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