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      Audio computer-assisted survey instrument versus face-to-face interviews: optimal method for detecting high-risk behaviour in pregnant women and their sexual partners in the south of Brazil.

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          Abstract

          Audio computer-assisted survey instrument (ACASI) has been shown to decrease under-reporting of socially undesirable behaviours, but has not been evaluated in pregnant women at risk of HIV acquisition in Brazil. We assigned HIV-negative pregnant women receiving routine antenatal care at in Porto Alegre, Brazil and their partners to receive a survey regarding high-risk sexual behaviours and drug use via ACASI (n = 372) or face-to-face (FTF) (n = 283) interviews. Logistic regression showed that compared with FTF, pregnant women interviewed via ACASI were significantly more likely to self-report themselves as single (14% versus 6%), having >5 sexual partners (35% versus 29%), having oral sex (42% versus 35%), using intravenous drugs (5% versus 0), smoking cigarettes (23% versus 16%), drinking alcohol (13% versus 8%) and using condoms during pregnancy (32% versus 17%). Therefore, ACASI may be a useful method in assessing risk behaviours in pregnant women, especially in relation to drug and alcohol use.

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          Author and article information

          Journal
          Int J STD AIDS
          International journal of STD & AIDS
          SAGE Publications
          1758-1052
          0956-4624
          Apr 2013
          : 24
          : 4
          Affiliations
          [1 ] Division of Infectious Disease, Department of Pediatrics, David Geffen School of Medicine at UCLA, MDCC 22-442 10833 LeConte Avenue, USA. nyeganeh@mednet.ucla.edu
          Article
          0956462412472814 NIHMS815070
          10.1177/0956462412472814
          5021309
          23970659
          89e5cbaf-2c35-4617-9ebb-93db2f3ca371
          History

          HIV,ACASI,antenatal care,high-risk sexual behaviours,pregnancy,prevention,risk factors,substance use

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