates of male-to-male sex in the past year and since age 18 years were computed.Results: Estimates of male-to-male sex in the past year were higher for surveys conducted beginning in 1996 (3.1%-3.7% compared with 1.7%-2.0% for earlier surveys), a difference that remains statistically significant when controlling for background factors associated with nonresponse. These estimates are also higher than observed from other similar surveys. The estimates are affected by high level of missing data and an unknown level of underreporting.Conclusion: Previous estimates of the size of this population subgroup based on survey research may be too low. Methods that increase survey respondents' sense of privacy and improve completeness of data collection are needed to improve quality of measurement of sensitive sexual behaviors.