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SAME-GENDER SEX IN THE UNITED STATES IMPACT OF T-ACASI ON PREVALENCE ESTIMATES
Authors:Villarroel Maria A  Turner Charles F  Eggleston Elizabeth  Al-Tayyib Alia  Rogers Susan M  Roman Anthony M  Cooley Philip C  Gordek Harper
Institution:MARIA A. VILLARROEL is with the Program in Health and Behavior Measurement, Research Triangle Institute (RTI), Washington, DC. CHARLES F. TURNER is with the Program in Health and Behavior Measurement, RTI, Washington, DC, and Queens College and the Graduate Center, City University of New York. ELIZABETH EGGLESTON is with the Program in Health and Behavior Measurement, RTI, Washington, DC. ALIA AL-TAYYIB is with the Program in Health and Behavior Measurement, RTI, Washington, DC, and the University of North Carolina at Chapel Hill. SUSAN M. ROGERS is with the Program in Health and Behavior Measurement, RTI, Washington, DC. ANTHONY M. ROMAN is with the Center for Survey Research, University of Massachusetts, Boston. PHILIP C. COOLEY is with the Research Computing Division, RTI, Research Triangle Park, NC. HARPER GORDEK is with Statistics and Epidemiology, RTI, Research Triangle Park, NC. Support for this research was provided by National Institutes of Health grants R01-MH56318 and R01-HD31067 to Charles Turner.
Abstract: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).
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