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The accuracy of reported sensitive sexual behaviour in Britain: exploring the extent of change 1990–2000

机译:在英国报道的敏感性行为的准确性:探索1990-2000年变化的程度

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摘要

Objectives: The 1990–1 British national probability sample survey of sexual attitudes and lifestyles (Natsal 1990) was repeated in 1999–2001 (Natsal 2000) to update population estimates of risk behaviours, and assess change over time. We examine whether changes in prevalence estimates may partly result from changes in measurement accuracy. Methods: Taking Natsal 2000 (11 161 respondents) and Natsal 1990 (13 765 respondents aged 16–44) we compared the response rate, sample representativeness, reporting of abortion last year (relative to official statistics), and selected attitudes. Among the common birth cohort eligible for both surveys (aged 16–34 Natsal 1990, 26–44 Natsal 2000), we compared reporting of experiences before 1990. Results: The response rate (66.8% Natsal 1990, 65.4% Natsal 2000) and completeness of reporting abortion were unchanged (84% Natsal 1990, 86% Natsal 2000). Attitudes were significantly changed in Natsal 2000 relative to Natsal 1990—for example, increased tolerance of male homosexual sex, OR (95% CI) 2.10 (1.93–2.29) men and 2.95 (2.74 to 3.18) women. In the common birth cohort reporting of heterosexual intercourse before 16 (OR 1.15 (1.02 to 1.29) men, 1.49 (1.31 to 1.69) women), and homosexual experience (OR 1.80 (1.46 to 2.21) men, 2.00 (1.61 to 2.48) women) were significantly increased. Conclusions: The results are consistent with improved reporting accuracy for some sensitive behaviours in Natsal 2000, in line with greater social tolerance and improved survey methodology. However, the evidence is not conclusive, and may not be generalisable to all such behaviours. The increase found in the reported prevalence of STI risk behaviours between Natsal 1990 and Natsal 2000 is likely to be somewhat overstated.
机译:目标:在1999–2001年(Natsal,2000年)重复进行1990–1年英国国家关于性态度和生活方式的概率抽样调查(Natsal,1990年),以更新风险行为的人群估计,并评估随时间的变化。我们检查流行率估计值的变化是否可能部分由测量精度的变化引起。方法:采用Natsal 2000(11 161名受访者)和Natsal 1990(13 765岁16至44岁的受访者),我们比较了回应率,样本代表性,去年的流产报告(相对于官方统计)和选择的态度。在两项调查均符合的普通出生队列中(1990年纳塔尔年龄为16-34岁,2000年纳塔尔年龄为26-44岁),我们比较了1990年之前的经历报告。报告流产的比例保持不变(Natsal 1990年为84%,Natsal 2000年为86%)。相对于1990年的Natsal,在Natsal 2000中的态度发生了显着变化,例如,男性同性恋的容忍度增加,OR(95%CI)的男性为2.10(1.93-2.29),女性为2.95(2.74至3.18)。在普通出生队列中,有16岁(男性为1.15(1.02至1.29),女性为1.49(1.31至1.69))和同性恋经历(男性为1.80(1.46至2.21),2.00(1.61至2.48)女性)前的异性性交)明显增加。结论:该结果与Natsal 2000中某些敏感行为的报告准确性的提高相一致,这与更大的社会容忍度和改进的调查方法相一致。但是,证据不是结论性的,并且可能不能推广到所有此类行为。在Natsal 1990和Natsal 2000之间报告的STI危险行为流行中发现的增加可能有些夸大了。

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