title: Audio computer-assisted survey instrument versus face-to-face interviews: optimal method for detecting high-risk behaviour in pregnant women and their sexual partners in the south of Brazil.
abstract: Audio computer-assisted survey instrument (ACASI) has been shown to decrease under-reporting of socially undesirable behaviours, but has not been evaluated in pregnant women at risk of HIV acquisition in Brazil. We assigned HIV-negative pregnant women receiving routine antenatal care at in Porto Alegre, Brazil and their partners to receive a survey regarding high-risk sexual behaviours and drug use via ACASI (n = 372) or face-to-face (FTF) (n = 283) interviews. Logistic regression showed that compared with FTF, pregnant women interviewed via ACASI were significantly more likely to self-report themselves as single (14% versus 6%), having >5 sexual partners (35% versus 29%), having oral sex (42% versus 35%), using intravenous drugs (5% versus 0), smoking cigarettes (23% versus 16%), drinking alcohol (13% versus 8%) and using condoms during pregnancy (32% versus 17%). Therefore, ACASI may be a useful method in assessing risk behaviours in pregnant women, especially in relation to drug and alcohol use.
authors: Division of Infectious Disease, Department of Pediatrics, David Geffen School of Medicine at UCLA, MDCC 22-442 10833 LeConte Avenue, USA. nyeganeh@mednet.ucla.edu
authors: N
authors: N
authors: Yeganeh
authors: C
authors: C
authors: Dillavou
authors: M
authors: M
authors: Simon
authors: P
authors: P
authors: Gorbach
authors: B
authors: B
authors: Santos
authors: R
authors: R
authors: Fonseca
authors: J
authors: J
authors: Saraiva
authors: M
authors: M
authors: Melo
authors: K
authors: K
authors: Nielsen-Saines
mesh_terms: D000328:Adult; D001938:Brazil; D003201:Computers / Q000706:statistics & numerical data*; D005260:Female; D006306:Health Surveys / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007407:Interviews as Topic; D011247:Pregnancy; D011295:Prenatal Care; D012044:Regression Analysis; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: ACASI; HIV; antenatal care; high-risk sexual behaviours; pregnancy; prevention; risk factors; substance use
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