Assessing the Validity of Sexual Behaviour Reports in a Whole Population Survey in Rural Malawi 英文参考文献.docVIP

Assessing the Validity of Sexual Behaviour Reports in a Whole Population Survey in Rural Malawi 英文参考文献.doc

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Assessing the Validity of Sexual Behaviour Reports in a Whole Population Survey in Rural Malawi 英文参考文献

AssessingtheValidityofSexualBehaviourReportsina WholePopulationSurveyinRuralMalawi JudithR.Glynn1*,NdoliweKayuni2,EmmanuelBanda2,FionaParrott1,SianFloyd1,MonicaFrancis- Chizororo1,MisheckNkhata2,ClareTanton3,JoanneHemmings1,AnnaMolesworth1,AmeliaC. Crampin1,NeilFrench1 1Faculty of Epidemiology and Population Health, London School of Hygiene Tropical Medicine, London, United Kingdom, 2Karonga Prevention Study, Chilumba, Malawi,3CentreforSexualHealthandHIVResearch,ResearchDepartmentofInfectionandPopulationHealth,UniversityCollegeLondon(UCL),London,UnitedKingdom Abstract Background: Sexual behaviour surveys are widely used, but under-reporting of particular risk behaviours is common, especiallybywomen.Surveysinwholepopulationsprovideanunusualopportunitytounderstandtheextentandnatureof suchunder-reporting. Methods:Allconsentingindividualsagedbetween15and59withinademographicsurveillancesiteinnorthernMalawi were interviewed about their sexual behaviour. Validity of responses was assessed by analysis of probing questions; by comparisonofresultswithin-depthinterviewsandwithHerpessimplextype-2(HSV-2)seropositivity;bycomparingreports tosamesexandoppositesexinterviewers;andbyquantifyingthepartnershipswithinthelocalcommunityreportedby menandbywomen,adjustedforresponserates. Results: 6,796 women and 5,253 men (83% and 72% of those eligible) consented and took part in sexual behaviour interviews.ProbingquestionsandHSV-2antibodytestsinthosewhodeniedsexualactivityidentifiedunder-reportingfor bothmenandwomen.Reportsvariedlittlebysexorageoftheinterviewer.Thenumberofmaritalpartnershipsreported wascomparableformenandwomen,butmenreportedabout4timesasmanynon-maritalpartnerships.Thediscrepancy inreportingofnon-maritalpartnershipswasmostmarkedformarriedwomen(menreportedabout7timesasmanynon- marital partnerships with married women as were reported by married women themselves), but was only apparent in youngermarriedwomen. Conclusions:Wehaveshownthattheunder-reportingofnon-maritalpartners

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