Estimating misreporting in condom use and its determinants among sex workers: Evidence from the list randomisation method
研究利用列表随机化方法间接调查塞内加尔651名女性性工作者的安全套使用情况,发现直接询问时报告的使用率(97%)远高于间接方法(78%),且高风险者使用率更低。
Social desirability bias, which is the tendency to underreport socially undesirable health behaviours, significantly distorts information on sensitive behaviours gained from self-reports. We applied the list randomisation method to indirectly elicit condom use among female sex workers and tested it among 651 female sex workers in Senegal, a country where sex workers face high social stigma and where the AIDS epidemic is mainly concentrated among this population. On the basis of our list randomisation, we found that the condom use rate in the last sexual intercourse with a client was 78%, which is significantly lower than the 97% obtained when asked directly in the survey. When estimating condom use among the subgroups, we found that female sex workers who are at a higher risk of infection are less likely to use condoms.