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The Context of HIV Risk Among Drug Users and Their Sexual Partners

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having bleach available.” Similar statements preceded questions about<br />

condom use <strong>and</strong> anal intercourse.<br />

<strong>The</strong> hypothesis concerning questions asked late versus early in the<br />

interview was predicated on the belief that rapport develops between an<br />

interviewer <strong>and</strong> a respondent in the course <strong>of</strong> an interview, increasing the<br />

comfort level <strong>of</strong> the respondent <strong>and</strong> thereby making it more likely that the<br />

respondent will reveal unfavorable information. While the literature on<br />

order effects reveals a mixed pattern <strong>of</strong> findings (Sudman <strong>and</strong> Bradbum<br />

1974; Bradbum <strong>and</strong> Sudman 1979), the authors’ experience working with<br />

IVDUs suggested this would be the case.<br />

Table 8 shows the results <strong>of</strong> the experiment with interview formats. <strong>The</strong><br />

long questions elicited significantly higher levels <strong>of</strong> reported borrowing<br />

<strong>of</strong> syringes <strong>and</strong> a higher reporting level <strong>of</strong> lifetime practice <strong>of</strong> anal<br />

intercourse. <strong>The</strong>y appeared to have little impact, however, on selfreported<br />

condom use. Order (early versus late) effects were observed for<br />

only one variable, condom use for the previous 30 days; respondents<br />

asked this question late in the interview were more likely to disclose<br />

condom use. This finding is difficult to interpret, but it may have been<br />

related to an association <strong>of</strong> condoms with loose sexual morals, making it<br />

less likely that respondents would admit to using them early in the<br />

interview. <strong>The</strong>re were no significant interactions between the long versus<br />

short <strong>and</strong> early versus late manipulations.<br />

Matching Gender <strong>of</strong> Interviewers <strong>and</strong> Respondents<br />

In a separate experiment, the authors r<strong>and</strong>omized male <strong>and</strong> female<br />

respondents to male <strong>and</strong> female interviewers to determine whether<br />

responses to questions about sexual behavior might be influenced by the<br />

gender <strong>of</strong> interviewer, respondent, or both. Although Sudman <strong>and</strong><br />

Bradbum’s (1974) review <strong>of</strong> the literature suggested the characteristics <strong>of</strong><br />

interviewers <strong>and</strong> respondents have little effect on responses to questions<br />

about behavior, an apparent exception is situations in which<br />

interviewer/respondent characteristics are related to the subject matter.<br />

Table 9 shows the results <strong>of</strong> the r<strong>and</strong>omized experiment. <strong>The</strong>re were no<br />

statistically significant main effects <strong>of</strong> interviewer gender. In two trends,<br />

women respondents were less likely to acknowledge to a female<br />

interviewer that they had vaginal intercourse but more likely to report<br />

using condoms consistently. Other patterns were evident but not<br />

231

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