Lost in Translation: Language, Terminology, and Understanding of Penile-Anal Intercourse in an HIV Prevention Trial in South Africa, Uganda, and Zimbabwe.
Lost in Translation: Language, Terminology, and Understanding of Penile-Anal Intercourse in an HIV Prevention Trial in South Africa, Uganda, and Zimbabwe.
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DOI：
10.1080/00224499.2015.1069784
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发表时间：
2016-11
影响因子：
3.6
通讯作者：
van der Straten A
中科院分区：
文献类型：
--
作者：
Duby Z;Hartmann M;Mahaka I;Munaiwa O;Nabukeera J;Vilakazi N;Mthembu F;Colvin CJ;Mensch B;van der Straten A
尽管在艾滋病预防试验中努力使用文化上合适的、可理解的性行为术语，但参与者解释问题的方式研究不足，也没有得到很好的理解。我们目前的调查结果从定性访谈88名妇女在南非，乌干达和津巴布韦谁曾参加过艾滋病毒预防试验。研究结果表明，参与者可能误解了与阴茎-肛门性交（PAI）有关的问题，认为是从后面进行阴道性交，随后误报了这种行为。从这些研究结果中出现了三个关键问题：第一，由于社会期望偏差，社会污名化的性行为的低报;第二，由于对研究术语的误解，性行为的不准确报告;第三，在一些语言中，性行为的白话术语的模糊性和PAI缺乏可接受的术语。这些发现突出了围绕性行为制定清晰明确的定义的方法学挑战，不仅对临床试验，而且对临床实践和性风险评估都有影响。我们讨论了在非洲收集关于异性恋PAI的准确和可靠数据的挑战，并提出了改进敏感行为数据收集的建议。
Despite efforts to use culturally appropriate, understandable terms for sexual behavior in HIV prevention trials, the way in which participants interpret questions is underinvestigated and not well understood. We present findings from qualitative interviews with 88 women in South Africa, Uganda, and Zimbabwe who had previously participated in an HIV prevention trial. Findings suggested that participants may have misinterpreted questions pertaining to penile–anal intercourse (PAI) to refer to vaginal sex from behind and subsequently misreported the behavior. Three key issues emerge from these findings: first, the underreporting of socially stigmatized sexual behaviors due to social desirability bias; second, the inaccurate reporting of sexual behaviors due to miscomprehension of research terms; and third, the ambiguity in vernacular terms for sexual behavior and lack of acceptable terms for PAI in some languages. These findings highlight methodological challenges around developing clear and unambiguous definitions for sexual behaviors, with implications not only for clinical trials but also for clinical practice and sexual risk assessment. We discuss the challenges in collecting accurate and reliable data on heterosexual PAI in Africa and make recommendations for improved data collection on sensitive behaviors.