Assessment of self-reported sexual behavior and condom use among female sex workers in India using a polling box approach: A preliminary report
Assessment of self-reported sexual behavior and condom use among female sex workers in India using a polling box approach: A preliminary report
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DOI：
10.1097/olq.0b013e3181653433
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发表时间：
2008-05-01
影响因子：
3.1
通讯作者：
Kershaw, Trace
中科院分区：
文献类型：
--
作者：
Hanck, Sarah E.;Blankenship, Kim M.;Kershaw, Trace
工作背景：由于社会期望效应，与艾滋病毒和其他性传播感染风险相关的行为数据的准确性很容易出现误报。由于计算机辅助的方法并不总是可行的，一个非计算机化的采访方法，以减少社会期望的影响是必要的。以前的替代方法的性能已被限制到聚合数据或约束的简单性二分法只响应。我们设计并测试了一个“投票箱”的方法，在低识字population.Methods：一个横断面调查进行了812女性性工作者在印度安得拉邦的情况下，归因于多个响应的调查项目。对于面对面调查问卷中的一部分问题，每三个参与者中就有一个获得了图形回答卡，在上面标记他们的答案，并将其放在采访者视线之外的投票箱中。多元Logistic回归分析被用来测试的反应差异的问题，社会不良，社会可取的，或敏感性中性的行为在2个访谈methods.Results：投票箱参与者表现出较高的报告危险性行为和较低的报告安全套的使用，没有结论性的反应模式之间的敏感性中性的项目。我们的研究结果表明，投票箱的方法提供了一个很有前途的技术，以提高准确报告的敏感行为之间的低识字人口在资源贫乏的设置。需要进行更多的研究，以测试投票箱方法的后勤适应性。
Background: The accuracy of behavioral data related to risk for HIV and other sexually transmitted infections is prone to misreporting because of social desirability effects. Because computer-assisted approaches are not always feasible, a noncomputerized interview method for reducing social desirability effects is needed. The previous performance of alternative methods has been limited to aggregate data or constrained by the simplicity of dichotomous-only responses. We designed and tested a "polling box" method for case-attributable, multiple-response survey items in a low literacy population.Methods: A cross-sectional survey was conducted with 812 female sex workers in Andhra Pradesh, India. For a subset of questions embedded in a face-to-face survey questionnaire, every third participant was provided graphical response cards upon which to mark their answer and place in a polling box outside the view of the interviewer. Multiple logistic regression analysis was used to test for response differences to questions about socially undesirable, socially desirable, or sensitivity-neutral behaviors in the 2 interview methods.Results: Polling box participants demonstrated higher reporting of risky sexual behaviors and lower reporting of condom use, with no conclusive response patterns among sensitivity-neutral items.Conclusion: Our findings suggest that the polling box approach provides a promising technique for improving the accurate reporting of sensitive behaviors among a low-literacy population in a resource poor setting. Additional research is needed to test logistical adaptations of the polling box approach.