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依赖性传播疾病自我报告的后果是什么?在一项纵向研究中关于撤回报告的经验教训。

What are the consequences of relying upon self-reports of sexually transmitted diseases? Lessons learned about recanting in a longitudinal study.

作者信息

Dariotis Jacinda K, Pleck Joseph H, Sonenstein Freya L, Astone Nan M, Sifakis Frangiscos

机构信息

Department of Population, Family, and Reproductive Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA.

出版信息

J Adolesc Health. 2009 Aug;45(2):187-92. doi: 10.1016/j.jadohealth.2008.12.024. Epub 2009 Mar 29.

Abstract

PURPOSE

Self-reports are the standard measure of STD history used in survey research. We explored to what extent self-reports of ever having an STD are recanted in a follow-up data collection.

METHODS

Using the National Survey of Adolescent Males (NSAM), we assessed consistency over time in self-reports of ever having an STD in a sample of young men transitioning from adolescence to young adulthood (aged 15-26 years), a population in which STDs are particularly prevalent.

RESULTS

Approximately 7% of all sexually experienced young men rescinded STD self-reports over time. Thus, self-reports at one point in time likely underestimate true STD history, using earlier self-reports as the criterion. Among men who ever report an STD, 94-98% recant their reports in later waves.

CONCLUSIONS

Knowledge of the extent of underreporting can potentially be used to adjust cross-sectional estimates of STDs based on survey self-reports. These study findings move us one step closer to estimating just how much underreporting of STDs in self-reports is.

摘要

目的

自我报告是调查研究中用于衡量性传播疾病(STD)病史的标准方法。我们探讨了在后续数据收集中,曾经感染过性传播疾病的自我报告被撤回的程度。

方法

利用全国青少年男性调查(NSAM),我们在从青春期过渡到青年期(15 - 26岁)的年轻男性样本中,评估了曾经感染过性传播疾病的自我报告随时间的一致性,这一人群中性传播疾病尤为普遍。

结果

随着时间的推移,所有有性经历的年轻男性中约7%撤回了性传播疾病的自我报告。因此,以早期自我报告为标准,某一时刻的自我报告可能低估了真实的性传播疾病病史。在曾经报告感染过性传播疾病的男性中,94% - 98%在后续调查中撤回了他们的报告。

结论

了解漏报程度有可能用于根据调查自我报告调整性传播疾病的横断面估计。这些研究结果使我们更接近于估计自我报告中性传播疾病的漏报程度。

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