Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: a quasi-randomised trial
Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: a quasi-randomised trial
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DOI：
10.1016/s0140-6736(98)07026-3
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发表时间：
1999-05-15
期刊：
影响因子：
168.9
通讯作者：
Friedman, SR
中科院分区：
文献类型：
--
作者：
Des Jarlais, DC;Paone, D;Friedman, SR
背景我们的目的是评估音频计算机辅助自我采访（音频CASI）作为一种方法，减少漏报的艾滋病毒的风险behaviormsinjectingdrugusers.Methods注射吸毒者接受了采访，在注射器交换方案在美国四个城市。潜在的受访者是从注射器交换的参与者中随机选择的，每周交替分配到传统的面对面访谈或音频CASI。问卷包括访谈前30天的社会人口特征、药物使用和艾滋病毒风险行为等项目。我们计算的优势比，在报告艾滋病毒的危险行为之间的采访methods.Findings 757受访者进行了面对面的采访，724人接受了采访的音频CASI的差异。在音频-CASI中报告艾滋病毒风险行为和其他敏感行为的受访者多于面对面访谈中的受访者（在音频-CASI中报告租用或购买使用过的注射设备与面对面访谈的比值比为2.1 [95% CI 1.4-3.3] p=0.001;使用借来的使用过的注射设备注射的比值比为1.5 [1.1-2.2] p=0.02; 2.3 [1.3-4.0] p=0.003）。解释虽然这些自我报告的行为的验证是不可能的，我们建议，音频CASI能够更全面地报告艾滋病毒的危险行为。更完整的报告可能会增加对艾滋病毒传播动态的了解，并使艾滋病毒预防工作的评估更容易。
Background We aimed to assess audio-computer-assisted self-interviewing (audio-CASI) as a method of reducing underreporting of HIV risk behaviour among injecting drug users.Methods Injecting drug users were interviewed at syringe exchange programmes in four US cities. Potential respondents were randomly selected from participants in the syringe exchanges, with weekly alternate assignment to either traditional face-to-face interviews or audio-CASI. The questionnaire included items on sociodemographic characteristics, drug use, and HIV risk behaviours for 30 days preceding the interview. We calculated odds ratios for the difference in reporting of HIV risk behaviours between interview methods.Findings 757 respondents were interviewed face-to-face, and 724 were interviewed by audio-CASI. More respondents reported HIV risk behaviours and other sensitive behaviours in audio-CASI than in face-to-face interviews (odds ratios for reporting of rented or bought used injection equipment in audio-CASI vs face-to-face interview 2.1 [95% CI 1.4-3.3] p=0.001; for injection with borrowed used injection equipment 1.5 [1.1-2.2] p=0.02; for renting or selling used equipment 2.3 [1.3-4.0] p=0.003).Interpretation Although validation of these self-reported behaviours was not possible, we propose that audio-CASI enables substantially more complete reporting of HIV risk behaviour. More complete reporting might increase understanding of the dynamics of HIV transmission and make the assessment of HIV-prevention efforts easier.