Sexual health of ethnic minority MSM in Britain (MESH project): design and methods

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• 作者：Jonathan Elford (1)
  Eamonn McKeown (1)
  Rita Doerner (1)
  Simon Nelson (2)
  Nicola Low (3)
  Jane Anderson (4)
  
• 刊名：BMC Public Health
• 出版年：2010
• 出版时间：December 2010
• 年：2010
• 卷：10
• 期：1
• 全文大小：268KB
• 参考文献：1. Health Protection Agency: / HIV in the United Kingdom: 2008 report. London: HPA. 2008.
  2. Health Protection Agency: / Sexually transmitted infections and men who have sex with men in the UK: 2008 report. London: HPA; 2008.
  3. Health Protection Agency: / Sexually transmitted infections in black African and black Caribbean communities in the UK: 2008 report. London: HPA; 2008.
  4. Low N: HIV infection in Black Caribbeans in the United Kingdom. / Sexually Transmitted Infections 2004, 80:2鈥?. CrossRef
  5. Low N, Sterne JAC, Barlow D: Inequalities in rates of gonorrhoea and chlamydia between black and ethnic groups in south east London: cross-sectional study. / Sexually Transmitted Infections 2001, 77:15鈥?0. CrossRef
  6. Dougan S, Elford J, Rice B, Brown A, Sinka K, Evans B, / et al.: Epidemiology of HIV among black and minority ethnic men who have sex with men in England and Wales. / Sexually Transmitted Infections 2005, 81:345鈥?50. CrossRef
  7. Dougan S, Payne L, Brown A, Fenton K, Logan L, Evans B, / et al.: Black Caribbean adults with HIV in England, Wales and Northern Ireland: an emerging epidemic? / Sexually Transmitted Infections 2004, 80:18鈥?3. CrossRef
  8. Hickson F, Reid D, Weatherburn P, Stephens M, Nutland W, Boakye P: HIV, sexual risk, and ethnicity among men in England who have sex with men. / Sexually Transmitted Infections 2004, 80:443鈥?50. CrossRef
  9. Ni Bhrolchain M: The ethnicity question for the 1991 census: background and issues. / Ethnic and Racial Studies 1990, 13:542鈥?67. CrossRef
  10. Office for National Statistics: / Census 2001. Key statistics for urban areas in England and Wales (table KS06). Norwich: HMSO; 2004.
  11. Johnson A, Mercer C, Erens B, Copas A, McManus S, Wellings K, / et al.: Sexual behaviour in Britain: partnerships, practices and HIV risk behaviours. / Lancet 2001, 358:1835鈥?842. CrossRef
  12. Herek G: / Stigma and sexual orientation: understanding prejudice against lesbians, gay men and bisexuals (psychological perspectives on lesbian and gay issues). Thousand Oaks, California: Sage; 1997.
  13. Dodds C, Keogh P, Chime O, Haruperi T, Nabulya B, Ssanyu Sseruma W, / et al.: / Outsider status: stigma and discrimination experienced by gay men and African people with HIV. London: Sigma Research; 2004.
  14. Keogh P, Henderson L, Dodds C: / Ethnic minority gay men: redefining community, restoring identity. London: Sigma Research; 2004.
  15. Ottosson D: / State-sponsored homophobia: a world survey of laws prohibiting same sex activity between consenting adults. International Lesbian and Gay Association; 2007.
  16. McGarrigle C, Fenton K, Gill O, Hughes G, Morgan D, Evans B: Behavioural surveillance: the value of national coordination. / Sexually Transmitted Infections 2002, 78:398鈥?05. CrossRef
  17. Dodds J, Mercey D, Parry JV, Johnson AM: Increasing risk behaviour and high levels of undiagnosed HIV infection in a community sample of homosexual men. / Sexually Transmitted Infections 2004, 80:236鈥?40. CrossRef
  18. Reid D, Weatherburn P, Hickson F, Stephens M: / Know the score: findings from the national gay men's sex survey 2001. London: Sigma Research; 2002.
  19. Elford J, Bolding G, Davis M, Sherr L, Hart G: Trends in sexual behaviour among London gay men 1998鈥?003: implications for STI/HIV prevention and sexual health promotion. / Sexually Transmitted Infections 2004, 80:451鈥?54. CrossRef
  20. Elford J, Bolding G, Sherr L, Hart G: High risk sexual behaviour among London gay men: no longer increasing. / AIDS 2005, 19:2171鈥?174. CrossRef
  21. Bolding G, Davis M, Hart G, Sherr L, Elford J: Gay men who look for sex on the Internet: is there more HIV/STI risk with online partners? / AIDS 2005, 19:961鈥?68. CrossRef
  22. Elford J, Bolding G, Davis M, Sherr L, Hart G: The Internet and HIV study: design and methods. / BMC Public Health 2004, 4:39. CrossRef
  23. Mercer C, Fenton KA, Copas A, Wellings K, Erens B, McManus S, / et al.: Increasing prevalence of male homosexual partnerships and practices in Britain 1990鈥?000; evidence from national probability surveys. / AIDS 2004, 18:1453鈥?458. CrossRef
  24. Bolding G, Davis M, Sherr L, Hart G, Elford J: Use of gay Internet sites and views about online health promotion among men who have sex with men. / AIDS Care 2004, 16:993鈥?001. CrossRef
  25. Evans AR, Wiggins RD, Mercer CH, Bolding GJ, Elford J: Men who have sex with men in Great Britain: comparison of a self-selected internet sample with a national probability sample. / Sex Transm Infect 2007, 83:200鈥?05. CrossRef
  26. Rhodes S, Bowie D, Hergenrather K: Collecting behavioural data using the world wide web: considerations for researchers. / Journal of Epidemiology and Community Health 2003, 57:68鈥?3. CrossRef
  27. Couper M: / The promises and perils of web surveys. London: Association for Survey Computing; 2001.
  28. Pequegnat W, Rosser BR, Bowen AM, Bull SS, DiClemente RJ, Bockting WO, / et al.: Conducting Internet-based HIV/STD prevention survey research: considerations in design and evaluation. / AIDS Behav 2007, 11:505鈥?21. CrossRef
  29. Elford J, Anderson J, Bukutu C, Ibrahim F: HIV in East London: ethnicity, gender and risk. Design and methods. / BMC Public Health 2006, 6:150. CrossRef
  30. Hewson C: Gathering data on the Internet: qualitative approaches and possibilities for mixed methods and research. In / The Oxford Handbook of Internet Psychology. Edited by: Joinson A, McKenna K, Postmes T, Reips U-D. Oxford: Oxford University Press; 2007.
  31. Evans A, Elford J, Wiggins R: Using the Internet for qualitative research. In / Handbook of Qualitative Research in Psychology. Edited by: Willig C, Stainton-Rogers W. London: Sage; 2008.
  32. Davis M, Bolding G, Hart G, Sherr L, Elford J: Reflecting on the experience of interviewing online: perspectives from the Internet and HIV study. / AIDS Care 2004, 16:944鈥?52. CrossRef
  33. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/10/419/prepub
  
