Application of computer-assisted interviews to sexual behavior research
Application of computer-assisted interviews to sexual behavior research
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DOI：
10.1093/oxfordjournals.aje.a009739
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发表时间：
1999-05-15
影响因子：
5
通讯作者：
Martin, DH
中科院分区：
文献类型：
--
作者：
Kissinger, P;Rice, J;Martin, DH
使用视频增强，计算机辅助，自我管理的采访（V-CASI）收集敏感数据有可能减少采访偏见，提高研究的有效性。本研究的目的是比较敏感问题引起的V-CASI和面对面访谈（FTFI）的方法的反应。1995年7月至1996年7月，在路易斯安那州新奥尔良市的公共计划生育或性传播疾病诊所就诊的妇女被诊断为沙眼衣原体感染，她们在随机交叉设计中使用FTFI和V-CASI技术回答了8个封闭式行为问题（4个社会不良行为，2个社会不良行为和2个中性行为）。在280名女性中，平均年龄为23岁，95%是非洲裔美国人，71%的人对使用电脑感到舒适。虽然Kappa评分表明良好的面试技巧之间的协议，女性往往承认社会不良行为更经常V-CASI相比FTFI。30%的女性在V-CASI和FTFI之间对社会期望的反应存在差异。在V-CASI中报告社会不良行为的女性（即，超过两个性伴侣和不经常使用避孕套）更可能有不一致的反应。使用相同的逻辑回归模型来预测避孕套的使用产生了不同的结果时，从V-CASI的数据相比，从FTFI的数据。V-CASI技术可以减少社会期望偏差，提高研究的有效性，需要敏感的性行为的信息。
Collection of sensitive data with the use of video-enhanced, computer-assisted, self-administered interviews (V-CASI) has the potential to reduce interview bias and improve the validity of the study. The purpose of this study was to compare responses to sensitive questions elicited by V-CASI and by face-to-face interview (FTFI) methods. Women attending a New Orleans, Louisiana, public family planning or sexually transmitted disease clinic from July 1995 to July 1996, diagnosed with a Chlamydia trachomatis infection responded to eight close-ended behavioral questions (four socially undesirable, two socially desirable, and two neutral behaviors) using both FTFI and V-CASI techniques in a randomized crossover design. Of the 280 women included, the mean age was 23 years, 95 percent were African American, and 71 percent felt comfortable using computers. While kappa scores indicated good-to-excellent agreement between interview techniques, women tended to admit to socially undesirable behaviors more often on V-CASI compared with FTFI. Thirty percent of the women gave a discrepant response between V-CASI and FTFI toward social desirability. Women who reported a socially undesirable behavior in V-CASI (i.e., more than two sex partners and infrequent condom usage) were more likely to have a discrepant response. Utilization of the same logistic regression model to predict condom use yielded different results when data from V-CASI were used compared with data from FTFI. The V-CASI technique can reduce social desirability bias and improve validity in research requiring information on sensitive sexual behaviors.