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Inconsistencies in Adolescent Self-Reported Sexual Behavior: Experience from Four Randomized Controlled Trials
Jill R Glassman1, Elizabeth R Baumler2, Karin K Coyle3
1Clinical Excellence Research Center (CERC), Stanford University School of Medicine, 291 Campus Drive, Stanford, CA, USA.
Summary
Adolescent self-reports on sexual risk behaviors show significant inconsistencies, particularly in males. Understanding these patterns is crucial for accurate public health program evaluation.
Area of Science:
- Public Health
- Adolescent Health
- Behavioral Science
Background:
- Inconsistent self-report data can bias findings in studies of adolescent sexual risk behaviors.
- Accurate data is essential for evaluating the effectiveness of HIV/STI/pregnancy prevention programs.
Purpose of the Study:
- To determine the prevalence, associated factors, and implications of inconsistent self-reported sexual risk behaviors among adolescents.
- To inform public health practitioners and policymakers about data limitations in adolescent health research.
Main Methods:
- Analysis of longitudinal data from four group-randomized controlled trials of prevention programs (2000-2010).
- Utilized multilevel logistic regression to assess across- and within-time logical inconsistencies in survey responses.
- Examined associations between demographic and belief factors and data inconsistencies.
Main Results:
- Inconsistency rates in sexual behavior self-reports ranged from 12% to 18% across trials.
- Males exhibited higher rates of inconsistencies than females.
- Age, normative beliefs, and race/ethnicity were significantly associated with reporting inconsistencies.
Conclusions:
- Adolescents' self-reports of sexual behavior contain substantial, non-random inconsistencies.
- Routine reporting of data inconsistencies and adjustment methods is recommended for accurate public health research interpretation.
- Understanding these biases is vital for effective implementation of adolescent health interventions.
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