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What Are the Consequences of Relying upon Self-Reports of Sexually Transmitted Diseases? Lessons Learned about Recanting in a Longitudinal Study

Abstract Purpose Self-reports are the standard measure of STD history used in survey research. We explored to what extent self-reports of ever having an STD are recanted in a follow-up data collection. Methods Using the National Survey of Adolescent Males (NSAM), we assessed consistency over time in...

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Bibliographic Details
Published in:Journal of adolescent health 2009-08, Vol.45 (2), p.187-192
Main Authors: Dariotis, Jacinda K., Ph.D, Pleck, Joseph H., Ph.D, Sonenstein, Freya L., Ph.D, Astone, Nan M., Ph.D, Sifakis, Frangiscos, Ph.D
Format: Article
Language:English
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Summary:Abstract Purpose Self-reports are the standard measure of STD history used in survey research. We explored to what extent self-reports of ever having an STD are recanted in a follow-up data collection. Methods Using the National Survey of Adolescent Males (NSAM), we assessed consistency over time in self-reports of ever having an STD in a sample of young men transitioning from adolescence to young adulthood (aged 15–26 years), a population in which STDs are particularly prevalent. Results Approximately 7% of all sexually experienced young men rescinded STD self-reports over time. Thus, self-reports at one point in time likely underestimate true STD history, using earlier self-reports as the criterion. Among men who ever report an STD, 94-98% recant their reports in later waves. Conclusions Knowledge of the extent of underreporting can potentially be used to adjust cross-sectional estimates of STDs based on survey self-reports. These study findings move us one step closer to estimating just how much underreporting of STDs in self-reports is.
ISSN:1054-139X
1879-1972
DOI:10.1016/j.jadohealth.2008.12.024