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Aggregate Versus Individual-Level Sexual Behavior Assessment: How Much Detail Is Needed to Accurately Estimate HIV/STI Risk?

Author

Listed:
  • Steven D. Pinkerton

    (Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, USA, pinkrton@mcw.edu)

  • Carol L. Galletly

    (Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, USA)

  • Timothy L. McAuliffe

    (Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, USA)

  • Wayne DiFranceisco

    (Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, USA)

  • H. Fisher Raymond

    (HIV Epidemiology Section, San Francisco Department of Public Health, CA, USA)

  • Harrell W. Chesson

    (Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA)

Abstract

The sexual behaviors of HIV/sexually transmitted infection (STI) prevention intervention participants can be assessed on a partner-by-partner basis: in aggregate (i.e., total numbers of sex acts, collapsed across partners) or using a combination of these two methods (e.g., assessing five partners in detail and any remaining partners in aggregate). There is a natural trade-off between the level of sexual behavior detail and the precision of HIV/STI acquisition risk estimates. The results of this study indicate that relatively simple aggregate data collection techniques suffice to adequately estimate HIV risk. For highly infectious STIs, in contrast, accurate STI risk assessment requires more intensive partner-by-partner methods.

Suggested Citation

  • Steven D. Pinkerton & Carol L. Galletly & Timothy L. McAuliffe & Wayne DiFranceisco & H. Fisher Raymond & Harrell W. Chesson, 2010. "Aggregate Versus Individual-Level Sexual Behavior Assessment: How Much Detail Is Needed to Accurately Estimate HIV/STI Risk?," Evaluation Review, , vol. 34(1), pages 19-34, February.
  • Handle: RePEc:sae:evarev:v:34:y:2010:i:1:p:19-34
    DOI: 10.1177/0193841X09353534
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    References listed on IDEAS

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    1. Smith, K.W. & McGraw, S.A. & Crawford, S.L. & Costa, L.A. & McKinlay, J.B., 1993. "HIV risk among Latino adolescents in two New England cities," American Journal of Public Health, American Public Health Association, vol. 83(10), pages 1395-1399.
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