Validity of self-reporting of episodes of external genital warts

Autor: Stella Grosser, Steffanie A. Strathdee, Karl R. Beutner, Barbara R. Visscher, Frank J. Palella, Roger Detels, Karen Qi, Bridget Calhoun, Dorothy J. Wiley
Rok vydání: 2001
Předmět:
Zdroj: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 35(1)
ISSN: 1537-6591
Popis: To determine whether men are able to self-diagnose external genital warts (EGWs), we studied data from 1115 men with and without human immunodeficiency virus infection. Men were largely unable to accurately assess the presence of EGWs. Self-reporting of EGWs was not a sensitive tool; only 38% of men who had EGWs diagnosed by a trained examiner who used bright light and visual inspection also reported having them. When we controlled for other covariates in a multivariate model, men who had EGWs diagnosed by an examiner were 14 times less likely to show concordance between examiner findings and self-report than were men who did not have EGWs diagnosed by an examiner (odds ratio, 0.07; 95% confidence interval, 0.06-0.09). Self-diagnosis and self-assessment may not accurately reflect the presence of EGWs, and self-diagnosis should not be used in place of an examiner's findings for epidemiologic studies that seek to determine the cause of disease.
Databáze: OpenAIRE