Test-Retest Reliability of Self-Reported Sexual Behavior History in Urbanized Nigerian Women.
Test-Retest Reliability of Self-Reported Sexual Behavior History in Urbanized Nigerian Women.
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DOI：
10.3389/fpubh.2017.00172
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发表时间：
2017
影响因子：
5.2
通讯作者：
Adebamowo CA
中科院分区：
文献类型：
--
作者：
Dareng EO;Adebamowo SN;Eseyin OR;Odutola MK;Pharoah PP;Adebamowo CA
评估性行为和疾病风险的研究经常受到自我报告的性行为可靠性问题的困扰。在这项研究中，我们在尼日利亚的一项宫颈HPV感染的前瞻性研究中评估了城市化妇女自我报告的性史的可靠性。我们在研究开始时和随访时使用问卷调查研究了性行为的重测信度。我们使用均方根方法计算人内变异系数（CVw），并使用连续变量的双向混合效应模型和离散变量的统计数据计算类内相关系数（ICC）。为了评估可靠性的潜在预测因素，我们分别对连续变量和分类变量使用线性回归和对数二项回归模型。我们发现，自我报告的性史通常是可靠的，整体ICC范围从0.7到0.9;然而，可靠性因评估的性行为性质而异。非阴道性行为的报告频率（一致性= 63.9%，95%CI：47.5-77.6%）比阴道性行为的报告频率（一致性= 59.1%，95%CI：55.2-62.8%）更可靠。时不变行为的报告也比频率报告更可靠。初次性行为年龄的CVw为10.7（95% CI：10.6-10.7），而终生阴道性伴侣数量的CVw为35.2（95% CI：35.1-35.3）。重测间隔是反应可靠性的重要预测因子，间隔越长，不一致性越大（每增加1个月不可靠性的平均变化= 0.04，95% CI = 0.07-0.38，p = 0.005）。我们的研究结果表明，总的来说，自我报告的性史城市化的马达加斯加妇女是可靠的。
Studies assessing risk of sexual behavior and disease are often plagued by questions about the reliability of self-reported sexual behavior. In this study, we evaluated the reliability of self-reported sexual history among urbanized women in a prospective study of cervical HPV infections in Nigeria. We examined test–retest reliability of sexual practices using questionnaires administered at study entry and at follow-up visits. We used the root mean squared approach to calculate within-person coefficient of variation (CVw) and calculated the intra-class correlation coefficient (ICC) using two way, mixed effects models for continuous variables and statistics for discrete variables. To evaluate the potential predictors of reliability, we used linear regression and log binomial regression models for the continuous and categorical variables, respectively. We found that self-reported sexual history was generally reliable, with overall ICC ranging from 0.7 to 0.9; however, the reliability varied by nature of sexual behavior evaluated. Frequency reports of non-vaginal sex (agreement = 63.9%, 95% CI: 47.5–77.6%) were more reliable than those of vaginal sex (agreement = 59.1%, 95% CI: 55.2–62.8%). Reports of time-invariant behaviors were also more reliable than frequency reports. The CVw for age at sexual debut was 10.7 (95% CI: 10.6–10.7) compared with the CVw for lifetime number of vaginal sex partners, which was 35.2 (95% CI: 35.1–35.3). The test–retest interval was an important predictor of reliability of responses, with longer intervals resulting in increased inconsistency (average change in unreliability for each 1 month increase = 0.04, 95% CI = 0.07–0.38, p = 0.005). Our findings suggest that overall, the self-reported sexual history among urbanized Nigeran women is reliable.
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影响因子：
3.1
作者：
Anderson C;Gallo MF;Hylton-Kong T;Steiner MJ;Hobbs MM;Macaluso M;Figueroa JP;Jamieson DJ;Legardy-Williams J;Wiener J;Warner L
通讯作者：
Warner L
影响因子：
2.9
作者：
Devine, O
通讯作者：
Devine, O
影响因子：
2.5
作者：
Durant, LE;Carey, MP
通讯作者：
Carey, MP
影响因子：
3.1
作者：
Ghanem, Khalil G.;Melendez, Johan H.;Zenilman, Jonathan
通讯作者：
Zenilman, Jonathan
影响因子：
3.6
作者：
Mark KP;Smith RV;Young AM;Crosby R
通讯作者：
Crosby R