Effects of Interview Mode on Assessments of Erectile and Ejaculatory Dysfunction among Men with Benign Prostatic Hyperplasia (BPH)

In a randomized experiment (N = 249; age 50 + years), this study examined if self-reports of erectile dysfunction (ED) and ejaculatory dysfunction (EjD) symptomatology were influenced by the mode of interview administration (computer-assisted self-interview [CASI], audio computer-assisted self-interview [ACASI], or computer-assisted personal interview [CAPI; involving an interviewer]). This study also examined if mode moderated person variables hypothesized to impact self-reports (social desirability, age, or depressive mood). No main or moderating effects of mode were found for self-reports of EjD symptoms. However, mode effects on reports of ED symptoms were observed, and these moderated age and social desirability effects on self-reports. Significantly more older (relative to younger) men reported high levels of ED symptoms when interview administration was by a live interviewer (CAPI) than with self-administration. Alternatively, significantly more younger men reported high levels of ED symptoms when administration was by an interviewer (CAPI) or by ACASI (vs. CASI). The Mode × Social Desirability effects were complex (see the Discussion section), showing hypothesized effects under ACASI and CAPI conditions, but an opposite effect under the CASI condition. The stability of self-reported ED symptoms did not vary by mode (based on test–retest comparisons); test–retest was significantly higher for EjD symptoms within the ACASI condition. The impact of mode of administration on self-reports of ED/EjD symptoms is less predictable and dramatic than one might conclude from prior research with other types of self-report outcomes. The findings are consistent with a small, but growing, body of studies that illustrate highly situational effects of interviewing, which may depend on a complex interplay between modes, person variables, and the interview topic/target items. Self-administered methods, in particular, may not be a universal solution to response bias.     

Using Photovoice to Identify Service Needs of Older African American Methadone Clients

ABSTRACT

This article presents findings from a photovoice project designed to identify service needs of older-adult African American methadone clients, as well as their current barriers to and supports for abstinence. The project involved 10 participants (aged 53 to 63 years old) recruited from a methadone maintenance program in a large Northeastern U.S. city. Thematic analysis techniques were used to analyze participants’ narratives of their pictures. Transportation emerged as a significant challenge to accessing services, and caregiving was a motivation for remaining abstinent. Future research should use similar participatory methods and engage a broader group of aging people struggling with substance abuse.     

Property Size and Land Cover Change in the Brazilian Amazon

This paper considers the size of a farmer’s property as a key variable influencing land cover and land cover change in rural areas of developing countries. Data from 126 rural familial properties in the region around the city of Santarém, Pará, in the Brazilian Amazon, indicate that property size is important for understanding the trajectories of land cover change. Past research has focused on the distinction between small family farms and large capitalized farms, arguing that family farmers have a higher deforestation intensity, or on estimating the strength of the effect of property size relative to economic or demographic factors. This paper shows that larger familial properties are able both to retain a larger area in forest and to have long enough cycles of use and fallow to allow previously used land to become forested again. Based on these analyses and discussion, we argue that land use and land cover research must consider property size as an organizing principle in order to better comprehend the reciprocal relationship between population and environment in frontier areas of the Brazilian Amazon and other rural landscapes.