Test-Retest Reliability of Self-Reported HIV/STD-Related Measures Among African-American Adolescents in Four U.S. Cities

Peter A. Vanable, Michael P. Carey, Jennifer L. Brown, Ralph DiClemente, Laura F. Salazar, Larry K. Brown, Daniel Romer, Robert F. Valois, Michael Hennessy, Bonita F. Stanton

Research output: Contribution to journalArticle

Abstract

Purpose: To evaluate the test-retest reliability of self-reported sexuality-related data in a sample of African American adolescents residing in four U.S. cities. Methods: Using audio computer-assisted self-interviewing (ACASI), 156 African American teens (mean age = 15.5 years) provided data on lifetime and recent sexual behavior, HIV/sexually transmitted disease (STD) testing, and theoretical antecedents of sexual risk behavior on two occasions separated by 2 weeks. Results: Most self-reports of lifetime sexual behavior and STD/HIV testing were stable across the two assessment points. Test-retest agreement was substantial for dichotomous indices of lifetime sexual behaviors and STD testing (kappas ranging from .61-.87), and for 3-month recall of vaginal sex (kappa = .72) and number of sexual partners (intraclass correlation coefficient [ICC] = .68). Lower reliability estimates emerged for count data of unprotected vaginal sex occasions (ICC = .44). Test-retest reliability estimates for antecedents of sexual risk behavior were highest for a validated measure of HIV-related knowledge (r = .73), but somewhat lower for peer norms (r = .58) and condom use self-efficacy (r = .50). Conclusions: Although variability in the stability of self-report data was observed, findings confirm that most sexual behavior, STD and HIV testing history, and psychosocial measures can be assessed reliably among adolescents. Research should continue to identify strategies to enhance the reliability of self-report sexual behavior data from youth at risk for HIV and other sexually transmitted infections.

Original languageEnglish (US)
Pages (from-to)214-221
Number of pages8
JournalJournal of Adolescent Health
Volume44
Issue number3
DOIs
StatePublished - Mar 1 2009

Fingerprint

Sexually Transmitted Diseases
Reproducibility of Results
Sexual Behavior
African Americans
HIV
Self Report
Risk-Taking
Unsafe Sex
Sexual Partners
Condoms
Sexuality
Self Efficacy
History
Research

Keywords

  • Adolescent health
  • HIV
  • Reliability
  • Self-report
  • STIs

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Test-Retest Reliability of Self-Reported HIV/STD-Related Measures Among African-American Adolescents in Four U.S. Cities. / Vanable, Peter A.; Carey, Michael P.; Brown, Jennifer L.; DiClemente, Ralph; Salazar, Laura F.; Brown, Larry K.; Romer, Daniel; Valois, Robert F.; Hennessy, Michael; Stanton, Bonita F.

In: Journal of Adolescent Health, Vol. 44, No. 3, 01.03.2009, p. 214-221.

Research output: Contribution to journalArticle

Vanable, PA, Carey, MP, Brown, JL, DiClemente, R, Salazar, LF, Brown, LK, Romer, D, Valois, RF, Hennessy, M & Stanton, BF 2009, 'Test-Retest Reliability of Self-Reported HIV/STD-Related Measures Among African-American Adolescents in Four U.S. Cities', Journal of Adolescent Health, vol. 44, no. 3, pp. 214-221. https://doi.org/10.1016/j.jadohealth.2008.09.002
Vanable, Peter A. ; Carey, Michael P. ; Brown, Jennifer L. ; DiClemente, Ralph ; Salazar, Laura F. ; Brown, Larry K. ; Romer, Daniel ; Valois, Robert F. ; Hennessy, Michael ; Stanton, Bonita F. / Test-Retest Reliability of Self-Reported HIV/STD-Related Measures Among African-American Adolescents in Four U.S. Cities. In: Journal of Adolescent Health. 2009 ; Vol. 44, No. 3. pp. 214-221.
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