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Patients misrepresenting their risk factors for AIDS
Brody, S
International Journal of STD & AIDS [INT. J. STD AIDS]. Vol. 6,
no. 6, pp. 392-398. 1995.
To determine the truthfulness of patients' and research subjects'
self-reports of their sexual and drug use histories in studies of
human immunodeficiency virus (HIV) transmission and acquired
immunodeficiency syndrome (AIDS) risk factors, studies of or
pertinent to lying about AIDS risk factors were extracted from
MEDLINE and PSYCLIT. The present paper describes normal and
pathological motives for misrepresenting risk factors, and reviews
the literature on such underreporting. There is much evidence for
lying about anal intercourse and intravenous drug use risk
factors, implying that the estimates of risk for vaginal
transmission of HIV (particularly in Pattern-I industrialized
countries) have been inflated. Research on HIV/AIDS behavioural
risk factors must include sophisticated methods for the assessment
of self-report validity, such as the use of behavioural markers,
improved lie scales and interview methods, and physical methods.
 Descriptors: Article Subject Terms acquired immune deficiency syndrome | disease
transmission | drug abuse | risk factors | sexual behavior | social
behavior | transmission
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