How to improve the validity of sexual behaviour reporting: systematic review of questionnaire delivery modes in developing countries.
How to improve the validity of sexual behaviour reporting: systematic review of questionnaire delivery modes in developing countries.
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DOI：
10.1111/j.1365-3156.2009.02464.x
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发表时间：
2010-03
期刊：
影响因子：
--
通讯作者：
Cowan FM
中科院分区：
文献类型：
--
作者：
Langhaug LF;Sherr L;Cowan FM
系统回顾发展中国家关于问卷发放模式影响的比较研究。我们检索了 Medline、EMbase、PsychINFO 和 ISSTDR 会议记录。如果随机对照试验和准实验研究比较两种或多种问卷调查模式，在发展中国家进行，报告性行为，并且发生在 1980 年之后，则纳入其中。报告 26 项研究的 28 篇文章符合纳入标准。研究之间报告的试验结果存在异质性，因此不适合合并试验结果。 18 项研究将音频计算机辅助调查工具 (ACASI) 或其衍生物（PDA 或 CAPI）与其他自填问卷、面对面访谈或随机回答技术进行了比较。尽管抽样的地理和人群存在很大差异，但有强有力的证据表明，计算机辅助访谈降低了项目回答率并提高了报告敏感行为的比率。 ACASI 还提高了数据输入质量。报告的性行为范围广泛，包括阴道性交、口交、肛交和/或强迫性行为、首次性行为年龄、第一次和/或最后一次性行为时使用安全套。使用生物标志物验证自我报告的情况很少见。这些数据再次证实，问卷调查模式确实会影响自我报告的性行为，并且使用 ACASI 可以显着减少报告偏差。它在发展中国家的可接受性和可行性应该鼓励研究人员在进行性健康研究时考虑使用它。建议使用生物标志物对自我报告数据进行三角测量。标准化性行为测量将有助于进行荟萃分析。
To systematically review comparative research from developing countries on the effects of questionnaire delivery mode. We searched Medline, EMbase and PsychINFO and ISSTDR conference proceedings. Randomized-controlled trials and quasi-experimental studies were included if they compared two or more questionnaire delivery modes, were conducted in a developing country, reported on sexual behaviours, and occurred after 1980. 28 articles reporting on 26 studies met the inclusion criteria. Heterogeneity of reported trial outcomes between studies made it inappropriate to combine trial outcomes. 18 studies compared audio computer-assisted survey instruments (ACASI) or its derivatives (PDA or CAPI) against another self-administered questionnaires, face-to-face interviews, or random response technique. Despite wide variation in geography and populations sampled, there was strong evidence that computer-assisted interviews lowered item-response rates and raised rates of reporting sensitive behaviours. ACASI also improved data entry quality. A wide range of sexual behaviours were reported including vaginal, oral, anal and/or forced sex, age of sexual debut, condom use at first and/or last sex. Validation of self-reports using biomarkers was rare. These data reaffirm that questionnaire delivery modes do affect self-reported sexual ehaviours and that use of ACASI can significantly reduce reporting bias. Its acceptability and feasibility in developing country settings should encourage researchers to consider its use when conduct ing sexual health research. Triangulation of self-reported data using biomarkers is recommended. Standardising sexual behaviour measures would allow for meta-analysis.
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