乌干达少女自我报告的性行为：数据的可靠性受到质疑。
Self-reported sexual behaviour among adolescent girls in Uganda: reliability of data debated.
作者信息
Råssjö E B, Mirembe F, Darj E
机构信息
Department of Obstetrics and Gynaecology, Centre for Clinical Research, Falun Hospital, Sweden.
出版信息
Afr Health Sci. 2011 Sep;11(3):383-9.
OBJECTIVE
To compare self-reported information about sexual behaviour in a research interview to information retrieved during a clinical consultation.
METHOD
595 sexually experienced women below 20 years, were interviewed by a social worker about genital symptoms and sexual behaviour. A midwife interviewed, examined, and took vaginal samples for gonorrhoea and chlamydia. Four questions were embedded in both the social workers interviews and among midwife's questions. The women were asked if they perceived their latest /current partner to be faithful, if he had complained about any genital symptoms, if a condom was used at latest sexual intercourse and if the woman knew her HIV status.
RESULTS
The prevalence of gonorrhoea and/or chlamydia was 7.1% but for women who reported that their partner had complained about genital symptoms it was significantly higher. Agreement between answers given in the research interview and to the midwife was good for HIV status but only fair or moderate for perceived faithfulness, partner's symptoms and recent condom use.
CONCLUSION
Information about risk factors revealed in individual interviews and by the midwives taking a history was incongruent. Any approach for management of STIs, which is built on self-reported risk factors, needs careful assessment of reliability.
目的
比较在研究访谈中自我报告的性行为信息与临床咨询期间获取的信息。
方法
595名20岁以下有性经历的女性接受了一名社会工作者关于生殖器症状和性行为的访谈。一名助产士进行了访谈、检查，并采集了阴道样本用于淋病和衣原体检测。社会工作者的访谈以及助产士的问题中都包含四个问题。这些女性被问及她们是否认为自己最近/当前的伴侣忠诚，伴侣是否曾抱怨过任何生殖器症状，最近一次性交时是否使用了避孕套，以及该女性是否知道自己的艾滋病毒感染状况。
结果
淋病和/或衣原体的患病率为7.1%，但对于报告伴侣曾抱怨生殖器症状的女性，患病率显著更高。研究访谈中的回答与助产士处的回答在艾滋病毒感染状况方面一致性良好，但在伴侣忠诚度、伴侣症状和近期避孕套使用方面仅为一般或中等。
结论
个人访谈和助产士问诊中揭示的风险因素信息不一致。任何基于自我报告的风险因素来管理性传播感染的方法都需要仔细评估其可靠性。
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