VALIDATING POPULATION SURVEYS FOR THE MEASUREMENT OF HIV STD PREVENTION INDICATORS
VALIDATING POPULATION SURVEYS FOR THE MEASUREMENT OF HIV STD PREVENTION INDICATORS
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DOI：
10.1097/00002030-199509040-00009
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发表时间：
1995-04-01
期刊：
影响因子：
3.8
通讯作者：
MERTENS, T
中科院分区：
文献类型：
--
作者：
KONINGS, E;BANTEBYA, G;MERTENS, T
目的：为了验证世界卫生组织/全球艾滋病规划署（CPA）的协议，用于衡量艾滋病毒/性传播疾病的预防指标有关的知识和性行为的一般population.Methods：数据收集在乌干达在1993年。三种不同的访谈策略辅以定性方法，包括观察访问和关键线人访谈。两种访谈策略包括结构化问卷，适用于460名随机选择的15-49岁的人和60名故意选择的已知妓女。第三种策略涉及深入访谈，并适用于所有受访者的随机子集（n = 75）。结果：三个访谈策略产生了类似的结果，人口特征。使用结构化问卷的策略在报告的性伴侣数量和避孕套使用率方面得出了类似的结果，但与这些方面的深入访谈不同。大量的休闲性伴侣的妓女证实了在深入的采访，但不是通过questionnaire.Conclusion：GPA问卷可能不是最佳的捕捉人在高风险和评估性行为，特别是在高风险的人。然而，调查表提供了最现实的选择，因为深入访谈费用昂贵，而且在评估长期趋势方面不那么客观。因此，对一般人群艾滋病毒干预措施的评价研究应辅之以小型定性研究，以发现和消除解释结果时的偏见。
Objective: To validate the World Health Organization/Global Programme on AIDS (CPA) protocol for measuring HIV/sexually transmitted disease prevention indicators pertaining to knowledge and sexual practices of the general population.Methods: Data were collected in Uganda during 1993. Three different interview strategies were complemented with qualitative methods, including observations at visits and key-informant interviews. Two interview strategies consisted oi structured questionnaires which were applied to 460 randomly selected people aged 15-49 years and 60 intentionally selected women who were known prostitutes. The third strategy involved in-depth interviewing and was applied to a random subset of all respondents (n = 75).Results: The three interview strategies generated similar results for demographic characteristics. The strategies using structured questionnaires gave similar results with regards to the number of reported sex partners and the prevalence of condom use, but differed from in-depth interviews on these aspects. The high numbers of casual sex partners of female prostitutes was confirmed by in-depth interviews but not via the questionnaires.Conclusion: The GPA questionnaire may not be optimal to capture people at high risk and to assess sexual behaviour, especially oi people at high risk. Nevertheless, the questionnaire provides the most realistic option, since in-depth interviews are expensive and not as objective in assessing trends over time. Evaluation studies of HIV interventions in the general population should therefore be complemented with small qualitative studies to detect and iron out biases in interpreting results.