Measuring HIV Risk Perception and Behavior: Results from Round 1 of the Cognitive Interviewing Project with young women and men who have sex with men in South Africa

Self-reported HIV risk perception and behaviors are used in a variety of settings for diverse purposes, such as HIV prevention program planning and screening. Careful consideration of how youth in high HIV prevalence areas interpret these kinds of questions warrants attention. The Cognitive Intervie...

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Published inAIDS and behavior Vol. 24; no. 8; pp. 2307 - 2318
Main Authors Milne, Jessica, Brady, Hannah, Shato, Thembekile, Bohn, Danielle, Mdladla, Makhosazana, Ngcwayi, Nangamso, Atujuna, Millicent, Humphries, Hilton, Amico, K Rivet
Format Journal Article
LanguageEnglish
Published New York Springer US 01.08.2020
Springer Nature B.V
Subjects
Adolescent
Cognition
Cognitive ability
Cognitive interviews
Female
Gays & lesbians
Health Psychology
Health risks
Heterosexuality
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Homosexuality, Male
Human immunodeficiency virus
Humans
Infectious Diseases
Local population
Male
Medicine
Medicine & Public Health
Men
Men who have sex with men
Mens health
Original Paper
Perception
Public Health
Risk
Risk perception
Risk taking
Sexual and Gender Minorities
Sexual Behavior
Sexually transmitted diseases
South Africa - epidemiology
STD
Tests
Womens health
Young Adult
Young adults
Young women
Youth
South Africa
HIV risk perception
Cognitive interviewing
Youth
Survey development
HIV risk behavior
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Summary:Self-reported HIV risk perception and behaviors are used in a variety of settings for diverse purposes, such as HIV prevention program planning and screening. Careful consideration of how youth in high HIV prevalence areas interpret these kinds of questions warrants attention. The Cognitive Interviewing Project (CIP) conducted cognitive interviews on common risk survey items with 30 cis-female and 20 MSM youth (18 to 24), who had recent sex with a male partner, in Cape Town and Vulindlela, South Africa. Results identified a number of potential issues including (1) confusing text; (2) mismatches of terms with local usage; (3) confusion with items requiring self-tailoring; (4) presentation concerns limiting selection of full range of answers; and (5) challenges reporting on information dependent on partner (eg., HIV risk, HIV status of partner). Self-report Items used to identify those at elevated risk for HIV should be evaluated with local populations to optimize shared understanding.
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Authors’ Contributions: K.R.A. chaired the CIP and led protocol development and analyses, HH and MA served as site PIs contributing to all aspects of protocol development, data collection and interpretation of findings, JM and HB conducting coding, analyses, interpretation of findings and write up. TS contributed to protocols, oversight of project implementation, and interpretation of findings. All authors contributed to manuscript finalization.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-020-02790-9