City University, London, United Kingdom.
Euro Surveill. 2009 Nov 26;14(47):19414. doi: 10.2807/ese.14.47.19414-en.
This paper describes behavioural surveillance for HIV and sexually transmitted infections (STI) among men who have sex with men (MSM) in Europe, focusing on the methods and indicators used. In August 2008, questionnaires were sent to European Union Member States and European Free Trade Association countries seeking information on behavioural surveillance activities among eight population groups including MSM. Thirty-one countries were invited to take part in the survey and 27 returned a questionnaire on MSM. Of these 27 countries, 14 reported that there was a system of behavioural surveillance among MSM in their country while another four countries had conducted behavioural surveys of some kind in this subpopulation. In the absence of a sampling frame, all European countries used convenience samples for behavioural surveillance among MSM. Most European countries used the Internet for recruiting and surveying MSM for behavioural surveillance reflecting increasing use of the Internet by MSM for meeting sexual partners. While there was a general consensus about the main behavioural indicators (unprotected anal intercourse, condom use, number of partners, HIV testing), there was considerable diversity between countries in the specific indicators used. We suggest that European countries reach an agreement on a core set of indicators. In addition we recommend that the process of harmonising HIV and STI behavioural surveillance among MSM in Europe continues.
本文描述了欧洲男男性行为者(MSM)中艾滋病毒和性传播感染(STI)的行为监测,重点介绍了所使用的方法和指标。2008 年 8 月,向欧盟成员国和欧洲自由贸易联盟国家发送了问卷,以了解包括 MSM 在内的八个人群群体的行为监测活动信息。邀请了 31 个国家参加调查,其中 27 个国家就 MSM 问题回答了问卷。在这 27 个国家中,14 个国家报告称本国存在 MSM 行为监测系统,另有 4 个国家对该亚人群进行了某种形式的行为调查。由于没有抽样框架,所有欧洲国家都使用方便样本对 MSM 进行行为监测。大多数欧洲国家使用互联网招募和调查 MSM 进行行为监测,这反映了 MSM 越来越多地使用互联网来寻找性伴侣。尽管对主要行为指标(无保护肛交、 condom 使用、性伴侣数量、HIV 检测)达成了普遍共识,但各国在具体指标的使用上存在很大差异。我们建议欧洲国家就一套核心指标达成一致。此外,我们建议继续协调欧洲 MSM 中的艾滋病毒和性传播感染行为监测。