The association between interviewer gender and responses to sensitive survey questions in a sample of Haitian women

Bias may be introduced in survey data collection when participants answer questions differently depending on interviewer gender. This could affect the validity of collected data, especially sensitive data. Using sexual behavior data collected in a 2017–2018 cross-sectional survey of Haitian women (n = 304), we evaluated the associations between interviewer-gender and three different outcomes: (1) question-specific response rates, (2) total number of non-responses, and (3) differences in reported answers. We observed higher item response rates for sensitive sexual behavior questions when the interviewer was female and more item non-responses (Don’t know/Refuse) when the interviewer was male. Among those who did respond, participants were more likely to report some sensitive sexual behaviors to women and others to men. We conclude that researchers should consider the sociocultural norms of the study population and the potential for interviewer gender bias in the planning and analysis phase of studies using self-reported data

Health Education Training Embedded in a Microfinance Platform Associated with Safer Sexual Behavior in Haitian Women

Sexual health education interventions have generally yielded modest impact, but may be more successful when integrated into programs designed to alleviate poverty and empower women. Between December 2017 and February 2018, we interviewed 304 Haitian female microfinance clients, 75 of whom had received health education training delivered within their regular meetings. Participants reported six key sexual health outcomes. We used log-binomial models to estimate the association between health education training and each outcome, and tested for interaction by age and literacy status. Women with health education training reported more condom use with unfaithful partners [PR (95% CI) 1.78 (1.04, 3.02)], more HIV testing [PR (95% CI) 1.56 (1.28, 1.90)], and fewer STI symptoms [PR (95% CI) 0.37 (0.19, 0.73)], compared to women with no training. Some of the associations were stronger among older women [e.g. HIV testing: PR (95% CI) 2.09 (1.49, 2.82)] and illiterate women [e.g. condom use: PR (95% CI) 3.46 (1.05, 11.38)]. These findings add to the growing body of evidence demonstrating the potential to use microfinance programs as platforms for health education delivery, and provide the first evidence for the association in Haiti