ABSTRACT

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.

摘要

准确、可靠的性行为自我报告是有效 HIV 风险估计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夫妇样本中近期接受性肛交 (AI) 和无安全套接受性 AI 频率的合作伙伴协议。我们使用来自男性伴侣的横截面数据（美国，2016-2017； N = 718 人）。评估了比例和统计一致性（组内相关系数（ICC），kappa（k））。接受性 AI 频率的观察一致性为 49.44% (ICC (95% CI): 0.82(0.79, 0. 和避孕套使用率，98.89% (k: 0.82 (0.87, 0.98))。在那些报告一致的定位和安全套使用的人中，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，以提高研究有效性和干预效果。和避孕套使用率，98.89% (k: 0.82 (0.87, 0.98))。在那些报告一致的定位和安全套使用的人中，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，以提高研究有效性和干预效果。