Concordant and discordant reports on shared sexual behaviors and condom use among african american serodiscordant couples in four cities

Nabila El-Bassel, Gina Wingood, Gail E. Wyatt, John B. Jemmott, Willo Pequegnat, J. Richard Landis, Scarlett Bellamy, Louisa Gilbert, Robert H. Remien, Susan Witte, Elwin Wu, Ralph DiClemente, Hector Myers, Loretta Sweet Jemmott, David Metzger, Shawn Ballard, Trina Brown, Quincy Greene, Christopher Helker, Nancy RobinsonLynne Allen-Taylor, Dina Appleby, Evelyn Crowley, Angela Ankoma, Deidre Ashton, Dawn A. Goddard, Tamu Daniel, Tina Henderson, Inna Rivkin, Cynthia M. Green, Jeffery Brently, Rebecca D. Cheraquit, Deborah Gray, Linda Hakim, Bright Sarfo, Kijana Saunders, Dawn Simmons, Keisha Wilson, Nikia D. Braxton, Anita Conner, Jevon Gibson, Alvin Harmon, Teaniese Latham, Tiffany Pennick-Walters, Kenneth Rucker, Shammara Steinback, Phillip Williams, Richard Williams, Shauni Williams, Kevin Chancy, Frank Levels, Nathaniel Thomas, Reginald Bennett, Shirley Bryson, Salema Curtis, Michelle Jones, Phyllis Jones, Malachi Moore, Charles Patterson, Marcia Penn, Alicia Samuel, Randy Shine, Ralph Stevenson, Robert Tate, Michael Taylor, Charlotte Wroton, Derryck Griffith, Pearl Johnson, Lisa Matthews, Rhonda Mendoza, Allan Winkle, Jill Daugherty, Deja Er, Linda Felix, Meklit Hailemeskal, Toya Howard, Tamika Hoyte, Jamie Smith, Lisa Smith, Les DeMorst, Rotrease Regan, Elsa Rogers, Karen Carter, Calvin Collier, Mikia Croom, Dionna Samuel, Joseph Sosa, Brian Taylor, Tamara S. Bryan, La Shun Robinson-Simpson, Christina Camp, Tamra Loeb, John Williams, Lynette Gueits, Cynthia Bayer, Angela Caliendo, Shalonda Freeman, Jessica Ingersoll, Lisa Maslankowski, Debra McGee-Smith, Patrice Moorer, Michelle Mott, Bennie Woodard, Claudette Bannerman, Warren Blake, Tiffany Bratts, Olivia Copeland, Daisy De Jesus-Sosa, Adefunke Faly, Heather Irobunda, Shakaria Johnson, Frandy Napoleon, Karen Williams, Sonya Combs, Mathew MacDonald, Lolita Roy, Dalena White, Pandora Woods, Crystal Wyatt

Research output: Contribution to journalArticlepeer-review


This paper examines the concordance of reported shared sexual behaviors, including condom use, among 535 heterosexual, African American, serodiscordant couples and identifies factors that might predict discordant reports. Percentages of agreement, Kappa and McNemar's statistics and conditional probability indices are used to measure concordance. Logistic regression models identify predictors of couples' discordant sexual reports. Analyses revealed Kappa statistics for reporting anal sex, fellatio and cunnilingus indicated moderate to substantial agreement. The effects of demographics and the couples' relationship contexts on concordance of reported sexual behaviors were found to vary somewhat by gender and type of sexual behavior. Findings showed that concordance of reporting between the couples was consistent for the past 90 and 30 days. Findings from this paper provide new scientific insights into the knowledge base of self-reported couples' data and suggest that these data can be used to evaluate their accuracy and serve as a proxy for validity.

Original languageEnglish (US)
Pages (from-to)1011-1022
Number of pages12
JournalAIDS and Behavior
Issue number5
StatePublished - Oct 2010


  • African American couples
  • Concordance
  • Discordance
  • HIV
  • Serodiscordant

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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