• 作者单位：Jonathan Elford (1)
  Eamonn McKeown (1)
  Rita Doerner (1)
  Simon Nelson (2)
  Nicola Low (3)
  Jane Anderson (4)
  
  1. School of Community and Health Sciences, City University London, 20 Bartholomew Close, London, EC1A 7QN, UK
  2. Terrence Higgins Trust, 8-10 West Street, Bristol, BS2 0BH, UK
  3. Institute of Social and Preventive Medicine, University of Bern, Finkenhubelweg 11, 3012, Bern, Switzerland
  4. Centre for the Study of Sexual Health and HIV, Homerton University Hospital NHS Foundation Trust, Homerton Row, London, E9 6SR, UK
  
• ISSN：1471-2458

文摘

Background Men who have sex with men (MSM) remain the group most at risk of acquiring HIV infection in Britain. HIV prevalence appears to vary widely between MSM from different ethnic minority groups in this country for reasons that are not fully understood. The aim of the MESH project was to examine in detail the sexual health of ethnic minority MSM living in Britain. Methods/Design The main objectives of the MESH project were to explore among ethnic minority MSM living in Britain: (i) sexual risk behaviour and HIV prevalence; (ii) their experience of stigma and discrimination; (iii) disclosure of sexuality; (iv) use of, and satisfaction with sexual health services; (v) the extent to which sexual health services (for treatment and prevention) are aware of the needs of ethnic minority MSM. The research was conducted between 2006 and 2008 in four national samples: (i) ethnic minority MSM living in Britain; (ii) a comparison group of white British MSM living in Britain; (iii) NHS sexual health clinic staff in 15 British towns and cities with significant ethnic minority communities and; (iv) sexual health promotion/HIV prevention service providers. We also recruited men from two "key migrant" groups living in Britain: MSM born in Central or Eastern Europe and MSM born in Central or South America. Internet-based quantitative and qualitative research methods were used. Ethnic minority MSM were recruited through advertisements on websites, in community venues, via informal networks and in sexual health clinics. White and "key migrant" MSM were recruited mostly through Gaydar, one of the most popular dating sites used by gay men in Britain. MSM who agreed to take part completed a questionnaire online. Ethnic minority MSM who completed the online questionnaire were asked if they would be willing to take part in an online qualitative interview using email. Service providers were identified through the British Association of Sexual Health and HIV (BASHH) and the Terrence Higgins Trust (THT) CHAPS partnerships. Staff who agreed to take part were asked to complete a questionnaire online. The online survey was completed by 1241 ethnic minority MSM, 416 men born in South and Central America or Central and Eastern Europe, and 13,717 white British MSM; 67 ethnic minority MSM took part in the online qualitative interview. In addition 364 people working in sexual health clinics and 124 health promotion workers from around Britain completed an online questionnaire. Discussion The findings from this study will improve our understanding of the sexual health and needs of ethnic minority MSM in Britain.