OBJECTIVES:During the 2008 HIV prevalence survey carried out in the general population of Cotonou, Benin, face-to-face interviews (FTFI) were used to assess risky behaviours for HIV and other sexually transmitted infections (STI). We compared sexual behaviours reported in FTFI with those reported in polling booth surveys (PBS) carried out in parallel in an independent random sample of the same population. METHODS:In PBS, respondents grouped by gender and marital status answered simple questions by putting tokens with question numbers in a green box (affirmative answers) or a red box (negative answers). Both boxes were placed inside a private booth. For each group and question, data were gathered together by type of answer. The structured and gender-specific FTFI guided by trained interviewers included all questions asked during PBS. Pearson χ2 or Fisher's exact test was used to compare FTFI and PBS according to affirmative answers. RESULTS:Overall, respondents reported more stigmatised behaviours in PBS than in FTFI: the proportions of married women and men who reported ever having had commercial sex were 17.4% and 41.6% in PBS versus 1.8% and 19.6% in FTFI, respectively. The corresponding proportions among unmarried women and men were 16.1% and 25.5% in PBS versus 3.9% and 13.0% in FTFI, respectively. The proportion of married women who reported having had extramarital sex since marriage was 23.6% in PBS versus 4.6% in FTFI. CONCLUSIONS:PBS are suitable to monitor reliable HIV/STI risk behaviours. Their use should be expanded in behavioural surveillance.

译文

目的:在贝宁科托努(Cotonou)的普通人群中进行的2008年艾滋病毒流行率调查期间,使用面对面访谈(FTFI)评估了艾滋病毒和其他性传播感染(STI)的危险行为。我们将FTFI中报告的性行为与在同一人群的独立随机样本中并行进行的投票亭调查(PBS)中报告的性行为进行了比较。
方法:在PBS中,按性别和婚姻状况分组的受访者通过将带有问题编号的记号放在绿色框(肯定答案)或红色框(否定答案)中来回答简单问题。两个盒子都放在一个私人的摊位里。对于每个组和每个问题,按答案类型将数据收集在一起。由受过训练的访调员指导的结构化且针对性别的FTFI包括PBS期间提出的所有问题。根据肯定答案,使用Pearsonχ2或Fisher精确检验比较FTFI和PBS。
结果:总体而言,受访者报告说PBS中的污名化行为比FTFI中多:已报道有商业性行为的已婚男女比例分别为PBS中的17.4%和41.6%,而FTFI中分别为1.8%和19.6%。 PBS中未婚男女的相应比例分别为16.1%和25.5%,而FTFI中分别为3.9%和13.0%。报告说,自结婚以来发生过婚外性行为的已婚妇女在PBS中为23.6%,而在FTFI中为4.6%。
结论:PBS适合监测可靠的HIV / STI风险行为。在行为监测中应扩大其使用范围。

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