Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: A quasi-randomised trial

Don Des Jarlais, Denise Paone, Judith Milliken, Charles F. Turner, Heather Miller, James Gribble, Qiuhu Shi, Holly Hagan, Samuel R. Friedman

Research output: Contribution to journalArticle

Abstract

Background. We aimed to assess audio-computer-assisted self-interviewing (audio-CASI) as a method of reducing under-reporting of HIV risk behaviour among injecting drug users. Methods. Injecting drug users were interviewed at syringe-exchange programmes in four US cities. Potential respondents were randomly selected from participants in the syringe exchanges, with weekly alternate assignment to either traditional face-to-face interviews or audio-CASI. The questionnaire included items on sociodemographic characteristics, drug use, and HIV risk behaviours for 30 days preceding the interview. We calculated odds ratios for the difference in reporting of HIV risk behaviours between interview methods. Findings. 757 respondents were interviewed face-to-face, and 724 were interviewed by audio-CASI. More respondents reported HIV risk behaviours and other sensitive behaviours in audio-CASI than in face-to-face interviews (odds ratios for reporting of rented or bought used injection equipment in audio-CASI vs face-to-face interview 2.1 [95% CI 1.4-3.3] p = 0.001; for injection with borrowed used injection equipment 1.5 [1.1-2.2] p = 0.02; for renting or selling used equipment 2.3 [1.3-4.0] p = 0.003). Interpretation. Although validation of these self-reported behaviours was not possible, we propose that audio-CASI enables substantially more complete reporting of HIV risk behaviour. More complete reporting might increase understanding of the dynamics of HIV transmission and make the assessment of HIV-prevention efforts easier.

Original languageEnglish (US)
Pages (from-to)1657-1661
Number of pages5
JournalThe Lancet
Volume353
Issue number9165
DOIs
StatePublished - May 15 1999

Fingerprint

Risk-Taking
Drug Users
HIV
Interviews
Equipment and Supplies
Injections
Needle-Exchange Programs
Odds Ratio
Syringes
Surveys and Questionnaires
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users : A quasi-randomised trial. / Des Jarlais, Don; Paone, Denise; Milliken, Judith; Turner, Charles F.; Miller, Heather; Gribble, James; Shi, Qiuhu; Hagan, Holly; Friedman, Samuel R.

In: The Lancet, Vol. 353, No. 9165, 15.05.1999, p. 1657-1661.

Research output: Contribution to journalArticle

Des Jarlais, D, Paone, D, Milliken, J, Turner, CF, Miller, H, Gribble, J, Shi, Q, Hagan, H & Friedman, SR 1999, 'Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: A quasi-randomised trial', The Lancet, vol. 353, no. 9165, pp. 1657-1661. https://doi.org/10.1016/S0140-6736(98)07026-3
Des Jarlais, Don ; Paone, Denise ; Milliken, Judith ; Turner, Charles F. ; Miller, Heather ; Gribble, James ; Shi, Qiuhu ; Hagan, Holly ; Friedman, Samuel R. / Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users : A quasi-randomised trial. In: The Lancet. 1999 ; Vol. 353, No. 9165. pp. 1657-1661.
@article{88fb6b01bd184d92b6c5d6d67c94861d,
title = "Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: A quasi-randomised trial",
abstract = "Background. We aimed to assess audio-computer-assisted self-interviewing (audio-CASI) as a method of reducing under-reporting of HIV risk behaviour among injecting drug users. Methods. Injecting drug users were interviewed at syringe-exchange programmes in four US cities. Potential respondents were randomly selected from participants in the syringe exchanges, with weekly alternate assignment to either traditional face-to-face interviews or audio-CASI. The questionnaire included items on sociodemographic characteristics, drug use, and HIV risk behaviours for 30 days preceding the interview. We calculated odds ratios for the difference in reporting of HIV risk behaviours between interview methods. Findings. 757 respondents were interviewed face-to-face, and 724 were interviewed by audio-CASI. More respondents reported HIV risk behaviours and other sensitive behaviours in audio-CASI than in face-to-face interviews (odds ratios for reporting of rented or bought used injection equipment in audio-CASI vs face-to-face interview 2.1 [95{\%} CI 1.4-3.3] p = 0.001; for injection with borrowed used injection equipment 1.5 [1.1-2.2] p = 0.02; for renting or selling used equipment 2.3 [1.3-4.0] p = 0.003). Interpretation. Although validation of these self-reported behaviours was not possible, we propose that audio-CASI enables substantially more complete reporting of HIV risk behaviour. More complete reporting might increase understanding of the dynamics of HIV transmission and make the assessment of HIV-prevention efforts easier.",
author = "{Des Jarlais}, Don and Denise Paone and Judith Milliken and Turner, {Charles F.} and Heather Miller and James Gribble and Qiuhu Shi and Holly Hagan and Friedman, {Samuel R.}",
year = "1999",
month = "5",
day = "15",
doi = "10.1016/S0140-6736(98)07026-3",
language = "English (US)",
volume = "353",
pages = "1657--1661",
journal = "The Lancet",
issn = "0140-6736",
publisher = "Elsevier Limited",
number = "9165",

