CONDOM USE TO PREVENT INCIDENT STDS - THE VALIDITY OF SELF-REPORTED CONDOM USE
CONDOM USE TO PREVENT INCIDENT STDS - THE VALIDITY OF SELF-REPORTED CONDOM USE
复制标题
DOI：
10.1097/00007435-199501000-00003
复制
发表时间：
1995-01-01
影响因子：
3.1
通讯作者：
CELENTANO, D
中科院分区：
文献类型：
--
作者：
ZENILMAN, JM;WEISMAN, CS;CELENTANO, D
背景：性行为和旨在降低人类免疫缺陷病毒风险的干预措施的研究通常依赖于自我报告。在性传播疾病和人类免疫缺陷病毒高风险的城市人口中，以前没有报告对自我报告的避孕套使用措施的验证。方法：从巴尔的摩的性传播疾病诊所招募受试者进行前瞻性队列研究。在入组时，使用问卷评估人类免疫缺陷病毒风险因素和性传播疾病史，并使用回顾性日历评估过去30天内的性行为和避孕套使用情况。对性传播疾病进行临床评估。在随访3个月后，重复相同的程序。随访时偶发性传播疾病定义为新培养或血清学记录的淋病、衣原体、梅毒或滴虫病诊断。结果：在完成随访的323名男性和275名女性（共598名）受试者中，21%的人报告在过去30天内每次性交都使用避孕套，21%的人报告偶尔使用避孕套，59%的人报告不使用避孕套。在随访中，21%的受试者有新发淋病、衣原体、梅毒或滴虫病。“总是”使用避孕套的男性中有15%患有偶发性性传播疾病，而“从不使用”的男性中这一比例为15.3%；“一直”使用的妇女中有23.5%患有偶发性性传播疾病，而从未使用过的妇女中这一比例为26.8%。结论：在这一高危人群中，自我报告使用安全套与较低的性传播疾病发病率无关。这一发现表明，即使在研究环境中，自我报告的安全套使用措施也可能存在严重的报告偏差。
Background: Studies of sexual behavior and of interventions designed to reduce human immunodeficiency virus risk usually depend on self-report. Validation of self-reported condom use measures has not been previously reported in an urban population at high risk for sexually transmitted diseases and human immunodeficiency virus.Methods: A prospective cohort study was performed in subjects recruited from sexually transmitted disease clinics in Baltimore. At enrollment, a questionnaire was administered that assessed human immunodeficiency virus risk factors and sexually transmitted disease history, and used a retrospective calendar to assess sexual events and condom use over the previous 30 days. Clinical evaluation was performed for sexually transmitted diseases. At follow-up 3 months later, the same procedures were repeated. Incident sexually transmitted diseases at follow-up were defined as new culture or serologically documented diagnoses of gonorrhea, chlamydia, syphilis, or trichomoniasis.Results: In the 323 male and 275 female (total = 598) subjects who completed a follow-up visit, 21% reported using condoms for every act of sexual intercourse over the previous 30 days, 21% reported occasionally using condoms, and 59% reported not using condoms. At follow-up, 21% of subjects had new incident gonorrhea, chlamydia, syphilis, or trichomoniasis. Fifteen percent of the men who were ''always'' condom users had incident sexually transmitted diseases compared with 15.3% of ''never users;'' 23.5% of women who were ''always'' users had incident sexually transmitted diseases compared with 26.8% of never users.Conclusions: In this high-risk population, self-reported condom use is not associated with lower sexually transmitted disease incidence. This finding suggests that self-reported condom use measures, even in a research setting, may be subject to substantial reporting bias.