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• W331122720 abstract "Women who participated in audio computer-assisted self-interviews (audio-CASI) were less likely than those in face-to-face interviews to report having had (35% vs. 48%) in response to a question on age at first sex, according to a randomized study among unmarried young women in rural Malawi. (1) However, women in the audio-CASI group were more likely than those in the conventional interview group to report having had multiple partners (27% vs. 17%) and having had with a friend or acquaintance (17% vs. 7%), as well as to give inconsistent responses regarding their history. Respondents in the two interview groups had similar levels of STIs, although the association between experience and STI status was stronger in the face-to-face group. Most studies of audio-CASI have been conducted in developed countries, where computer literacy is high. To compare the effectiveness of the technique with that of face-to-face interviews in eliciting reports of behavior in a developing country, researchers questioned 501 unmarried Malawian women aged 15-21 regarding their history. The women lived in villages near centralized market areas in Balaka district, located in the region with the country's highest rates of HIV infection, teenage pregnancy and risky behavior. Women were randomly assigned to a face-to-lace interview or an audio-CASI interview on a laptop computer, during which they were asked about their age at first and, regardless of their answer, the types of partners they had had with (e.g., boyfriend, expected spouse, or friend or acquaintance). Following the interviews, researchers asked respondents whether they were willing to be tested for HIV and three other STIs (gonorrhea, chlamydia, trichomoniasis); 84% were tested for at least one infection using vaginal or oral swabs. Prior to testing, they were asked again--this time by trained nurses--about their age at first sex. On average, respondents were 17 years old and had had seven years of schooling; about six in 10 were enrolled in school, and a little more than half were Muslim. Although the two interview groups were similar in most respects, a lower proportion of those in the face-to-face group than in the audio-CASI group were born-again Christians or had made tauba (a form of Muslim conversion--29% vs. 37%). To account for differences between the two interview groups, reports of behavior were estimated as predicted percentages derived from logistic regression models that adjusted for respondents' background characteristics. Lower proportions of respondents in the audio-CASI group than in the face-to-face group reported having had (35% vs. 48%) or having had with a boyfriend (21% vs. 31%)--findings that belie the common belief that relatively anonymous interviewing methods, such as audio-CASI, will elicit more reports of stigmatized or sensitive behavior than will face-to-face interviews. In contrast, higher proportions in the audio-CASI group reported having had with a friend or acquaintance (17% vs. 7%) or having had more than one (27% vs. 17%). To explore how different measures of activity affected the reporting of premarital by interview mode, the researchers created composite variables based on the ever had sex and sexual partner variables. A higher percentage of women in the audio-CASI group than in the face-to-face group reported that they had had or had had at least one (58% vs. …" @default.
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• W331122720 date "2009-03-01" @default.
• W331122720 modified "2023-09-26" @default.
• W331122720 title "Audio Computer-Assisted Self-Interviews Do Not Necessarily Yield Higher Reports of Sensitive Behaviors" @default.
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