What Are the Consequences of Relying Upon Self-reports of Sexually Transmitted Diseases? Lessons Learned About Recanting in a Longitudinal Study
Overview
Affiliations
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Results: Approximately 7% of all sexually experienced young men rescinded STD self-reports over time.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.
Marcus U, Veras M, Casabona J, Caceres C, Lachowsky N, Schink S BMC Public Health. 2023; 23(1):1008.
PMID: 37254096 PMC: 10228115. DOI: 10.1186/s12889-023-15946-8.
Abramsky T, Harvey S, Mosha N, Mtolela G, Gibbs A, Mshana G BMC Womens Health. 2022; 22(1):120.
PMID: 35428296 PMC: 9013096. DOI: 10.1186/s12905-022-01697-y.
Roettger M, Houle B BMJ Open. 2021; 11(4):e038445.
PMID: 33795290 PMC: 8021740. DOI: 10.1136/bmjopen-2020-038445.
Jackman K, Dangerfield 2nd D, Yang C, Trent M, Kharrazi H, Johnson R AIDS Behav. 2020; 25(4):1199-1209.
PMID: 33185776 PMC: 8288714. DOI: 10.1007/s10461-020-03092-w.
Jackman K, Murray S, Hightow-Weidman L, Trent M, Wirtz A, Baral S PLoS One. 2020; 15(8):e0237648.
PMID: 32822360 PMC: 7442257. DOI: 10.1371/journal.pone.0237648.