Exploring Discordance Between Biologic and Self-Reported Measures of Semen Exposure: A Qualitative Study Among Female Patients Attending an STI Clinic in Jamaica

Carter, Marion W.; Bailey, Althea; Snead, Margaret C.; Costenbader, Elizabeth; Townsend, Malene; Macaluso, Maurizio; Jamieson, Denise J.; Hylton-Kong, Tina; Warner, Lee; Steiner, Markus J.

doi:10.1007/s10461-012-0286-y

i

Exploring Discordance Between Biologic and Self-Reported Measures of Semen Exposure: A Qualitative Study Among Female Patients Attending an STI Clinic in Jamaica

Supporting Files

2 2013
By Carter, Marion W. ; Bailey, Althea ; Snead, Margaret C. ; ...

File Language:

English

Details

Alternative Title:

AIDS Behav
Personal Author:

Carter, Marion W. ; Bailey, Althea ; Snead, Margaret C. ; Costenbader, Elizabeth ; Townsend, Malene ; Macaluso, Maurizio ; Jamieson, Denise J. ; Hylton-Kong, Tina ; Warner, Lee ; Steiner, Markus J.
Description:

We explored the use of qualitative interviews to discuss discrepancies between two sources of information on unprotected sex: biomarker results and self-reported survey data. The study context was a randomized trial in Kingston, Jamaica examining the effect of STI counseling messages on recent sexual behavior using prostate-specific antigen (PSA) as the primary study outcome. Twenty women were interviewed. Eleven participants were selected because they tested positive for PSA indicating recent semen exposure, yet reported no unprotected sex in a quantitative survey ("discordant"): 5 reported abstinence and 6 reported condom use. Nine participants who also tested positive for PSA but reported unprotected sex in the survey were interviewed for comparison ("concordant"). Qualitative interviews with 6 of the 11 discordant participants provided possible explanations for their PSA test results, and 5 of those were prompted by direct discussion of those results. Rapid PSA testing combined with qualitative interviews provides a novel tool for investigating and complementing self-reported sexual behavior.
Subjects:

Adolescent Adult Biomarkers Condoms Female Humans Jamaica Male Middle Aged Prostate-Specific Antigen Qualitative Research Randomized Controlled Trials As Topic Self Report Semen Sexual Abstinence Sexually Transmitted Diseases Sexual Partners Surveys And Questionnaires Unsafe Sex Vagina
Keywords:

Prostate-specific Antigen Qualitative Study Self-reported Data Semen Biomarker
Source:

AIDS Behav. 17(2):728-736
Pubmed ID:

22893195
Pubmed Central ID:

PMC4544859
Document Type:

Journal Article
Funding:

CC999999/ImCDC/Intramural CDC HHSUnited States/
Volume:

17
Issue:

2
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:5966bf6c7623f9114031c8894f922e270fcaf913177386cb73b372cbce1cb7c6
Download URL:

https://stacks.cdc.gov/view/cdc/33019/cdc_33019_DS1.pdf
File Type:

[PDF - 756.30 KB ]

File Language:

English

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