Beyond Social Desirability Bias: Investigating Inconsistencies in Self-Reported HIV Testing and Treatment Behaviors Among HIV-Positive Adults in North West Province, South Africa
Beyond Social Desirability Bias: Investigating Inconsistencies in Self-Reported HIV Testing and Treatment Behaviors Among HIV-Positive Adults in North West Province, South Africa
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DOI：
10.1007/s10461-018-2155-9
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发表时间：
2018-07-01
影响因子：
4.4
通讯作者：
Lippman, Sheri A.
中科院分区：
文献类型：
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作者：
Mooney, Alyssa C.;Campbell, Chadwick K.;Lippman, Sheri A.
这项混合方法的研究采用定性访谈的方法，在南非的一项基于人群的调查中，探索自我报告的艾滋病毒护理和治疗相关行为与抗逆转录病毒药物(ARV)存在之间的差异。在那些报告艾滋病毒阴性状态的人中，有18%的人被鉴定出抗逆转录病毒病毒分析物，在那些报告没有服用抗逆转录病毒药物的人中，有18%的人被鉴定出抗逆转录病毒病毒。在一年前报告诊断的参与者中，19%的人报告在过去一年中进行了多次艾滋病毒检测。定性结果表明，参与者对他们的护理和治疗的误解在报告不准确方面发挥了重要作用。参与者将HIV测试与CD4和病毒负载测试混为一谈，术语的混淆因回忆困难而加剧。数据输入错误可能也起到了作用。生物标志物和自我报告数据之间频繁的差异更有可能是由于对护理和治疗以及生物医学术语的理解不足，而不是故意的错误报告。结果表明，除了纳入治疗和护理行为的客观衡量标准(如ARV分析物)外，还需要改善患者与提供者的沟通，以减少不准确性。
This mixed-methods study used qualitative interviews to explore discrepancies between self-reported HIV care and treatment-related behaviors and the presence of antiretroviral medications (ARVs) in a population-based survey in South Africa. ARV analytes were identified among 18% of those reporting HIV-negative status and 18% of those reporting not being on ART. Among participants reporting diagnosis over a year prior, 19% reported multiple HIV tests in the past year. Qualitative results indicated that participant misunderstandings about their care and treatment played a substantial role in reporting inaccuracies. Participants conflated the term HIV test with CD4 and viral load testing, and confusion with terminology was compounded by recall difficulties. Data entry errors likely also played a role. Frequent discrepancies between biomarkers and self-reported data were more likely due to poor understanding of care and treatment and biomedical terminology than intentional misreporting. Results indicate a need for improving patient-provider communication, in addition to incorporating objective measures of treatment and care behaviors such as ARV analytes, to reduce inaccuracies.