Article Text

other Versions

PDF
Validity of coital diaries in a feasibility study for the Microbicides Development Programme trial among women at high risk of HIV/AIDS in Mwanza, Tanzania
  1. Caroline F Allen (carolineallen{at}tstt.net.tt)
  1. Caribbean Health Research Council, Trinidad and Tobago
    1. Shelley S Lees (shelley.lees{at}lshtm.ac.uk)
    1. London School of Hygiene and Tropical Medicine, United Kingdom
      1. Nicola A Desmond (nicola{at}sphsu.mrc.ac.uk)
      1. Medical Research Council Social and Public Health Sciences Unit, United Kingdom
        1. Geoff Der (geoff{at}sphsu.mrc.ac.uk)
        1. Medical Research Council Social and Public Health Sciences Unit, United Kingdom
          1. Betty Chiduo (bchiduo{at}crstanzania.org)
          1. National Institute for Medical Research, Tanzania, United Republic of
            1. Ian Hambleton (ian.hambleton{at}gmail.com)
            1. University of the West Indies, Barbados
              1. Louise Knight (looknight2002{at}yahoo.co.uk)
              1. London School of Hygiene and Tropical Medicine, United Kingdom
                1. Andrew Vallely (a.vallely{at}uq.edu.au)
                1. University of Queensland, Australia
                  1. David A Ross (david.ross{at}lshtm.ac.uk)
                  1. LSHTM, United Kingdom
                    1. Richard J Hayes (richard.hayes{at}lshtm.ac.uk)
                    1. London School of Hygiene and Tropical Medicine, United Kingdom

                      Abstract

                      Objectives: To compare coital diaries (CDs) and face-to-face interviews (FFIs) in measuring sexual behaviour among women at high risk of HIV To assess the effect of differing levels of support from researchers on reporting in CDs and FFIs

                      Methods: Three groups of 50 women were randomly selected from a cohort of food and recreational facility workers participating in a microbicide trial feasibility study and received differing levels of researcher support. Minimum support involved delivering and collecting CDs weekly; medium support included a weekly FFI and discussion of concerns; intensive support also included an unscheduled mid-week visit when diaries were checked and concerns addressed. All respondents participated in an exit FFI, including questions on sexual behaviour over the four-week study period and study acceptability.

                      Results: Sexual behaviours were generally reported more frequently in CDs than weekly or exit interviews. Vaginal and anal sex, male and female condom use, vaginal cleaning and lubrication, sex during menstruation and sex with irregular and regular partners were reported more frequently in CDs than exit interviews. In CDs, level of support was associated with reporting of vaginal sex and cleaning. In exit interviews, support level was associated with reporting of vaginal sex, vaginal cleaning and sex with regular, irregular and commercial partners. Women with minimum support reported least satisfaction with the research process. Women with intensive support were most likely to report that they informed someone about their study participation and that they completed diaries daily.

                      Conclusions: Compared with FFIs, CDs resulted in higher reporting of socially stigmatised activities, and sexual behaviour reporting varied less by level of support. More researcher support enhanced study acceptability.

                      • HIV
                      • developing countries
                      • diaries
                      • microbicides
                      • sexual behaviour research methods

                      Statistics from Altmetric.com

                      Request permissions

                      If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.