A Comparison of Audio Computer-Assisted Self-Interviews to Face-to-Face Interviews of Sexual Behavior Among Perinatally HIV-Exposed Youth
A Comparison of Audio Computer-Assisted Self-Interviews to Face-to-Face Interviews of Sexual Behavior Among Perinatally HIV-Exposed Youth
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DOI：
10.1007/s10508-011-9769-6
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发表时间：
2012-04-01
影响因子：
3.8
通讯作者：
Mellins, Claude Ann
中科院分区：
文献类型：
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作者：
Dolezal, Curtis;Marhefka, Stephanie L.;Mellins, Claude Ann
计算机辅助访谈方法在敏感行为（例如，药物滥用和性行为）的评估中越来越受欢迎。尽管在青少年中探索这一假设的研究很少，而且得出的结果也不一致，但有人认为，与面试官进行的面对面面试（FTF）相比，通过电脑回答问题时，社会期望的影响会减弱。本研究比较了两种访谈模式在城市，少数民族，围产期HIV暴露的美国青年样本中（基线= 148 HIV+, 126 HIV-，年龄9-16岁；随访= 120 HIV+, 110 HIV-，年龄10-19岁）。参与者被随机分配通过音频计算机辅助自我访谈（ACASI）或FTF访谈接受性行为访谈。比较了几种性行为的流行程度和参与者对访谈的反应。尽管ACASI患者的性行为发生率通常较高，但这种差异很少达到统计学意义，即使限于人口统计亚组（除性别外）也是如此。与FTF相比，在ACASI条件下，男孩更有可能报告几种性行为，而在女孩中，两种情况之间没有显着差异。acasi分配的年轻人认为面试过程比ftf分配的年轻人更容易、更愉快，这在亚组分析中也是相当一致的。我们的结论是，这些对ACASI访谈的更积极的反应给了这种方法一点优势，并且当使用计算机辅助访谈时，男孩可能会透露更多的性行为。
Computer-assisted interview methods are increasingly popular in the assessment of sensitive behaviors (e.g., substance abuse and sexual behaviors). It has been suggested that the effect of social desirability is diminished when answering via computer, as compared to an interviewer-administered face-to-face (FTF) interview, although studies exploring this hypothesis among adolescents are rare and yield inconsistent findings. This study compared two interview modes among a sample of urban, ethnic-minority, perinatally HIV-exposed U.S. youth (baseline = 148 HIV+, 126 HIV-, ages 9-16 years; follow-up = 120 HIV+, 110 HIV-, ages 10-19 years). Participants were randomly assigned to receive a sexual behavior interview via either Audio Computer-Assisted Self-Interview (ACASI) or FTF interview. The prevalence of several sexual behaviors and participants' reactions to the interviews were compared. Although higher rates of sexual behaviors were typically reported in the ACASI condition, the differences rarely reached statistical significance, even when limited to demographic subgroups-except for gender. Boys were significantly more likely to report several sexual behaviors in the ACASI condition compared to FTF, whereas among girls no significant differences were found between the two conditions. ACASI-assigned youth rated the interview process as easier and more enjoyable than did FTF-assigned youth, and this was fairly consistent across subgroup analyses as well. We conclude that these more positive reactions to the ACASI interview give that methodology a slight advantage, and boys may disclose more sexual behavior when using computer-assisted interviews.