Using Relationship Calendars to Improve Sexual Behavior Data among Kenyan Couples

使用关系日历改善肯尼亚夫妇的性行为数据

• 批准号: 7132663
• 负责人: NANCY K. LUKE
• 金额: $ 22.91万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-12 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7132663
• 关键词: Africa; African; adolescence (12-20); clinical research; dyadic interaction; health surveys; high risk behavior /lifestyle; human population study; human subject; international cooperation; interview; medical outreach /case finding; method development; questionnaires; sex behavior; sex partner; sexually transmitted diseases; young adult human (21-34)

DESCRIPTION (provided by applicant): Throughout sub-Saharan Africa, adolescent girls and young women engage in risky sexual behaviors that lead to poor reproductive and sexual health outcomes. The period from adolescence to early adulthood is characterized by the formation, evolution, and dissolution of diverse types of relationships with male partners from one-time encounters to marital unions coinciding with similarly complex changes in sexual behaviors and risk. Survey data on sexual behaviors within these diverse partnerships tend to be quite limited, however, and continue to suffer from measurement error, including recall and social desirability biases. New data collection approaches are urgently needed to improve both the scope and the quality of these data, and this application will test two innovative methods to meet these aims: First, a matched partner data set will be created by interviewing a random sample of women (aged 18-24) and men (aged 18-29) in Kisumu, Kenya, and by refining a strategy to recruit and interview their recent (in the last year) marital and non-marital sexual partners. The feasibility of this strategy will be assessed as well as the extent and type of selection bias with respect to which partners ultimately participate in the study. Is a larger and less biased sample of couples obtained by recruiting partners through women or through men? Second, a new survey method, the Relationship History Calendar (RHC), will be designed, which collects detailed, retrospective data on the romantic and sexual relationships of female and male respondents for up to 10 years prior to the survey. Both the structure of the questions and the interview process of the RHC are designed to minimize recall and social desirability biases. Respondents and their matched sexual partners will be randomly assigned to receive the experimental RHC instrument or a comparison standard Sexual Partnership Questionnaire (SPQ), such as the one used in the Demographic and Health Surveys, thereby allowing the assessment across instrument type and by sex of respondents. The feasibility and acceptability of the RHC compared to the SPQ will be assessed. The quality of sexual behavior data obtained from the RHC compared to that of the SPQ will also be evaluated. The ultimate goal of the proposal is to provide researchers with proven methods to collect highly contextualized, time-varying data. These data can be analyzed to understand how relationship histories and couple dynamics affect the sexual risk behaviors and extremely poor reproductive health outcomes of young women and men in sub-Saharan Africa.

描述（由申请人提供）：在整个撒哈拉以南非洲，少女和年轻妇女从事危险的性行为，导致生殖和性健康结果不佳。从青春期到成年早期的时期，其特征是与男性伴侣的各种关系的形成、演变和解体，从一次性相遇到婚姻结合，同时伴随着性行为和风险的类似复杂变化。然而，关于这些不同伴侣关系中性行为的调查数据往往相当有限，并且继续遭受测量误差，包括回忆和社会期望偏差。迫切需要新的数据收集方法来改善这些数据的范围和质量，该应用程序将测试两种创新方法来实现这些目标：首先，通过随机访问女性样本，在肯尼亚基苏穆，该研究通过对18-24岁的妇女和18-29岁的男子进行调查，并改进一项战略，以招募和采访他们最近（在过去一年）的婚姻和非婚姻性伴侣。将评估该策略的可行性以及最终参与研究的合作伙伴的选择偏倚的程度和类型。是通过女性还是通过男性招募伴侣来获得更大和更少偏见的夫妇样本？其次，将设计一种新的调查方法，即关系历史日历（RHC），收集调查前10年内男女受访者的浪漫和性关系的详细回顾性数据。RHC的问题结构和面试过程都旨在最大限度地减少回忆和社会期望偏差。受访者及其配对的性伴侣将被随机分配接受实验RHC工具或比较标准性伴侣问卷（SPQ），例如人口与健康调查中使用的问卷，从而允许跨工具类型和按受访者性别进行评估。将评估RHC与SPQ相比的可行性和可接受性。还将评估从RHC获得的性行为数据的质量与SPQ相比。该提案的最终目标是为研究人员提供经过验证的方法来收集高度情境化的时变数据。通过分析这些数据，可以了解关系史和夫妻动态如何影响撒哈拉以南非洲青年男女的性风险行为和极差的生殖健康结果。