Banerjee Sitikantha, Bandyopadhyay Kajari, