SAME-GENDER SEX IN THE UNITED STATES IMPACT OF T-ACASI ON PREVALENCE ESTIMATES

Well-conducted telephone surveys provide an economical meansof estimating the prevalence of sexual and reproductive behaviorsin a population. There is, however, a nontrivial potential forbias since respondents must report sensitive information toa human interviewer. The National STD and Behavior MeasurementExperiment (NSBME) evaluates a new survey technology—telephoneaudio computer-assisted self-interviewing (T-ACASI)—thateliminates this requirement. The NSBME embedded a randomizedexperiment in a survey of probability samples of 1,543 U.S.and 744 Baltimore adults ages 18 to 45. Compared with NSBMErespondents interviewed by human interviewers, respondents interviewedby T-ACASI were 1.5 to 1.6 times more likely to report same-gendersexual attraction, experience, and genital contact. The impactof T-ACASI was more pronounced (odds ratio = 2.5) for residentsof locales that have historically been less tolerant of same-gendersexual behaviors and for respondents in households with children(odds ratio = 3.0).     

Assessment of Cigarette Smoking and Smoking Susceptibility among Youth: Telephone Computer-Assisted Self-Interviews versus Computer-Assisted Telephone Interviews

This experimental study assesses the effect of two survey methods,telephone audio computer-assisted self-interviewing (T-ACASI)and computer-assisted telephone interviewing (CATI), on self-reportsof smoking behavior and smoking susceptibility among adolescents12–17 years of age in California. In T-ACASI, participantslisten to prerecorded, computer-controlled questions and respondby pressing the keypad on a touch-tone telephone. In CATI, interviewersadminister the questions and enter responses into a computer.Prior research suggests that youth may be more likely to reportsensitive behaviors in a self-administered survey like T-ACASIcompared to an interviewer-administered survey like CATI, dueto greater perceived confidentiality. Logistic regression analyseswere conducted on unweighted data, controlling for demographicdifferences. Adjusted estimates of current smoking (past 30days) were significantly greater in T-ACASI (8.3 percent) thanCATI (4.5 percent). Smoking susceptibility (i.e., lack of afirm commitment not to smoke among those who have never smoked)was also greater in T-ACASI (45.0 percent) than CATI (34.9 percent).In both surveys, social desirability response bias was negativelyassociated with smoking, which suggests that response bias wasproblematic for both modes. Many respondents reported that aparent was present during the interview (59.4 percent in CATI;42.0 percent in T-ACASI). In both surveys, parental presencewas negatively associated with smoking, which suggests thatthis factor could also contribute to underreporting. Applicationof sample weights to the data eliminated the survey mode effects;however, the CATI current smoking estimate (9.3 percent) fromthis study was significantly less than an estimate (14.2 percent)obtained from a self-administered, school-based survey conductedthe same year on California adolescents.     

Does Telephone Audio Computer-Assisted Self-Interviewing Improve the Accuracy of Prevalence Estimates of Youth Smoking? Evidence from the UMass Tobacco Study

Despite their advantage for obtaining representative samplesof adolescents, telephone surveys have been regarded as an inferiormethod for collecting data on youth tobacco use because theyyield lower estimates than school-based, self-administered surveys.Although no gold standard for smoking estimates exists, thelower estimates in telephone surveys have been attributed tounderreporting due to youths’ concern that parents orothers may overhear their responses. Telephone audio computer-assistedself-interviewing (T-ACASI) is a cost-effective method for obtaininga representative sample of youths and provides increased privacyfor the respondent. We hypothesize that using T-ACASI wouldencourage youths to report more fully smoking behavior comparedto traditional interviewer-administered telephone methods. Ouranalysis further assesses whether respondent age, gender, race/ethnicity,and parental attitude toward smoking moderated the relationshipbetween survey mode and smoking reports. Using data from a statewidetobacco use survey that randomly assigned youth respondentsto either T-ACASI or interviewer-administered modes, we findthat youths were more likely to report smoking behaviors inT-ACASI mode and that this was especially true for girls, particularlythose who believed their parents would disapprove strongly oftheir smoking. The findings suggest that traditional telephonesurveys may underestimate smoking prevalence in most girls bya factor of two, and that a technique for ensuring privacy forthese respondents is an important component of effective telephonesurvey methodology.     

