The European Men-Who-Have-Sex-With-Men Internet Survey (EMIS): Design and Methods

The European Men-Who-Have-Sex-With-Men Internet Survey (EMIS): Design and Methods
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DOI:
10.1007/s13178-013-0119-4
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发表时间:
2013-12-01
影响因子:
2.6
通讯作者:
Marcus, Ulrich
Marcus, Ulrich
中科院分区:
法学3区
文献类型:
--
作者:
Weatherburn, Peter;Schmidt, Axel J.;Marcus, Ulrich

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在欧洲,以社区为基础的机会性自我完成调查在男男性行为者(MSM)中很常见,被用来产生未得到满足的预防需求的证据,用于行为监测,并被用作倡导艾滋病毒预防措施的平台。然而,比较欧洲各地的调查结果是困难的,因为衡量标准和招聘设计各不相同,而且并非所有国家都进行了调查。EMIS(欧洲男男性行为互联网调查)旨在开发一项关于艾滋病毒相关男性同性恋行为和预防需求的泛欧洲互联网调查,以提高研究能力并朝着协调现有系统的方向发展。6个联系伙伴又从35个国家的学术界、公共卫生和民间社会招募了77个合作伙伴。收集和整理了合作伙伴现有的男男性接触者调查,产生了一份元调查,所有合作伙伴在为期两天的峰会上通过轮流圆桌会议进行了讨论。通过用户试用和合作伙伴反馈反复进行调查开发,直到就英语内容达成一致。在转移到在线调查应用程序之后,在屏幕上翻译成24种其他语言之前进行进一步测试,最后测试和签字。该项目的视觉标识和宣传材料是与国家领导密切合作开发的,根据国家具体需要量身定做产品,同时保持项目的整体标识。五家国际MSM交友网站签订了合同,以一系列浪潮向会员发送精心制作的即时消息。这项调查寻求与利益相关者和受访者的共同点,支持对男男性接触者“危害最小的最佳性行为”。对回复的实时监控使广告预算能够有针对性地支出,以最大限度地扩大回复的覆盖面和深度。实地考察是在2010年6月至8月期间进行的。共收到超过184,469份答复,其中94.4%符合条件。向38个国家的合作伙伴提供了一个国家数据库,其中包括100名或更多的受访者,用于国家分析和产出,而AP小组则对38个国家的174,209名受访者进行了国际比较。教育管理信息系统论证了利用有限的公共资金开展以社区为基础的多国男男性接触者互联网调查的可行性。“以最少的伤害获得最好的性行为”的概念为不同的利益相关者提供了一个合作的共同点。大量合作者有意义地参与了调查设计、其视觉特性和宣传战略,确保了招聘工作前所未有的覆盖面和深度。灵活的规划是必不可少的,需要在一系列商业和社区合作伙伴之间拼凑招聘。仔细的设计、试点和介绍确保了调查是可接受的,并具有权威性和预期的社区利益。
Community-based opportunistic self-completion surveying for sexual health programming is common among men-who-have-sex-with-men (MSM) in Europe, being used to generate evidence of unmet prevention need, for behavioural surveillance and as a platform for advocating HIV precautions. However, comparing survey findings across Europe is difficult because of varying measures and recruitment designs, and surveying has not occurred in all countries. EMIS (the European Men-who-have-sex-with-men Internet Survey) aimed to develop a pan-European Internet survey on HIV-related male homosexual behaviours and prevention needs both to increase research capacity and to move towards harmonisation of existing systems. Six associated partners (APs) recruited another 77 collaborating partners from academia, public health and civil society across 35 countries. Partners' existing MSM surveys were collected and collated, producing a meta-survey which was discussed by all partners through rotating round-tables at a 2-day summit. Survey development continued iteratively through user piloting and partner feedback until the English language content was agreed. Transfer to an online survey application was followed by further testing before on-screen translation into 24 other languages, final testing and sign-off. The project's visual identity and promotional materials were developed in close collaboration with national leads, tailoring products to match country specific needs while maintaining an overall project identity. Five international MSM dating websites were contracted to send carefully crafted instant messages to members in a series of waves. The survey sought common ground with stakeholders and respondents by endorsing 'the best sex with the least harm' for MSM. Real-time monitoring of responses allowed targeted spending of the advertising budget to maximise coverage and depth of responses. Fieldwork occurred during June-August 2010. Over 184,469 responses were submitted of which 94.4 % were eligible. Partners in 38 countries were supplied with a national database of 100 or more respondents for national analysis and outputs, while the AP team proceeded on international comparisons among 174,209 respondents in 38 countries. EMIS demonstrated the feasibility of multi-country community-based MSM Internet surveying with limited public funding. The concept of 'the best sex with the least harm' provided a common ground for a diverse range of stakeholders to collaborate. Meaningful involvement of a large number of collaborators in the survey design, its visual identity and in promotional strategies ensured unprecedented coverage and depth of recruitment. Flexible planning was essential and a patchwork of recruitment was required across a range of commercial and community partners. Careful design, piloting and presentation ensured the survey was acceptable and had both authority and perceived community benefit.