Department of Behavioral Sciences and Health Education, Rollins School of Public Health & Center for AIDS Research, Emory University, Atlanta, GA 30322, USA.
AIDS Behav. 2012 Aug;16(6):1491-500. doi: 10.1007/s10461-012-0163-8.
This study examined correlates of the discordance between sexual behavior self-reports and Incident Sexually Transmitted Infections. African American adolescent females (N = 964) from four U.S. cities were recruited for an HIV/STI prevention trial. Self-reported sexual behaviors, demographics, and hypothesized psychosocial antecedents of sexual risk behavior were collected at baseline, 6-, 12-, and 18-month follow-up assessments. Urine specimens were collected and tested for three prevalent STIs (chlamydia, gonorrhea, trichomonas) at each assessment. Seventeen percent of participants with a laboratory-confirmed STI reported either lifetime abstinence or recent abstinence from vaginal sex (discordant self-report). Lower STI knowledge, belief that fewer peers were engaging in sex, and belief that more peers will wait until marriage to have sex were associated with discordant reports. Discordance between self-reported abstinence and incident STIs was marked among African American female adolescents. Lack of STI knowledge and sexual behavior peer norms may result in underreporting of sexual behaviors.
本研究考察了性行为自我报告与性传播感染事件之间差异的相关因素。来自美国四个城市的 964 名非裔美国青少年女性被招募参加一项艾滋病毒/性传播感染预防试验。在基线、6 个月、12 个月和 18 个月的随访评估中，收集了自我报告的性行为、人口统计学数据以及性行为风险的假设心理社会前因。在每次评估时采集尿液样本，并检测三种常见的性传播感染（衣原体、淋病、滴虫病）。17%的实验室确诊性传播感染参与者报告称，他们要么终生禁欲，要么最近已经禁欲（报告自相矛盾）。较低的性传播感染知识、认为较少的同龄人发生性行为，以及认为更多的同龄人会等到结婚才发生性行为，这些都与不一致的报告有关。非裔美国青少年女性的自我报告的禁欲和性传播感染事件之间存在明显的差异。缺乏性传播感染知识和性行为同伴规范可能导致性行为报告不足。
