Inconsistent Reports of Sexual Intercourse Among South African High School Students

Palen, Lori Ann; Smith, Edward A.; Caldwell, Linda L.; Flisher, Alan J.; Wegner, Lisa; Vergnani, Tania

doi:10.1016/j.jadohealth.2007.08.024

Cited by 79 publications

(80 citation statements)

References 18 publications

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“…Consistent with previous analyses of other survey data, in both editions of the PeNSE survey, we found that the prevalence of inconsistency was higher for males 45,53,54,55 , delayed students 56 , and those who reported having experimented with drugs 26,44,56 .…”

Section: Discussionsupporting

confidence: 91%

“…As discussed by Barnea et al 25 , this may happen because of fear of admitting use of illegal substances, or because certain actions are considered shameful. Conversely, some adolescents may "brag" or over-report engaging in disapproved or risky behaviors, perhaps as a result of their desire to conform to the presumed norms of their peers 1,26,27,28,29 .…”

Section: Self-reported Measures Of Risk Behavior In Survey Data: Qualmentioning

confidence: 99%

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Inconsistent reports of risk behavior among Brazilian middle school students: National School Based Survey of Adolescent Health (PeNSE 2009/2012)

et al. 2017

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This study assessed the consistency of self-reports of risk behavior (overall and within four specific domains: alcohol use, tobacco use, drug use, and sexual activity) in two editions of the Brazilian National School Based Survey of Adolescent Health (PeNSE): 2009 and 2012. The overall proportion of cases with at least one inconsistent response in the two editions was 11.7% (2.7% on the alcohol items, 2.1% for drug use, 4.3% for cigarette use, 3% for sexual activity) and 22.7% (12.8% on alcohol items, 2.5% for drug use, 4.3% for cigarette use, 4.1% for sexual activity), respectively. Such inconsistency was more prevalent among males, delayed students, those who reported having experimented with drugs, and those who did not have a cellphone. Because inconsistent responses were more prevalent among the students who claimed to have engaged in risky activities, removing inconsistent responders affected the estimated prevalence of all risk behaviors in both editions of the survey. This study supports the importance of performing consistency checks of self-report surveys, following the growing body of literature on this topic.

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Section: Discussionsupporting

confidence: 91%

Section: Self-reported Measures Of Risk Behavior In Survey Data: Qualmentioning

confidence: 99%

Inconsistent reports of risk behavior among Brazilian middle school students: National School Based Survey of Adolescent Health (PeNSE 2009/2012)

et al. 2017

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“…Algumas limitações deste estudo devem ser consideradas: a sua metodologia transversal exige prudência na generalização dos resultados, pois apesar da sequência temporal dos acontecimentos ter sido assegurada no estudo das trajetórias, investigações futuras deverão privilegiar uma metodologia longitudinal; o caráter retrospetivo das respostas pode ter aumentado a presença de enviesamentos típicos desse tipo de avaliação 57 e a natureza sensível das questões incrementado a probabilidade de respostas socialmente desejáveis. 58,59 Avaliar simultaneamente os parceiros das jovens, explorando incongruências entre as fontes, poderá ser uma estratégia válida em investigações futuras.…”

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Trajetórias Relacionais e Reprodutivas Conducentes à Gravidez na Adolescência: a Realidade Nacional e Regional Portuguesa

et al. 2014

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Introduction:The current study aimed to describe the relational and reproductive trajectories leading to adolescent pregnancy in Portugal, and to explore whether there were differences in this process according to adolescents' place of residence. Material and Methods: Data were collected between 2008 and 2013 in 42 public health services using a self-report questionnaire developed by the researchers. The sample consisted of a nationally representative group of pregnant adolescents (n = 459). Results: Regardless of having had one (59.91%) or multiple sexual partners (40.09%), the majority of adolescents became pregnant in a romantic relationship, using contraception at the time of the conception and knowing the contraceptive failure which led to pregnancy (39.22%). In some regions other trajectories were highly prevalent, reflecting options such as planning the pregnancy (Alentejo Region/ Azores Islands), not using contraception (Centro Region/Madeira Islands) or using it incorrectly, without identifying the contraceptive failure (Madeira Islands). On average, romantic relationships were longer than 19 months and adolescents' partners were older than themselves (> 4 years) and no longer in school (75.16%); these results were particularly significant when the pregnancy was planned. Discussion: The knowledge gained in this study shows that prevention efforts must be targeted according to the adolescents' needs in each region and should include high-risk male groups. Conclusion: Our results may enable more efficient health policies to prevent adolescent pregnancy in different country regions and support educators and health care providers on sexual education and family planning efforts.

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“…First, although the size of the groups was consistent with national statistics, given the small size of the under-16 age group, the study only allowed us to detect of mainly medium to large effects. Second, due to the sensitive nature of some of the study variables assessed, such as age at first sexual intercourse, number of sexual partners and contraceptive use, it was difficult to control for socially desirable answers (Palen et al, 2008;Rose et al, 2009). Future research should therefore evaluate other sources of information (e.g., adolescents' partners) as a strategy to overcome the inconsistencies in the data.…”

Section: Relationship Characteristicsmentioning

confidence: 99%

Sociodemographic, sexual, reproductive and relationship characteristics of adolescents having an abortion in Portugal: a homogeneous or a heterogeneous group?

Pereira

Pires

Pedrosa

et al. 2016

The European Journal of Contraception & Reproductive Health

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Objectives: The aims of the study were to describe the sociodemographic, sexual, reproductive and relational characteristics of adolescents having an abortion in Portugal and to explore the differences between three adolescent age groups. Methods: We recruited a nationally representative sample of 224 adolescents (<16 years, n = 18; 16-17 years, n = 103; 18-19 years, n = 103) who had an abortion. Data were collected from 16 health care services that provide abortion. Results: The adolescents were predominantly single, were from non-nuclear families, had low-socioeconomic status and were students. Mean age at first sexual intercourse was 15 years and mean gynaecological age was 5 years. Most had had multiple sexual partners, and for most it was their first pregnancy. At conception, the majority were involved in a long-term romantic relationship, were using contraception but did not identify the contraceptive failure that led to the pregnancy.Significant age group differences were found. Compared with the younger age groups, the 18-19 years age group was more frequently married or living with a partner, had finished school, had attained a higher educational level (as had their partner), intended to go to university, and had a greater number of sexual partners. Compared with the other groups, those under 16 years of age reported earlier age at menarche and at first sexual intercourse, and had a lower gynaecological age. Conclusions: Our study characterises the life contexts of Portuguese adolescents who had an abortion. It highlights the need to recognise the heterogeneity of this group according to age.The findings have important implications for the development of age-appropriate guidelines to prevent unplanned pregnancy.

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Inconsistent Reports of Sexual Intercourse Among South African High School Students

Abstract: These results suggest that researchers need to undertake efforts to deal specifically with inconsistent risk behavior data. These may include modification of data collection procedures and use of statistical methodologies that can account for response inconsistencies.

Cited by 79 publications

References 18 publications

Inconsistent reports of risk behavior among Brazilian middle school students: National School Based Survey of Adolescent Health (PeNSE 2009/2012)

Inconsistent reports of risk behavior among Brazilian middle school students: National School Based Survey of Adolescent Health (PeNSE 2009/2012)

Trajetórias Relacionais e Reprodutivas Conducentes à Gravidez na Adolescência: a Realidade Nacional e Regional Portuguesa

Sociodemographic, sexual, reproductive and relationship characteristics of adolescents having an abortion in Portugal: a homogeneous or a heterogeneous group?

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