Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
AIDS Behav. 2021 Oct;25(10):3398-3412. doi: 10.1007/s10461-021-03268-y. Epub 2021 Apr 24.
We examined reporting agreement of oral, vaginal, and anal sex in adolescents and young adults living with perinatally-acquired HIV and those perinatally HIV-exposed and uninfected in the Pediatric HIV/AIDS Cohort Study Adolescent Master Protocol (AMP) and AMP Up studies. Agreement between fixed constructs (e.g., age at first sex) and prevalence of logical inconsistencies (e.g., reclaimed virginity status) over time were assessed. Internal consistency was also examined using an attention check question and questions regarding condom use in the prior three months. Those who reported having anal sex in adolescence had a higher proportion of inconsistent responses compared to vaginal and oral sex measures. At their most recent survey, 84% of young adults correctly answered an attention check question and 74% agreed within the survey on condom use in the prior three months. In bivariate analyses, HIV status was not associated with responding inconsistently. Increased time between surveys, male sex, and younger age at first survey were associated with multiple measures of inconsistency over time, while lower cognitive scores, having less than a high school diploma, and negatively answering post-survey acceptability questions were associated with incorrectly answering an attention check question.
我们检查了在儿科艾滋病毒/艾滋病队列研究青少年主协议（AMP）和 AMP Up 研究中，感染围产期艾滋病毒的青少年和青少年与围产期 HIV 暴露但未感染的青少年报告的口腔、阴道和肛门性行为的报告协议。评估了固定结构（例如首次性行为的年龄）和逻辑不一致的流行率（例如，恢复的贞洁状态）之间的一致性。还使用注意力检查问题和关于过去三个月内使用避孕套的问题检查了内部一致性。与阴道和口腔性行为相比，报告在青春期有过肛交的年轻人有更高比例的不一致反应。在最近的调查中，84%的年轻人正确回答了注意力检查问题，74%的人在过去三个月内同意调查中关于使用避孕套的问题。在单变量分析中，艾滋病毒状况与不一致的反应无关。调查之间的时间间隔增加、男性性别和首次调查时的年龄较小与随时间推移的多项不一致措施有关，而认知评分较低、未完成高中学业以及对调查后可接受性问题的否定回答与不正确回答注意力检查问题有关。
