Webb P M, Zimet G D, Fortenberry J D, Blythe M J
Department of Pediatrics, Indiana University School of Medicine, Indianapolis, USA.
J Adolesc Health. 1999 Jun;24(6):383-8. doi: 10.1016/s1054-139x(99)00005-1.
To investigate the comparability of health behavior data obtained from adolescents via notebook computer versus those obtained via written questionnaire.
We interviewed adolescent patients (ages 13-20 years) receiving services at community adolescent health clinics. Participants anonymously completed either a computer-assisted self-interview (CASI) or a self-administered questionnaire (SAQ), both assessing health-protective behaviors, substance use (i.e., tobacco, alcohol, marijuana) and sexual behaviors. From a pool of 671 adolescent participants (348 completing CASI, 323 completing SAQ), we matched 194 SAQ participants with 194 CASI participants on the basis of gender and race. We could not match individually on the basis of age, but were able to match each gender-race subgroup by mean age.
Across the majority of health behaviors (i.e., all health-protective behaviors, tobacco use, sexual behaviors), mode of administration made no significant difference in the reporting of information by adolescents. However, girls reported a greater frequency of alcohol use and marijuana use on CASI than on SAQ, whereas boys reported a lower frequency of alcohol use and marijuana use on CASI than on SAQ.
The findings of this study suggest that there may be gender-related differences between modes of anonymous collection of specific adolescent health behaviors such as alcohol and marijuana use. Future studies should incorporate direct questions regarding adolescents' attitude and comfort levels toward completing different modes of data collection.
探讨通过笔记本电脑从青少年获取的健康行为数据与通过书面问卷获取的数据之间的可比性。
我们对在社区青少年健康诊所接受服务的青少年患者（年龄13 - 20岁）进行了访谈。参与者匿名完成计算机辅助自我访谈（CASI）或自填问卷（SAQ），二者均评估健康保护行为、物质使用（即烟草、酒精、大麻）和性行为。在671名青少年参与者（348人完成CASI，323人完成SAQ）中，我们根据性别和种族将194名SAQ参与者与194名CASI参与者进行匹配。我们无法根据年龄进行个体匹配，但能够按平均年龄对每个性别 - 种族亚组进行匹配。
在大多数健康行为方面（即所有健康保护行为、烟草使用、性行为），管理方式对青少年报告信息没有显著差异。然而，女孩在CASI上报告的酒精使用和大麻使用频率高于SAQ，而男孩在CASI上报告的酒精使用和大麻使用频率低于SAQ。
本研究结果表明，在匿名收集特定青少年健康行为（如酒精和大麻使用）的方式之间可能存在与性别相关的差异。未来的研究应纳入关于青少年对完成不同数据收集方式的态度和舒适度的直接问题。
