He said, she said’: assessing dyadic agreement of reported sexual behaviour and decision-making among an HIV sero-discordant couples cohort in Uganda

Simple item page
dc.contributor.authorBirungi, Josephine
dc.contributor.authorMaldoon, Cathrine
dc.contributor.authorKanters, Steve
dc.contributor.authorKing, Racheal
dc.contributor.authorNyonyintono, Moreen
dc.contributor.authorKhanakwa, Sarah
dc.contributor.authorMoore, David. M.
dc.date.accessioned2021-12-15T08:31:38Z
dc.date.available2021-12-15T08:31:38Z
dc.date.issued2016
dc.description.abstractBackground The intimate nature of sexuality makes it challenging to accurately measure sexual behaviour. To assess response reliability, we examined agreement between couples in heterosexual HIV sero-discordant partnership on survey questions regarding condom use and sexual decision-making. Methods Data for this analysis come from baseline data from a cohort study of HIV sero- discordant couples in Jinja, Uganda. We examined the degree of agreement between male and female partners on standard measures of sexual behaviour using the kappa (κ) statistic and 95% confidence intervals (95% CIs). Results Among 409 couples, the median age for the male partner was 41 [interquartile range (IQR) 35–48] years and the female partner was 35 (IQR 30–40) years. Among 58.2% of the couples, the male was the HIV-positive partner. Questions with high or substantial couple agreement included condom use at last sex (κ=0.635, 95% CI 0.551–0.718) and frequency of condom use (κ=0.625, 95% CI 0.551–0.698). Questions with low or fair couple agreement included decision-making regarding condom use (κ=0.385, 95% CI 0.319–0.451), wanting more biological children (κ=0.375, 95% CI 0.301– 0.449) and deciding when to have sex (κ=0.236, 95% CI 0.167–0.306). Conclusions Survey questions assessing condom use had the highest level of couple agreement and questions regarding sexual decision-making and fertility desire had low couple agreement. Questions with high agreement have increased reliability and reduced measurement bias; however, questions with low agreement between couples identify important areas for further investigation, particularly perceived relationship control and gender differences.en_US
dc.identifier.citationMoore, D. M., Birungi, J., khanikwa, S., Kanters, S., King, S., Maldoon, C., & Nyonyinton, M. (2015). He said, she said’: assessing dyadic agreement of reported sexual behaviour and decision-making among an HIV sero-discordant couples cohort in Uganda. Fam Plann Reprod Health Care, 43:142–146. doi:10.1136/jfprhc-2015-101323en_US
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/547
dc.language.isoenen_US
dc.publisherBMJen_US
dc.subjectSexual behaviouren_US
dc.subjectSero-discordant couplesen_US
dc.subjectHIVen_US
dc.titleHe said, she said’: assessing dyadic agreement of reported sexual behaviour and decision-making among an HIV sero-discordant couples cohort in Ugandaen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
He said, she said’: assessing dyadic agreement of reported sexual behaviour and decision-making among an HIV sero-discordant couples cohort in Uganda.pdf
Size:
261.96 KB
Format:
Adobe Portable Document Format
Description:
Research Article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Medical and Health Sciences