Yeganeh N, Dillavou C, Simon M, Gorbach P, Santos B, Fonseca R, Saraiva J, Melo M, Nielsen-Saines K
Division of Infectious Disease, Department of Pediatrics, David Geffen School of Medicine at UCLA, MDCC 22-442 10833 LeConte Avenue, USA.
Int J STD AIDS. 2013 Apr;24(4):279-85. doi: 10.1177/0956462412472814. Epub 2013 Jun 18.
Audio computer-assisted survey instrument (ACASI) has been shown to decrease under-reporting of socially undesirable behaviours, but has not been evaluated in pregnant women at risk of HIV acquisition in Brazil. We assigned HIV-negative pregnant women receiving routine antenatal care at in Porto Alegre, Brazil and their partners to receive a survey regarding high-risk sexual behaviours and drug use via ACASI (n = 372) or face-to-face (FTF) (n = 283) interviews. Logistic regression showed that compared with FTF, pregnant women interviewed via ACASI were significantly more likely to self-report themselves as single (14% versus 6%), having >5 sexual partners (35% versus 29%), having oral sex (42% versus 35%), using intravenous drugs (5% versus 0), smoking cigarettes (23% versus 16%), drinking alcohol (13% versus 8%) and using condoms during pregnancy (32% versus 17%). Therefore, ACASI may be a useful method in assessing risk behaviours in pregnant women, especially in relation to drug and alcohol use.
音频计算机辅助调查工具（ACASI）已被证明可减少对社会不良行为的漏报，但尚未在巴西有感染艾滋病毒风险的孕妇中进行评估。我们将在巴西阿雷格里港接受常规产前护理的艾滋病毒阴性孕妇及其伴侣分配为通过ACASI（n = 372）或面对面（FTF）（n = 283）访谈接受有关高风险性行为和药物使用的调查。逻辑回归显示，与FTF相比，通过ACASI接受访谈的孕妇更有可能自我报告自己为单身（14%对6%）、有超过5个性伴侣（35%对29%）、进行口交（42%对35%）、使用静脉注射药物（5%对0）、吸烟（23%对16%）、饮酒（13%对8%）以及在怀孕期间使用避孕套（32%对17%）。因此，ACASI可能是评估孕妇风险行为的一种有用方法，尤其是在药物和酒精使用方面。