EFFECTS OF INTERVIEWER GENDER, INTERVIEWER CHOICE, AND ITEM WORDING ON RESPONSES TO QUESTIONS CONCERNING SEXUAL BEHAVIOR

We examined factors influencing responses to questions on sexualbehavior among adult respondents 18–49 years old (unweightedN = 2,030) obtained through a random-digit dialing survey. Basedon self-disclosure and perceived control the ory, we hypothesizedthat giving people a choice in selecting the gender of theirinterviewer rather than being assigned an inter viewer, andusing questions that are "supportive" of what may be perceivedof as nonnormative behavior (enhanced items), would increasedata quality relative to, respectively, matched-or opposite-genderinterviewer conditions and standard worded items. The enhanceditems facilitated responding to a number of sensitive topics.However, the effects of item wording on item response are oftenmediated by interviewer conditions. The "choice" results suggestthat giving respondents greater control decreases question threat.However, the overall findings argue for matching respondentsand interviewers on gender over opposite-gender interviewersor allowing respondents to select their interviewer's gender.Wording and interviewer manipulations reduced the discrepanciesbetween men's and women's self-reports of sexual behavior, butthey did not eliminate them, and in some cases they had no effect.The present findings suggest that males tend to be influencedby variations in item wording, interviewer gender, and respondentcontrol across a somewhat wider range of sexual topics. In general,the findings recommend matching respondents and interviewerson gender and the use of more supportive wording in sexual behaviorquestions. However, for assessment of some topics (e.g., sexualviolence) in particular segments of the population (e.g., men),other procedures, such as increasing respondent control, maybe a better choice. Overall, the data support the view thatin terms of preferred procedures, not all sexual topics arecreated equal.     

Clarifying question meaning in a household telephone survey

This study contrasts two interviewing techniques that reflectdifferent tacit assumptions about communication. In one, strictlystandardized interviewing, interviewers leave the interpretationof questions up to respondents. In the other, conversationalinterviewing, interviewers say whatever it takes to make surethat questions are interpreted uniformly and as intended. Respondentsfrom a national sample were interviewed twice. Each time theywere asked the same factual questions from ongoing governmentsurveys, five about housing and five about recent purchases.The first interview was strictly standardized; the second wasstandardized for half the respondents and conversational forthe others. Respondents in a second conversational interviewanswered differently than in the first interview more often,and for reasons that conformed more closely to official definitions,than respondents in a second standardized interview. This suggeststhat conversational interviewing improved comprehension, althoughit also lengthened interviews. We conclude that respondentsin a national sample may misinterpret certain questions frequentlyenough to compromise data quality and that such misunderstandingscannot easily be eliminated by pretesting and rewording questionsalone. More standardized comprehension may require less standardizedinterviewer behavior.     

Attitudes of Community Leaders in New Casino Jurisdictions Regarding Casino Gambling's Effects on Crime and Quality of Life

Interviews were conducted with 128 key individuals in seven communities that are new casino jurisdictions. The individuals interviewed are community leaders (mayors, members of the city council, leading members of the business community) or work in areas (banking, law enforcement, social services) which would provide insight into the positive and negative effects that casinos have on communities. A series of core questions were asked of all 128 respondents followed by additional questions designed to elicit specific information based on the individual's position. A content analysis was conducted comparing responses both within and between communities by leadership position. Findings indicate that a clear majority (59%) of those interviewed are in favor of the casino in the community, believe the casino enhances the quality of life in the community (65%), and believe that the casino has a positive effect on the economy (77%). Although a majority of the community leaders interviewed view the impact of casinos favorably, responses vary both by community and by position within the community. Finally, since ths group of community leaders was not selected randomly, it is possible that unintended interview bias shifted these results in a positive direction.     

What influences respondents to behave consistently when asked to consent to health record linkage on repeat occasions?

This study constitutes the first longitudinal exploration of consent to link survey and administrative data. It examines variations in consent over time and explores the influence of the respondents’ characteristics (both observed and latent) and the impact of the interviewers on consent co-operation. Respondent inclination to consent is modelled as a latent construct. Most respondents behave consistently over time. However, this consistency is not driven by a strong inclination to consent but rather by the circumstances of the respondents at the time of the interview and by the impact of the interviewers themselves. The findings also show that the change in consent behaviour over time is a clear indication that consent should be treated as a dynamic phenomenon at the individual level.     

Some Sources of Interviewer Variance in Surveys

Interviewer variance is examined for 33 interviewers and 3,000interviews, with age, sex, socioeconomic status, social mobility,and interviewer ratings as key variables. It differs among interviewschedule items and is influenced by combinations of sex andage of interviewers and respondents. Selecting interviewersand assigning households-respondents to them is a complex process,and matching interviewers with respondents on "face sheet" characteristicsmay produce error in some instances while reducing error inothers.     

Response Styles in Telephone and Household Interviewing: A Field Experiment

Two independent groups from the Los Angeles metropolitan areawere sampled and interviewed—one was sampled by a formof random digit dialing and interviewed by telephone; the otherwas sampled on an area probability basis and interviewed face-to-facein households. Few sociodemographic differences were found betweenthe telephone and household samples, suggesting that the twomethods sampled essentially the same population. There weredifferences in the quantity and quality of the data obtained,however, and the telephone sample had more missing data forfamily income, more acquiescence, evasiveness, and extremenessresponse bias on attitude questions, and more responses to checklists.     

The effect of interviewer evaluation of respondents’ attitudes and understanding on future survey participation in a panel study

This study explored whether the interviewers’ judgments of respondents’ performances in an initial survey can predict survey participation for a second survey among the same group of respondents in a panel study. Specifically, this study examined two interviewer variables: the interviewers’ judgments of (1) the respondents’ understanding of survey questions and (2) the respondents’ attitudes toward the survey. The analyses revealed that respondents who were rated to have an excellent understanding of the survey questions and friendly attitudes were more likely to respond to the second interview request than those with a poor understanding and unfriendly attitudes, after controlling for the characteristics of the respondents. Of these two, the judgment of the respondents’ attitudes was a stronger predictor. However, interviewer’s judgments are not correlated with the primary survey outcome or the data quality. This suggests limited value of the interviewer observation.     

Methodological considerations in the use of name generators and interpreters

With data from the Clergy Health Initiative Longitudinal Survey, we look for interviewer effects, differences between web and telephone delivery, and panel conditioning bias in an “important matters” name generator and interpreter, replicated from the U.S. General Social Survey. We find evidence of phone interviewers systematically influencing the number of confidants named, we observe that respondents assigned to the web survey reported a larger number of confidants, and we uncover strong support for panel conditioning. We discuss the possible mechanisms behind these observations and conclude with a brief discussion of the implications of our findings for similar studies.     

INTERVIEWER GENDER AND GENDER ATTITUDES

This research addresses the effects of interviewer gender onresponses to a broad array of gender-related survey questions,using data from a probability sample of adults in the UnitedStates. We focus on whether gender-of-interviewer effects areevident, whether they vary by respondent gender, and whetherthey vary across several attitudinal domains relevant to genderinequality. While many items do not show statistically significantgender-of-interviewer effects, we document significant effectsacross a variety of items. When such effects are evident, theytend to involve both male and female respondents expressingmore egalitarian gender-related attitudes or greater criticismof existing gender inequalities to female interviewers. Malerespondents offer significantly different responses to maleand female interviewers on questions dealing with gender inequalityin employment. For female respondents, interviewer-gender effectsare evident for items addressing gender-related collective action,policy, and group interests. Using multivariate models thatallow us to represent both respondent-level and interviewer-levelvariables, we find that interviewer-gender effects are statisticallysignificant in most attitudinal domains but that the interactionbetween interviewer gender and respondent gender does not tendto be statistically significant. We consider the implicationsof these findings both for understanding the survey processand for understanding gender relations more generally.     

Editorial

The research examined factors related to the decision to move to a continuing care retirement community (CCRC). Employing a sample obtained from a recently opened comprehensive CCRC, 184 residents and 246 waiting list respondents were surveyed concerning their decision to move. Residents evidenced significantly more "risk" factors than waiting list applicants and reported significantly more reasons for selecting a CCRC. Reasons for choosing a CCRC were guaranteed health care, freedom from home maintenance, and supportive services. The vulnerability of residents requires careful attention for planning and managing services to maintain independence.     

'There just aren't enough hours in the day': the mental health consequences of time pressure

In this paper I examine the association between subjective time pressure and depression and consider whether time pressure mediates the relationship between roles and depression, whether social and economic resources moderate the association between time pressure and depression, and whether time pressure explains gender differences in depression. Results of a telephone survey of 790 respondents indicate that time pressure is significantly associated with distress for men and women, and that subjective time pressure accounts for the significantly higher depression of employed women. Time pressure mediates the impact of housework and the volunteer role among women and it partially explains the differential depression of divorced men. Several resources moderate the impact of time pressure on depression: income among both men and women and perceived co-worker social support among men. Results suggest that the subjective experience of time pressure can be thought of as a potentially important mechanism by which lived experience is transformed into depression. However, in spite of the ubiquity of time pressure in the North American context, the depressing consequences of this subjective experience are not distributed equitably, suggesting that the capacity to manage time pressure and avoid depression may be another benefit associated with strategically advantageous social locations.     

Has the National Do Not Call Registry Helped or Hurt State-Level Response Rates?: A Time Series Analysis

By the end of the initial registration period on August 31,2003, the National Do Not Call Registry (DNC Registry) had registeredmore than 50 million telephone numbers. Approximately 18 monthslater that number had increased to more than 91 million. Theimpact of the DNC Registry on survey response rates, however,is largely unknown. Some researchers speculate that the registrycould make it easier to distinguish between telephone surveyinterviewers and telemarketers. Other researchers argue thata significant portion of DNC registrants may not make such distinctionsand would prefer instead to reduce all unsolicited calls frommarketers and interviewers alike. Case outcomes from nearly4.5 million telephone numbers called between January 1, 2002,and June 30, 2005, as part of the Behavioral Risk Factor SurveillanceSystem were analyzed. Using trend analyses and autoregressiveintegrated moving average (ARIMA) time series modeling, we assessedthe impact of the DNC Registry on state-level monthly responserates in 47 states. Our findings indicate that once pre-DNCRegistry trends in response rates and other potential covariatesare accounted for, the national Do Not Call rules have had nosignificant impact on state-level response rates in either apositive or negative direction.     

Serb Returnees in Croatia – the Question of Return Sustainability1

The authors report on representative field research dealing with ethnic Serb returnees to Croatia. The total sample consisted of 1,500 randomly chosen persons from a population of 120,000 officially registered Serb returnees to Croatia. The main questionnaire was answered by 403 respondents. Drawing on references relating to the concept of sustainability, they further develop it through differentiation of seven sustainability aspects or dimensions: safety; socio‐demographic structure of returnees; socio‐economic conditions of return; refugee experiences; citizenship and minority rights; and subjective perceptions of sustainability. According to field findings, between 35 and 45 per cent of the registered returnees reside permanently at the addresses they reported upon return, and an additional 3,5 per cent moved to other locations within Croatia. At the same time, between 35 and 42 per cent actually reside in their refugee countries (mostly in Serbia and Bosnia and Herzegovina). Some 6 per cent of returnees occasionally stay in Croatia and occasionally outside of it. The interviewers were unable to get any reliable information regarding permanent stay for 15 per cent of the people from the sample. Finally, 11 per cent of them have, in the meantime, passed away since registered return started in 1996. The research results confirm the prevailing impression that Serb returnees are predominantly old people. The average age of all interviewed family members is around 51. The findings and conceptualization suggest the need for a differentiated approach to a returnee body to better understand the complexity of a return. First, we have to distinguish among refugees potential returnees from non‐returnees (political and economic ones). Returnees themselves can then be grouped into several types: I) unconditional permanent; II) conditional permanent; III) semi‐returnees or trans‐national; IV) non‐formal and V) formal or quasi‐returnees.     

