PT - JOURNAL ARTICLE AU - Katherine A Muldoon AU - Steve Kanters AU - Josephine Birungi AU - Rachel L King AU - Maureen Nyonyintono AU - Sarah Khanakwa AU - David M Moore TI - ‘He said, she said’: assessing dyadic agreement of reported sexual behaviour and decision-making among an HIV sero-discordant couples cohort in Uganda AID - 10.1136/jfprhc-2015-101323 DP - 2017 Apr 01 TA - Journal of Family Planning and Reproductive Health Care PG - 142--146 VI - 43 IP - 2 4099 - http://jfprhc.bmj.com/content/43/2/142.short 4100 - http://jfprhc.bmj.com/content/43/2/142.full SO - J Fam Plann Reprod Health Care2017 Apr 01; 43 AB - Background The intimate nature of sexuality makes it challenging to accurately measure sexual behaviour. To assess response reliability, we examined agreement between couples in heterosexual HIV sero-discordant partnership on survey questions regarding condom use and sexual decision-making.Methods Data for this analysis come from baseline data from a cohort study of HIV sero-discordant couples in Jinja, Uganda. We examined the degree of agreement between male and female partners on standard measures of sexual behaviour using the kappa (κ) statistic and 95% confidence intervals (95% CIs).Results Among 409 couples, the median age for the male partner was 41 [interquartile range (IQR) 35–48] years and the female partner was 35 (IQR 30–40) years. Among 58.2% of the couples, the male was the HIV-positive partner. Questions with high or substantial couple agreement included condom use at last sex (κ=0.635, 95% CI 0.551–0.718) and frequency of condom use (κ=0.625, 95% CI 0.551–0.698). Questions with low or fair couple agreement included decision-making regarding condom use (κ=0.385, 95% CI 0.319–0.451), wanting more biological children (κ=0.375, 95% CI 0.301–0.449) and deciding when to have sex (κ=0.236, 95% CI 0.167–0.306).Conclusions Survey questions assessing condom use had the highest level of couple agreement and questions regarding sexual decision-making and fertility desire had low couple agreement. Questions with high agreement have increased reliability and reduced measurement bias; however, questions with low agreement between couples identify important areas for further investigation, particularly perceived relationship control and gender differences.