Social Desirability Bias in Sexual Behavior Reporting: Evidence from an Interview Mode Experiment in Rural Malawi
Social Desirability Bias in Sexual Behavior Reporting: Evidence from an Interview Mode Experiment in Rural Malawi
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DOI：
10.1363/3901413
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发表时间：
2013-03-01
影响因子：
4.4
通讯作者：
Hewett, Paul C.
中科院分区：
文献类型：
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作者：
Kelly, Christine A.;Soler-Hampejsek, Erica;Hewett, Paul C.
背景：在依赖自我报告的性行为数据的研究中，社会期望偏差是有问题的。当性别规范对社会可接受的行为产生不同的期望时，男性和女性在报告某些结果时面临不同的压力，这可能会扭曲对HIV和STI风险的评估。2009年，关系和性行为数据收集自1，在第三轮马拉维学校教育和青少年研究期间，通过音频计算机辅助自我访谈（音频-CASI）对750名16-18岁的未婚男女进行了调查。一个由311名青年组成的对照组在面对面的访谈中完成了一份相同的问卷。为了评估访谈模式是否可能影响参与者对敏感行为的报告，比较了两组的性经验报告。多元逻辑回归分析，以确定这些behaviors.RESULTS的采访模式和报告之间的关联：在调整后的回归模型，男性不太可能报告曾经有过一个女朋友在音频CASI比面对面的采访（优势比，0.4），但他们更有可能报告有过性行为与亲戚或老师（3.5）。对于女性来说，曾经有过男朋友或发生过性行为的报告在不同模式之间没有差异。一小部分的女性报告曾经发生过性关系的一个相对的或老师在音频CASI，而没有这样做，在面对面的interviews.CONCLUSIONS：用于收集关系和性行为数据的方法可能会影响一些关键的行为，特别是男性的报告患病率。需要进一步研究以改进收集敏感数据的方法。
CONTEXT: Social desirability bias is problematic in studies that rely on self-reported sexual behavior data. Where gender norms create different expectations about socially acceptable behavior, males and females face distinct pressures in reporting certain outcomes, which can distort assessments of risk for HIV and STIs.METHODS: In 2009, relationship and sexual behavior data were collected from 1,750 never-married males and females aged 16-18 via audio computer-assisted self-interviewing (audio-CASI) during the third round of the Malawi Schooling and Adolescent Study. A comparison group of 311 youth completed an identical questionnaire in face-to-face interviews. To assess whether interview mode may have influenced participants' reporting of sensitive behavior, reports of sexual experience in the two groups were compared. Multiple logistic regression analysis was used to identify associations between interview mode and reports of these behaviors, by gender.RESULTS: In adjusted regression models, males were less likely to report ever having had a girlfriend in audio-CASI than in face-to-face interviews (odds ratio, 0.4), but they were more likely to report having had sex with a relative or teacher (3.5). For females, reports of ever having had a boyfriend or having had sex did not differ between modes. A small proportion of females reported ever having had sex with a relative or teacher in audio-CASI, while none did so in face-to-face interviews.CONCLUSIONS: The method used for collecting relationship and sexual behavior data may influence the reported prevalence of some key behaviors, particularly among males. Further research is needed to improve methods of collecting sensitive data.