School of Population Health, Curtin University, Perth, Australia.
J Med Internet Res. 2022 May 31;24(5):e37356. doi: 10.2196/37356.
Reliable data about sexual behaviors is fundamental in the prevention and control of HIV, hepatitis, and other sexually transmitted infections. Generally, sexual behaviors are regarded as a sociocultural taboo in Africa and Asia, and this results in biased sexual behavior survey data due to social desirability. Various modes of survey delivery, including audio computer-assisted self-interviews (ACASIs), have been investigated to improve data quality.
This study aimed to review studies that compared the ACASI mode to other survey modes in sexual behavior surveys in Asia and sub-Saharan Africa to ascertain the impact of survey mode on responses to sexual behavior questions.
A systematic literature review was conducted according to the Joanna Briggs Institute Manual for Evidence Synthesis. The review protocol was registered at PROSPERO (International Prospective Register of Systematic Reviews). Six databases were searched.
A total of 21 papers were included. The face-to-face interview (FTFI) mode was the survey mode most frequently compared to the ACASI mode. Among the most commonly reported outcome variable groups, ACASI participants were more likely to report sexual behaviors, such as "forced sex," "multiple partners," "transactional sex," and "ever had sex," as compared to FTFI participants. In addition to the survey mode effect, other factors were found to have had an impact on data quality, for example, participant characteristics, social norms, study design, and data collection setting.
Use of ACASIs for administering sexual behavior surveys among populations in Asia and sub-Saharan Africa demonstrated higher reports for some sexual behaviors than the use of FTFIs. More studies that compare the ACASI mode to other survey modes would improve our understanding of the usefulness of ACASIs in sexual behavior surveys in these regions.
可靠的性行为数据对于预防和控制艾滋病毒、肝炎和其他性传播感染至关重要。通常，性行为在非洲和亚洲被视为社会文化禁忌，这导致由于社会期望而对性行为调查数据产生偏差。已经研究了各种调查方式，包括音频计算机辅助自我访谈 (ACASI)，以提高数据质量。
本研究旨在回顾在亚洲和撒哈拉以南非洲的性行为调查中比较 ACASI 模式与其他调查模式的研究，以确定调查模式对性行为问题回答的影响。
根据 Joanna Briggs 研究所证据综合手册进行了系统文献综述。审查方案在 PROSPERO（国际前瞻性系统评价注册库）中进行了注册。共搜索了 6 个数据库。
共纳入 21 篇论文。面对面访谈 (FTFI) 模式是最常与 ACASI 模式进行比较的调查模式。在所报告的最常见的结果变量组中，与 FTFI 参与者相比，ACASI 参与者更有可能报告性行为，例如“强迫性行为”、“多个伴侣”、“交易性行为”和“曾经有过性行为”。除了调查模式的影响外，还发现其他因素对数据质量产生了影响，例如参与者特征、社会规范、研究设计和数据收集环境。
在亚洲和撒哈拉以南非洲的人群中使用 ACASI 进行性行为调查显示，与使用 FTFI 相比，某些性行为的报告更高。更多比较 ACASI 模式与其他调查模式的研究将有助于我们了解 ACASI 在这些地区的性行为调查中的有用性。
