Walsh Alison R, Sullivan Stephen, Stephenson Rob
Center for Sexuality and Health Disparities, University of Michigan.
Department of Systems, Populations and Leadership, University of Michigan School of Nursing.
J Sex Res. 2022 Feb;59(2):212-223. doi: 10.1080/00224499.2021.1924606. Epub 2021 May 13.
Accurate, reliable self-reports of sexual behavior are a crucial component of valid HIV risk-estimation and behavioral intervention evaluation, yet this data's reliability remains understudied. The goal of this study was to describe interpartner agreement on recent receptive anal intercourse (AI) and condomless receptive AI frequencies, among a sample of male couples. We quantified interpartner agreement on self-reported receptive AI and condomless receptive AI (absolute and relative to AI frequency), and position and condom use during a couple's most recent AI, using cross-sectional data from male partners (US, 2016-2017; N = 718 individuals). Proportional and statistical agreement (intraclass correlation coefficients (ICC), kappa (k)) were assessed. Observed agreement for receptive AI frequency was 49.44% (ICC (95% CI): 0.82(0.79, 0.84)) and for relative receptive frequency, 59.05% (ICC: 0.96 (0.85, 0.96). Agreement on condomless receptive AI was 90.21% (ICC: 0.78 (0.75, 0.82), and for relative condomless receptive AI, 91.15% (ICC: 0.80 (0.77, 0.83). Most recent AI position agreement was 89.42% (k (95% CI): 0.84 (0.80, 0.88)), and condom use, 98.89% (k: 0.82 (0.87, 0.98)). Observed agreement was higher among those who reported consistent positioning and condom use. Further research on self-reported sexual behavior data is needed to improve research validity and intervention effectiveness.
准确、可靠的性行为自我报告是有效的艾滋病毒风险评估和行为干预评估的关键组成部分，但该数据的可靠性仍未得到充分研究。本研究的目的是描述男性伴侣样本中关于近期接受肛交（AI）和无保护接受肛交频率的伴侣间一致性。我们使用男性伴侣的横断面数据（美国，2016 - 2017年；N = 718人），对自我报告的接受肛交和无保护接受肛交（绝对频率以及相对于肛交频率的相对频率）、伴侣最近一次肛交时的体位和避孕套使用情况的伴侣间一致性进行了量化。评估了比例一致性和统计一致性（组内相关系数（ICC）、kappa（k））。接受肛交频率的观察一致性为49.44%（ICC（95%置信区间）：0.82（0.79，0.84）），相对接受频率为59.05%（ICC：0.96（0.85，0.96））。无保护接受肛交的一致性为90.21%（ICC：0.78（0.75，0.82）），相对无保护接受肛交为91.15%（ICC：0.80（0.77，0.83））。最近一次肛交体位的一致性为89.42%（k（95%置信区间）：0.84（0.80，0.88）），避孕套使用情况为98.89%（k：0.82（0.87，0.98））。在报告体位和避孕套使用一致的人群中，观察到的一致性更高。需要对自我报告的性行为数据进行进一步研究，以提高研究的有效性和干预效果。
