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Condom use as a dependent variable: measurement issues relevant to HIV prevention programs

R A Crosby1

  • 1Rural Center for AIDS/STD Prevention, Indiana University, Bloomington 47405-3085, USA.

AIDS Education and Prevention : Official Publication of the International Society for AIDS Education
|January 12, 1999
PubMed
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Promoting condom use is key to slowing HIV spread. Standardizing measurement methods in behavioral science interventions is crucial to accurately evaluate condom use programs and prevent errors.

Area of Science:

  • Public Health
  • Behavioral Science
  • Epidemiology

Background:

  • Condom use is a proven strategy for reducing HIV transmission.
  • Behavioral science interventions aim to increase condom use.
  • Accurate evaluation of these interventions is essential for public health impact.

Purpose of the Study:

  • To identify common sources of error in measuring participant condom use in HIV prevention programs.
  • To provide recommendations for improving the accuracy of program evaluation.
  • To advocate for standardized methodologies in behavioral science research.

Main Methods:

  • Reviewed literature on HIV prevention intervention programs.
  • Identified and described ten common sources of measurement error.
Keywords:
Acquired Immunodeficiency SyndromeAmericasBarrier MethodsBehaviorCondomContraceptionContraceptive MethodsDeveloped CountriesDiseasesEvaluationEvaluation MethodologyFamily PlanningHiv InfectionsMeasurementMethodological StudiesNorth AmericaNorthern AmericaOrganization And AdministrationProgram EvaluationProgramsResearch MethodologyRisk Reduction BehaviorSex BehaviorUnited StatesViral Diseases

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  • Proposed strategies to mitigate these errors.

    • Main Results:

    • Significant inconsistencies exist in current methodologies for measuring condom use.
    • Lack of standardized approaches leads to potential Type I and Type II errors in program evaluation.
    • Ten specific sources of error were identified with corresponding recommendations.

    Conclusions:

    • Standardized methodologies are necessary for accurate evaluation of condom use interventions.
    • Improved measurement accuracy will facilitate more reliable comparisons across studies.
    • Adopting consistent methods will enhance the effectiveness of HIV prevention efforts.