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Measuring sex partner concurrency: it's what's missing that counts
Sara J Nelson1, Lisa E Manhart, Pamina M Gorbach
1Department of Epidemiology, University of Washington, Seattle, Washington, USA.
Measuring sex partner concurrency is crucial for understanding STI transmission. Direct questioning is more reliable and has less missing data than overlapping dates for computer-administered surveys.
Area of Science:
- Public Health
- Epidemiology
- Sexual Health
Background:
- Sex partner concurrency significantly influences STI transmission dynamics.
- Standardized measurement of concurrency is lacking, hindering accurate epidemiological analysis.
- Accurate measurement is essential for effective STI prevention strategies.
Purpose of the Study:
- To assess agreement between two common measures of sex partner concurrency.
- To compare correlates and investigate data quality of different concurrency measures.
- To determine the most appropriate method for measuring concurrency in young adults.
Main Methods:
- A computer-administered survey interviewed 680 young adults (ages 18-26) at STD clinics.
- Concurrency was measured using a direct question and by analyzing overlapping relationship dates.
- Data were collected between 2001 and 2004 in Seattle, St. Louis, and New Orleans.
Main Results:
- Agreement between the direct question and overlapping dates measures was only fair (kappa = 0.395).
- Significant discrepancies existed: 29% reporting concurrency by direct question did not by dates, and 26% vice versa.
- The direct question had substantially less missing/uninterpretable data (1.8%) compared to overlapping dates (21.3%).
Conclusions:
- Both measures indicated common concurrency, but they are not interchangeable.
- The direct question method is more robust due to lower missing data rates.
- Direct questioning is recommended for computer-administered surveys assessing sexual partner concurrency.
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