222993 Accuracy of Self-Reported HIV Testing Among Late Adolescents: Findings From a Sample of Young African-American Women Seeking Services at Sexual Health Clinics

Monday, November 8, 2010

Jessica Sales, PhD , Rollins School of Public Health Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA
Ralph J. DiClemente, PhD , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Eve S. Rose, MSPH , Rollins School of Public Health, Department of Behavioral Science and Health Education, Emory University, Atlanta, GA
Background: Self-reported behavior is the cornerstone of measurement in HIV/STD and prevention research, as well as guides clinical practice during sexual health visits, yet little is known about its accuracy. This study examined the accuracy of self-reported HIV testing among a sample of young African-American women seeking services at sexual health clinics in the Southeastern U.S. Methods: Data were collected via ACASI at 4 time points (every six months for 18-months) from 374 African-American adolescent females (14-20 years) seeking services at sexual health clinics. Self-reported HIV testing history, sociodemographic, family, psychosocial, and laboratory-confirmed STD results were collected during each assessment. Contingency tables determine consistency/accuracy of self-reported HIV testing over the 18-month period. Multivariate logistic regression identified predictors of inconsistent reporting. Results: Of the 374 participants who completed an ACASI at all 4 time points, 73 (19.5%) inconsistently reported having had an HIV test at Time 1 and subsequently reported they had never taken an HIV test at one or more of the other time points. Testing positive for a laboratory-confirmed STD (AOR = 2.59, P = .001), having older sex partners (AOR = 1.54, P = .017), and fear of negotiating condom use (AOR = 1.11, P = .008) were significantly predictive of inconsistent reporting. Discussion: Marked inconsistency was observed between self-reported HIV testing history across an 18-month time period. STD history, partner characteristics, and condom negotiation skill were predictors of inaccurate/inconsistent reporting. While self-report remains necessary, it may not be sufficient to accurately assess young women's HIV testing history.

Learning Areas:
Protection of the public in relation to communicable diseases including prevention or control
Social and behavioral sciences

Learning Objectives:
Identify rate of inconsistent reporting of HIV testing behavior in a clinic-based sample of young African-American women. Identify possible predictors of inconsistent/inaccurate HIV testing reporting in the sample. Describe the need for possible routine HIV testing among young women attending sexual health clinics during each clinic visit.

Keywords: Adolescents, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Research Assistant Professor in the Department of Behavioral Sciences and Health Education at Emory University, Rollin's School of Public Health
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.