Harvey S Marie, Bird Sheryl Thorburn, Henderson Jillian T, Beckman Linda J, Huszti Heather C
Center for the Study of Women in Society, University of Oregon, Eugene, Oregon 97403-1201, USA.
Sex Transm Dis. 2004 Mar;31(3):185-91. doi: 10.1097/01.olq.0000114943.03419.c4.
Most studies of sexual behavior and risk are based on self-reports of individuals.
The goal of this study was to assess interpartner concordance on self-reported sexual behavior, condom use, and relationship characteristics; and agreement between individuals' perceptions of their partners' sexual risks and the partners' actual reports.
Interviews were conducted separately but concurrently with 112 heterosexual couples at increased risk for HIV/sexually transmitted infections recruited through women at clinics and community locations.
Couples were concordant on reports of relationship characteristics (kappa > or = 0.84), sexual behavior, and condom use (r > or = 0.62), but disagreed on who has more power and sexual decision-making dominance (kappa < or = 0.26). We found substantial agreement between men's perceptions and their partners' reported risky behavior (kappa = 0.62), but only fair agreement between women's perceptions and their partners' reports (kappa = 0.30).
Individual self-reports could be reliable measures of sexual behavior. Additionally, prevention interventions need to address women's misperceptions about their partners' risky behaviors.
大多数关于性行为及风险的研究都基于个体的自我报告。
本研究的目标是评估伴侣间在自我报告的性行为、避孕套使用及关系特征方面的一致性；以及个体对其伴侣性风险的认知与伴侣实际报告之间的一致性。
通过诊所及社区场所的女性招募了112对感染艾滋病毒/性传播感染风险增加的异性恋伴侣，对他们分别但同时进行访谈。
伴侣间在关系特征报告（kappa≥0.84）、性行为及避孕套使用（r≥0.62）方面具有一致性，但在谁拥有更多权力及性决策主导权上存在分歧（kappa≤0.26）。我们发现男性的认知与其伴侣报告的危险行为之间存在高度一致性（kappa = 0.62），但女性的认知与其伴侣报告之间只有中等程度的一致性（kappa = 0.30）。
个体自我报告可能是性行为的可靠测量方法。此外，预防干预措施需要解决女性对其伴侣危险行为的误解。