Telephone versus Face-to-Face Interviewing of National Probability Samples with Long Questionnaires: Comparisons of Respondent Satisficing and Social Desirability Response Bias

The last 50 years have seen a gradual replacement of face-to-faceinterviewing with telephone interviewing as the dominant modeof survey data collection in the United States. But some ofthe most expensive and large-scale nationally funded, long-termsurvey research projects involving national area-probabilitysamples and long questionnaires retain face-to-face interviewingas their mode. In this article, we propose two ways in whichshifting such surveys to random digit dialing (RDD) telephoneinterviewing might affect the quality of data acquired, andwe test these hypotheses using data from three national modeexperiments. Random digit dialing telephone respondents weremore likely to satisfice (as evidenced by no-opinion responding,nondifferentiation, and acquiescence), to be less cooperativeand engaged in the interview, and were more likely to expressdissatisfaction with the length of the interview than were face-to-facerespondents, despite the fact that the telephone interviewswere completed more quickly than the face-to-face interviews.Telephone respondents were also more suspicious about the interviewprocess and more likely to present themselves in socially desirableways than were face-to-face respondents. These findings shedlight on the nature of the survey response process, on the costsand benefits associated with particular survey modes, and onthe nature of social interaction generally.     

Interviewers' Voices and Refusal Rates in Telephone Surveys

Interviewers' voice characteristics are related to refusal ratesin telephone interviews. Judges reliably rated vocal and personalcharacteristics of telephone interviewers from recordings ofthe first one-half minute of interview introductions. Interviewerswith low refusal rates were judged as having comparatively higherpitched voices, greater ranges of variation in pitch, greaterloudness, faster rates of speaking, and clearer and more distinctpronunciation. They also were judged as more competent and ashaving a more positive approach to the respondent and the interview.     

INTERVIEWING OLDER ADULTS: MODE COMPARISON USING DATA FROM A FACE-TO-FACE SURVEY AND A TELEPHONE RESURVEY

A face-to-face survey conducted in 1984 with a sample of 1491residents of the Detroit metropolitan area (including an oversampleof older adults) and a reinterview of a random subset of theserespondents by telephone were used to compare the two modesof data collection across two age levels. Except for a tendencytoward a disproportionately large number of DK answers and adisproportionately large amount of interviewer assistance onthe telephone, respondents 60 years of age and older did notexhibit larger mode differences than did respondents under 60.For both age groups, response distributions were rather similar,suggesting little effect of mode. Likewise, response style differedlittle by mode, while a higher proportion of missing data (i.e.,"I don't know" answers) was given on the telephone. The responserate for the telephone reinterview was 90%, somewhat lower forolder than younger persons. The findings support the feasibilityof using the telephone for reinterviewing older adults.     

Telephone survey respondents' reactions to questions regarding interpersonal violence

Concerns have been raised regarding the appropriateness of asking about violence victimization in telephone interviews and whether asking such questions increases respondents' distress or risk for harm. However, no large-scale studies have evaluated the impact of asking such questions during a telephone interview. This study explored respondents' reactions to questions regarding violence in two large recently completed telephone surveys. After respondents were asked about violence, they were asked if they thought surveys should ask such questions and whether they felt upset or afraid because of the questions. In both surveys, the majority of respondents (regardless of their victimization history) were willing to answer questions about violence and were not upset or afraid because of the questions. More than 92% of respondents thought such questions should be asked. These results challenge commonly held beliefs and assumptions and provide some assurance to those concerned with the ethical collection of data on violent victimization.