Response Rates by Condom Use Measurement Type Among Sexually Active Young Black Men Who Have Sex with Women.

Abstract

Measuring condom use accurately is important to understanding sexual behaviors; however, there is still no consensus on the gold standard of condom use measurement. In this study, authors aimed to investigate if non-response rates were higher when absolute or relative frequency condom use questions were utilized. This study used Check It study data of Black men who have sex with women, ages 15-26 in New Orleans, LA. All men underwent a survey of sexual behavior, which included questions on condom use. From January 2017 to August 2019, participants were asked for the number of sex acts during which they had used a condom (absolute frequency question), and after August 2019 until March 2020, this was changed to response options of "Never", "Sometimes" or "Always" (relative frequency question). Participants could refuse to answer the question; the rate of refusal was tabulated by question type to determine if non-response rates differed. There were 1907 participants included in the study, with data on 2957 partnerships. Of those asked the relative frequency question, 92.7% responded compared to 86.1% who were asked the absolute frequency. In GEE modeling, those asked the relative frequency question had 2.42 (95% C.I. 1.42, 4.13, p < 0.001) greater odds of response than those asked the absolute frequency question. Relative frequency questions may be more likely to elicit a response, in research among this population.