}

TY - JOUR

T1 - Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users

T2 - A quasi-randomised trial

AU - Des Jarlais, Don

AU - Paone, Denise

AU - Milliken, Judith

AU - Turner, Charles F.

AU - Miller, Heather

AU - Gribble, James

AU - Shi, Qiuhu

AU - Hagan, Holly

AU - Friedman, Samuel R.

PY - 1999/5/15

Y1 - 1999/5/15

N2 - Background. We aimed to assess audio-computer-assisted self-interviewing (audio-CASI) as a method of reducing under-reporting of HIV risk behaviour among injecting drug users. Methods. Injecting drug users were interviewed at syringe-exchange programmes in four US cities. Potential respondents were randomly selected from participants in the syringe exchanges, with weekly alternate assignment to either traditional face-to-face interviews or audio-CASI. The questionnaire included items on sociodemographic characteristics, drug use, and HIV risk behaviours for 30 days preceding the interview. We calculated odds ratios for the difference in reporting of HIV risk behaviours between interview methods. Findings. 757 respondents were interviewed face-to-face, and 724 were interviewed by audio-CASI. More respondents reported HIV risk behaviours and other sensitive behaviours in audio-CASI than in face-to-face interviews (odds ratios for reporting of rented or bought used injection equipment in audio-CASI vs face-to-face interview 2.1 [95% CI 1.4-3.3] p = 0.001; for injection with borrowed used injection equipment 1.5 [1.1-2.2] p = 0.02; for renting or selling used equipment 2.3 [1.3-4.0] p = 0.003). Interpretation. Although validation of these self-reported behaviours was not possible, we propose that audio-CASI enables substantially more complete reporting of HIV risk behaviour. More complete reporting might increase understanding of the dynamics of HIV transmission and make the assessment of HIV-prevention efforts easier.

AB - Background. We aimed to assess audio-computer-assisted self-interviewing (audio-CASI) as a method of reducing under-reporting of HIV risk behaviour among injecting drug users. Methods. Injecting drug users were interviewed at syringe-exchange programmes in four US cities. Potential respondents were randomly selected from participants in the syringe exchanges, with weekly alternate assignment to either traditional face-to-face interviews or audio-CASI. The questionnaire included items on sociodemographic characteristics, drug use, and HIV risk behaviours for 30 days preceding the interview. We calculated odds ratios for the difference in reporting of HIV risk behaviours between interview methods. Findings. 757 respondents were interviewed face-to-face, and 724 were interviewed by audio-CASI. More respondents reported HIV risk behaviours and other sensitive behaviours in audio-CASI than in face-to-face interviews (odds ratios for reporting of rented or bought used injection equipment in audio-CASI vs face-to-face interview 2.1 [95% CI 1.4-3.3] p = 0.001; for injection with borrowed used injection equipment 1.5 [1.1-2.2] p = 0.02; for renting or selling used equipment 2.3 [1.3-4.0] p = 0.003). Interpretation. Although validation of these self-reported behaviours was not possible, we propose that audio-CASI enables substantially more complete reporting of HIV risk behaviour. More complete reporting might increase understanding of the dynamics of HIV transmission and make the assessment of HIV-prevention efforts easier.

UR - http://www.scopus.com/inward/record.url?scp=0033562593&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033562593&partnerID=8YFLogxK

U2 - 10.1016/S0140-6736(98)07026-3

DO - 10.1016/S0140-6736(98)07026-3

M3 - Article

C2 - 10335785

AN - SCOPUS:0033562593

VL - 353

SP - 1657

EP - 1661

JO - The Lancet

JF - The Lancet

SN - 0140-6736

IS - 9165

ER -