Witte Susan S, El-Bassel Nabila, Gilbert Louisa, Wu Elwin, Chang Mingway
Social Intervention Group, Columbia University School of Social Work, New York, NY 10027, USA.
Sex Transm Dis. 2007 May;34(5):302-8. doi: 10.1097/01.olq.0000240288.90846.6a.
Assessments undertaken as part of couple-based HIV/sexually transmitted infection (STI) prevention intervention studies offer opportunities to expand our understanding of couple reporting of sexual and HIV/STI risk behavior. Increases in heterosexual transmission of HIV worldwide support more attention on the quality and use of couple-level sexual risk assessment.
This study examined interpartner concordance of self-reported sexual behaviors and HIV/STI risk behaviors among 217 women and their main male sexual partners at high risk for HIV/STI transmission and further explored specific individual and relationship characteristics by partner gender associated with discordant reporting of sexual and HIV/STI risk behaviors.
Consistent with prior studies, findings suggest fair to substantial agreement between partners on reports of most sexual and HIV/STI risk behavior, but only poor to fair agreement on reports of concurrent sexual behaviors and drug or alcohol use. Factors significantly associated with discordant reporting of sexual behaviors included length of couple relationship, level of relationship satisfaction, female partner's marital status, and male partner's HIV status, ethnicity, and age.
Individual- and relationship-level factors predicting discordant partner reports of sexual and sexual risk behaviors highlight an opportunity to improve couple assessment by anticipating such discrepancies and developing effective mechanisms of quality assurance to avoid, address, or better explain such discordance in couple data sets.
作为基于伴侣的艾滋病毒/性传播感染（STI）预防干预研究的一部分所进行的评估，为扩大我们对伴侣双方性及艾滋病毒/性传播感染风险行为报告的理解提供了机会。全球范围内艾滋病毒异性传播的增加，支持了对伴侣层面性风险评估的质量和应用给予更多关注。
本研究调查了217名女性及其主要男性性伴侣之间自我报告的性行为及艾滋病毒/性传播感染风险行为的伴侣间一致性，并进一步按伴侣性别探索了与性行为及艾滋病毒/性传播感染风险行为不一致报告相关的特定个体及关系特征。
与先前研究一致，研究结果表明，伴侣双方在大多数性行为及艾滋病毒/性传播感染风险行为报告上的一致性为中等至高度，但在同时发生性行为及药物或酒精使用报告上的一致性仅为较差至中等。与性行为不一致报告显著相关的因素包括伴侣关系持续时间、关系满意度水平、女性伴侣婚姻状况、男性伴侣艾滋病毒感染状况、种族及年龄。
预测伴侣双方性行为及性风险行为不一致报告的个体及关系层面因素，凸显了一个机会，即通过预期此类差异并制定有效的质量保证机制，来避免、处理或更好地解释伴侣数据集中的此类不一致情况，从而改进伴侣评估。
