Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH. Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology

University of Illinois, Urbana-Champaign, Urbana, Illinois, United States
Science (Impact Factor: 31.48). 05/1998; 280(5365):867-73. DOI: 10.1126/science.280.5365.867
Source: PubMed

ABSTRACT Surveys of risk behaviors have been hobbled by their reliance on respondents to report accurately about engaging in behaviors
that are highly sensitive and may be illegal. An audio computer-assisted self-interviewing (audio-CASI) technology for measuring
those behaviors was tested with 1690 respondents in the 1995 National Survey of Adolescent Males. The respondents were randomly
assigned to answer questions using either audio-CASI or a more traditional self-administered questionnaire. Estimates of the
prevalence of male-male sex, injection drug use, and sexual contact with intravenous drug users were higher by factors of
3 or more when audio-CASI was used. Increased reporting was also found for several other risk behaviors.

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Available from: Joseph Pleck, Aug 24, 2015
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    • "Respondents' demographics were assessed by computer-assisted personal interviews. Other survey questions were assessed using an audio computer-assisted self-interviewing method to increase respondents' reports of substance use and sensitive behaviors (Turner et al., 1998). The latter was designed to increase honest reports of substance use by allowing respondents to either read the "
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    ABSTRACT: Due to changes in cannabis policies, concerns about cannabis use (CU) in adolescents have increased. The population of nonwhite groups is growing quickly in the United States. We examined perceived CU norms and their association with CU and CU disorder (CUD) for White, Black, Hispanic, Native-American, Asian-American, Native Hawaiian/Pacific Islander (NH/PI), and mixed-race adolescents. Data were from adolescents (12-17 years) in the 2004-2012 National Surveys on Drug Use and Health (N = 163,837). Substance use and CUD were assessed by computer-assisted, self-interviewing methods. Blacks, Hispanics, Native-Americans, and mixed-race adolescents had greater odds of past-year CU and CUD than Whites. Among past-year cannabis users (CUs), Hispanics and Native-Americans had greater odds of having a CUD than Whites. Asian-Americans had the highest prevalence of perceived parental or close friends' CU disapproval. Native-Americans and mixed-race adolescents had lower odds than Whites of perceiving CU disapproval from parents or close friends. In adjusted analyses, adolescent's disapproval of CU, as well as perceived disapproval by parents or close friends, were associated with a decreased odds of CU in each racial/ethnic group, except for NHs/PIs. Adolescent's disapproval of CU was associated with a decreased odds of CUD among CUs for Whites (personal, parental, and close friends' disapproval), Hispanics (personal, parental, and close friends' disapproval), and mixed-race adolescents (personal, close friends' disapproval). Racial/ethnic differences in adolescent CU prevalence were somewhat consistent with adolescents' reports of CU norm patterns. Longitudinal research on CU health effects should oversample nonwhite adolescents to assure an adequate sample for analysis and reporting. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.
    Journal of Psychiatric Research 03/2015; 50. DOI:10.1016/j.jpsychires.2015.02.022 · 4.09 Impact Factor
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    • "Based on these studies, we aimed to evaluate the relation among affective temperaments, emotional traits and sexual orientation in a large web-based Brazilian sample. This anonymous and voluntary survey mediated by Internet is particularly suitable to address such sensitive and morally loaded issues (Turner et al., 1998). "
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    ABSTRACT: The relationship between temperament and sexual orientation has been poorly characterized. We have used the Affective and Emotional Composite Temperament (AFECT) model to evaluate this association in a large population sample. Data from 16,571 subjects between 21 and 45 years old (mean age=29.1±6.3 yrs, 69.4% females) was collected anonymously through Internet in Brazil. Regarding affective temperaments, male cyclothymics and dysphorics had the lowest percentage of people with heterosexual orientation and the highest percentages of people with bisexual and homosexual orientations. The opposite profile was observed in hyperthymic and euthymic types. Among females, the volatile, cyclothymic, apathetic, disinhibited and euphoric types were less often observed in people with "pure" heterosexual orientation and more often in people with bisexual orientation. In men only, homosexuality was more common among the depressive, cyclothymic and dyphorics temperaments. Emotional trait analysis showed that heterosexual subjects differed statistically from all other groups by having higher scores of coping and stability and lower scores of sensitivity and desire. Overall, the effect sizes were small to moderate, with the largest differences between "pure" heterosexuals and people with bisexual orientation, particularly in women. Subjects with heterosexual orientation who have had homosexual experience and those with homosexual orientation presented intermediate scores. Cross-sectional design, lack of potentially important covariates (e.g., maltreatment) and data collected by Internet only. Externalized and unstable traits were associated mainly with bisexuality. The group of heterosexuals with homosexual fantasies or experiences offers a new approach for the study of sexual orientation. Copyright © 2015 Elsevier B.V. All rights reserved.
    Journal of Affective Disorders 01/2015; 175C:379-384. DOI:10.1016/j.jad.2015.01.029 · 3.71 Impact Factor
    • "Limitations of the study also should be considered. Although the use of ACASI is associated with more accurate responding (Hewett et al., 2004; Metzger et al., 2000; Turner et al., 1998; Waruru et al., 2005), we did rely on self-reports to evaluate the intervention's efficacy. The use of objective data such as accelerometer data or field tests of physical fitness might have strengthened confidence in the findings. "
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    ABSTRACT: Increasing physical activity is an important public-health goal worldwide, but there are few published mediation analyses of physical-activity interventions in low-to-middle-income countries like South Africa undergoing a health transition involving markedly increased mortality from non-communicable diseases. This article reports secondary analyses on the mediation of a theory-of-planned-behavior-based behavioral intervention that increased self-reported physical activity in a trial with 1,181 men in Eastern Cape Province, South Africa. Twenty-two matched-pairs of neighborhoods were randomly selected. Within pairs, neighborhoods were randomized to a health-promotion intervention or an attention-matched control intervention with baseline, immediate-post, and 6- and 12-month post-intervention assessments. Theory-of-planned-behavior constructs measured immediately post-intervention were tested as potential mediators of the primary outcome, self-reported physical activity averaged over the 6- and 12-month post-intervention assessments, using a product-of-coefficients approach in a generalized-estimating-equations framework. Data were collected in 2007-2010. Attitude, subjective norm, self-efficacy, and intention were significant mediators of intervention-induced increases in self-reported physical activity. The descriptive norm, not affected by the intervention, was not a mediator, but predicted increased self-reported physical activity. The results suggest that interventions targeting theory-of-planned-behavior constructs may contribute to efforts to increase physical activity to reduce the burden of non-communicable diseases among South African men. Copyright © 2014. Published by Elsevier Inc.
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