Test-retest reliability of self-reported HIV/STD-related measures among African-American adolescents in four U.S. cities.

Test-retest reliability of self-reported HIV/STD-related measures among African-American adolescents in four U.S. cities.
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DOI:
10.1016/j.jadohealth.2008.09.002
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发表时间:
2009-03
影响因子:
7.6
通讯作者:
Stanton, Bonita F.
Stanton, Bonita F.
中科院分区:
医学2区
文献类型:
--
作者:
Vanable, Peter A.;Carey, Michael P.;Brown, Jennifer L.;DiClemente, Ralph J.;Salazar, Laura F.;Brown, Larry K.;Romer, Daniel;Valois, Robert F.;Hennessy, Michael;Stanton, Bonita F.

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评估居住在美国四个城市的非裔美国青少年自我报告的性行为相关数据的重测信度。S.城市使用音频计算机辅助自我访谈(ACASI),156名非洲裔美国青少年(M年龄= 15.5岁)提供的数据,一生和最近的性行为,艾滋病毒/性病检测,和理论的前因性危险行为的两个场合相隔两周。大多数终生性行为和性病/艾滋病毒检测的自我报告在两个评估点上都是稳定的。重测一致性是实质性的二分指数一生的性行为和性病检测(kappa值范围从0.61 - 0.87),3个月的阴道性交回忆(kappa = 0.72)和性伴侣的数量(ICC = 0.68)。较低的可靠性估计出现了计数数据的无保护阴道性交场合(ICC = .44)。性风险行为前因的重测信度估计值在HIV相关知识的有效测量中最高(r = 0.73),但在同伴规范(r = 0.58)和安全套使用自我效能(r = 0.50)中稍低。虽然观察到的自我报告数据的稳定性的变化,研究结果证实,大多数性行为,性病和艾滋病毒检测史,和心理社会措施可以可靠地评估青少年。应继续开展研究,以确定战略,提高有感染艾滋病毒和其他性传播感染风险的青年自我报告的性行为数据的可靠性。
To evaluate the test-retest reliability of self-reported sexuality-related data in a sample of African-American adolescents residing in four U. S. cities. Using audio computer-assisted self-interviewing (ACASI), 156 African-American teens (M age = 15.5 years) provided data on lifetime and recent sexual behavior, HIV/STD testing, and theoretical antecedents of sexual risk behavior on two occasions separated by two weeks. Most self-reports of lifetime sexual behavior and STD/HIV testing were stable across the two assessment points. Test-retest agreement was substantial for dichotomous indices of lifetime sexual behaviors and STD testing (kappas ranging from .61 – .87), and for 3 month recall of vaginal sex (kappa = .72) and number of sexual partners (ICC = .68). Lower reliability estimates emerged for count data of unprotected vaginal sex occasions (ICC = .44). Test-retest reliability estimates for antecedents of sexual risk behavior were highest for a validated measure of HIV-related knowledge (r = .73), but somewhat lower for peer norms (r = .58) and condom use self-efficacy (r = .50). Although variability in the stability of self-report data was observed, findings confirm that most sexual behavior, STD and HIV testing history, and psychosocial measures can be assessed reliably among adolescents. Research should continue to identify strategies to enhance the reliability of self-report sexual behavior data from youth at risk for HIV and other STIs.
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