The 130th Annual Meeting of APHA

5100.0: Wednesday, November 13, 2002 - 1:30 PM

Abstract #44624

Impact of T-ACASI on the measurement of sexual practices

Alia A. Al-Tayyib, BA, Charles F. Turner, PhD, Susan M. Rogers, PhD, and Maria Villarroel, MA. Health and Behavior Measurement Program, Research Triangle Institute, 1615 M Street, NW, Suite 740, Washington, DC 20036, 202-728-2056, alia@rti.org

Audio computer assisted self interviewing (ACASI) technologies appear to reduce bias in reporting of sensitive behaviors by providing a more private interview setting.1-3 Recent developments in ACASI incorporate the use of telephone administration (T-ACASI). In T-ACASI, recorded questions and response categories are administered by a computer. The respondent answers by pressing the appropriate number on a touchtone telephone keypad. The 1999-2000 National STD and Behavior Measurement Experiment (NSBME) recruited two samples of adults ages 18-45 (a national sample (N=1,532) and a Baltimore City sample (N=742)). Respondents were randomly assigned to a T-ACASI or interviewer administered (T-IAQ) interview mode. Preliminary results suggest respondents assigned to T-ACASI are more likely to report engaging in behaviors such as cunnillingus, fellatio, anal sex, and sex during menstruation than those in T-IAQ. 37.3% of respondents reported engaging in anal sex in T-ACASI versus 25.5% in T-IAQ (p <0.001, OR=1.7). Likewise, 47% of respondents reported engaging in fellatio during the past 30 days in T-ACASI compared to 39% in T-IAQ (p <0.001, OR=1.4). Respondents were also almost twice as likely to report concurrent sexual relationships in T-ACASI (16%) versus T-IAQ (9%) (p<0.001, OR=1.9). Patterns of high reporting in T-ACASI remain when examining the two samples separately. A separate probability sample of adults in Baltimore City was recruited during the 1997-98 Baltimore STD and Behavior Survey (BSBS). The BSBS used an identical survey instrument and incorporated a parallel mode experiment between ACASI and IAQ. Further analysis will combine the Baltimore City strata of the NSBME and the BSBS data to examine variation across interview modes.

Learning Objectives:

  • To evaluate the costs and benefits of two modes of questionnaire administration in epidemiologic surveys that use a telephone

    Keywords: Sexual Behavior, Technology

    Presenting author's disclosure statement:
    I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

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    The 130th Annual Meeting of APHA