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Behavioural Surveillance Surveys - The Wisdom of Whores

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where n is the sample size in the denominator<br />

<strong>of</strong> the indicator and p is the percentage<br />

in which the outcome variable is observed<br />

(i.e., the indicator itself)<br />

<strong>The</strong> 95% confidence interval is calculated<br />

as follows:<br />

95% CI = p ± 1.96 (SE)<br />

In comparing the same indicator in two<br />

different populations, it is possible to be<br />

confident that there is a real difference only<br />

if there is little or no overlap in the confidence<br />

intervals around the two indicators. Indicators<br />

based on categorical variables and the<br />

confidence intervals surrounding them are<br />

<strong>of</strong>ten represented graphically using a bar chart<br />

with lines denoting the confidence interval.<br />

An example from Tamil Nadu, India<br />

<strong>The</strong>se data come from the first round <strong>of</strong><br />

behavioral surveillance in Tamil Nadu, India.<br />

<strong>The</strong> data, presented in both table and graph<br />

format, are for a key indicator: the percentage<br />

<strong>of</strong> men who used a condom the last time they<br />

had sex with a sex worker, among all men who<br />

had sex with a sex worker in the past year.<br />

In tabulating the data, it is helpful to give the<br />

actual numbers in the numerator and the<br />

denominator, as well as the percentage and the<br />

95 percent confidence interval. It is especially<br />

important to give numerators and denominators<br />

when the denominator is not the total sample<br />

size (as is the case in this indicator, where only<br />

men who have had sex with a sex worker are<br />

included in the denominator.<br />

Table 1 : Percent <strong>of</strong> male target group reporting condom use during most recent<br />

act <strong>of</strong> sexual intercourse with a commercial sex partner (Tamil Nadu)<br />

Respondent group % N 95% confidence interval<br />

Male STD patients 15 68/435 11.6, 18.4<br />

Truck Drivers and Helpers 55 144/262 49.0, 61.0<br />

Male Factory Workers 28 27/97 19.0, 37.0<br />

Male Students 80 14/18 61.5, 98.5<br />

Source: <strong>The</strong> AIDS Prevention and Control Project (APAC), Voluntary Health Services, Chennai,<br />

Tamil Nadu, India, 1996.<br />

76<br />

C H A PTER 7 B EHAV I OR A L S U R V EI L L A NC E S U R V EY S

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