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将男男性行为者(MSM)性伴侣数量的带状等级数据转换为连续尺度变量的经验依据是什么?对 17 个国家的 13 项调查的二次分析。

What is the empirical basis for converting banded ordinal data on numbers of sex partners among MSM into a continuous scale level variable? A secondary analysis of 13 surveys across 17 countries.

机构信息

Department of Preventive Medicine, Public Health and Microbiology, School of Medicine, Autonomous University of Madrid, Madrid, Spain.

Sigma Research, Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.

出版信息

BMC Med Res Methodol. 2022 Mar 6;22(1):59. doi: 10.1186/s12874-021-01483-8.


DOI:10.1186/s12874-021-01483-8
PMID:35249527
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8898536/
Abstract

BACKGROUND: To provide empirically based guidance for substituting partner number categories in large MSM surveys with mean numbers of sexual and condomless anal intercourse (CAI) partners in a secondary analysis of survey data. METHODS: We collated data on numbers of sexual and CAI partners reported in a continuous scale (write-in number) in thirteen MSM surveys on sexual health and behaviour across 17 countries. Pooled descriptive statistics for the number of sexual and CAI partners during the last twelve (N = 55,180) and 6 months (N = 31,759) were calculated for two sets of categories commonly used in reporting numbers of sexual partners in sexual behaviour surveys. RESULTS: The pooled mean number of partners in the previous 12 months for the total sample was 15.8 partners (SD = 36.6), while the median number of partners was 5 (IQR = 2-15). Means for number of partners in the previous 12 months for the first set of categories were: 16.4 for 11-20 partners (SD = 3.3); 27.8 for 21-30 (SD = 2.8); 38.6 for 31-40 (SD = 2.4); 49.6 for 41-50 (SD = 1.5); and 128.2 for 'more than 50' (SD = 98.1). Alternative upper cut-offs: 43.4 for 'more than 10' (SD = 57.7); 65.3 for 'more than 20' (SD = 70.3). Self-reported partner numbers for both time frames consistently exceeded 200 or 300. While there was substantial variation of overall means across surveys, the means for all chosen categories were very similar. Partner numbers above nine mainly clustered at multiples of tens, regardless of the selected time frame. The overall means for CAI partners were lower than those for sexual partners; however, such difference was completely absent from all categories beyond ten sexual and CAI partners. CONCLUSIONS: Clustering of reported partner numbers confirm common MSM sexual behaviour surveys' questionnaire piloting feedback indicating that responses to numbers of sexual partners beyond 10 are best guesses rather than precise counts, but large partner numbers above typical upper cut-offs are common.

摘要

背景:在对来自 17 个国家的 13 项关于男男性行为者(MSM)性行为和健康的调查数据进行二次分析时,我们提供了用性伴平均数量替代数量类别来估计性伴数量的实证依据。

方法:我们汇总了 13 项调查中连续尺度(手写数字)报告的性伴和无保护肛交(CAI)性伴数量的数据。对过去 12 个月(N=55180)和 6 个月(N=31759)内的性伴和 CAI 性伴数量,我们分别计算了两种常用的性伴数量报告类别中报告数量的描述性统计数据。

结果:总样本中过去 12 个月的平均性伴数量为 15.8 人(SD=36.6),中位数为 5 人(IQR=2-15)。第一组类别的 12 个月内性伴数量的平均值为:11-20 人(SD=3.3)为 16.4;21-30 人(SD=2.8)为 27.8;31-40 人(SD=2.4)为 38.6;41-50 人(SD=1.5)为 49.6;50 人以上(SD=98.1)为 128.2。替代的上限值为:10 人以上(SD=57.7)为 43.4;20 人以上(SD=70.3)为 65.3。两个时间框架内的自我报告性伴数量都远远超过 200 或 300。尽管调查之间的总体平均值存在很大差异,但所有选定类别的平均值都非常相似。9 人以上的性伴数量主要集中在 10 的倍数上,无论所选的时间框架如何。CAI 性伴的平均数量低于性伴的平均数量;然而,在 10 名以上的性伴和 CAI 性伴中,这种差异完全不存在。

结论:报告的性伴数量的聚类证实了常见的 MSM 性行为调查的问卷试点反馈,即对 10 名以上性伴数量的回答最好是猜测,而不是准确的计数,但超过典型上限的大性伴数量很常见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19e5/8898536/2fcd950838f7/12874_2021_1483_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19e5/8898536/2fcd950838f7/12874_2021_1483_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19e5/8898536/2fcd950838f7/12874_2021_1483_Fig1_HTML.jpg

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What is the empirical basis for converting banded ordinal data on numbers of sex partners among MSM into a continuous scale level variable? A secondary analysis of 13 surveys across 17 countries.

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引用本文的文献

[1]
Estimating Partnership Duration among MSM in Belgium-A Modeling Study.

Infect Dis Rep. 2024-5-6

[2]
Social and behavioural determinants of syphilis: Modelling based on repeated cross-sectional surveys from 2010 and 2017 among 278,256 men who have sex with men in 31 European countries.

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本文引用的文献

[1]
Sociodemographic and Psychological Predictors of Seeking Health Information Online among GB2M in Ontario: Findings from the #iCruise Project.

Int J Sex Health. 2021-12-16

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AIDS Care. 2020-5

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STI in times of PrEP: high prevalence of chlamydia, gonorrhea, and mycoplasma at different anatomic sites in men who have sex with men in Germany.

BMC Infect Dis. 2020-2-7

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