Simões Anna Azevedo, Bastos Francisco Inacio, Moreira Ronaldo Ismerio, Lynch Kevin G, Metzger David S
Health Department of the State Government of Rio de Janeiro, Brazil.
Drug Alcohol Depend. 2006 Apr;82 Suppl 1:S103-7. doi: 10.1016/s0376-8716(06)80016-5.
This study aimed to determine the acceptability of the ACASI approach to risk assessment and the impact of personal preference regarding mode of interview on reporting risk behaviors among drug users entering treatment in Rio de Janeiro, Brazil. We assessed 268 substance users who completed the ACASI arm in a randomized trial comparing the ACASI with the Interviewer-Administered Questionnaire (IAQ). The vast majority of interviewees (90.7%) reported no problem using the computer, and 37.3% felt that their privacy was best protected by the ACASI (vs. 16.4% who preferred the IAQ). Nearly half (45.5%) reported that the computer interview would produce more "honest" answers, whereas 30.6% selected the IAQ. In the adjusted regression analysis, problems using the computer were associated only with lower educational level (p<0.05). We found no evidence that preference had an impact on reporting risk behaviors or drug use. Our study showed both good feasibility and acceptability of the ACASI for interviewing drug users in Brazil. The findings extend our understanding of the role of the ACASI method by suggesting the utility of this approach in assessing HIV risk among low-to middle-income drug users in a cultural setting quite different from previous studies.
本研究旨在确定音频计算机辅助自我访谈（ACASI）方法用于风险评估的可接受性，以及访谈方式的个人偏好对巴西里约热内卢接受治疗的吸毒者报告风险行为的影响。我们评估了268名物质使用者，他们在一项将ACASI与访谈员 administered问卷（IAQ）进行比较的随机试验中完成了ACASI部分。绝大多数受访者（90.7%）表示使用计算机没有问题，37.3%的人认为ACASI能最好地保护他们的隐私（相比之下，16.4%的人更喜欢IAQ）。近一半（45.5%）的人报告说计算机访谈会产生更“诚实”的答案，而30.6%的人选择了IAQ。在调整后的回归分析中，使用计算机的问题仅与较低的教育水平相关（p<0.05）。我们没有发现偏好对报告风险行为或药物使用有影响的证据。我们的研究表明，ACASI在巴西对吸毒者进行访谈具有良好的可行性和可接受性。这些发现扩展了我们对ACASI方法作用的理解，表明该方法在与以往研究文化背景截然不同的低收入和中等收入吸毒者中评估艾滋病毒风险方面具有实用性。
