School of Public Health, Health Behavior Health Education, University of Michigan, Ann Arbor, MI, USA.
College for Public Health and Social Justice St. Louis, Saint Louis University, St. Louis, MO, USA.
AIDS Behav. 2020 Aug;24(8):2307-2318. doi: 10.1007/s10461-020-02790-9.
Self-reported HIV risk perception and behaviors are used in a variety of settings for diverse purposes, such as HIV prevention program planning and screening. Careful consideration of how youth in high HIV prevalence areas interpret these kinds of questions warrants attention. The Cognitive Interviewing Project (CIP) conducted cognitive interviews on common risk survey items with 30 cis-female and 20 MSM youth (18 to 24), who had recent sex with a male partner, in Cape Town and Vulindlela, South Africa. Results identified a number of potential issues including (1) confusing text; (2) mismatches of terms with local usage; (3) confusion with items requiring self-tailoring; (4) presentation concerns limiting selection of full range of answers; and (5) challenges reporting on information dependent on partner (eg., HIV risk, HIV status of partner). Self-report Items used to identify those at elevated risk for HIV should be evaluated with local populations to optimize shared understanding.
自我报告的 HIV 风险感知和行为在各种环境中用于各种目的，例如 HIV 预防计划的规划和筛查。需要仔细考虑高 HIV 流行地区的年轻人如何解释这些问题。认知访谈项目 (CIP) 在南非开普敦和 Vulindlela 对 30 名 cis 女性和 20 名男男性行为者 (18 至 24 岁) 进行了认知访谈，这些人最近与男性伴侣发生过性关系。结果发现了一些潜在的问题，包括：(1) 文本混淆；(2) 术语与当地用法不匹配；(3) 与需要自我调整的项目混淆；(4) 呈现问题限制了对完整答案范围的选择；以及 (5) 与伴侣相关的信息报告挑战（例如，HIV 风险、伴侣的 HIV 状况）。用于识别 HIV 高危人群的自我报告项目应结合当地人群进行评估，以优化共同理解。
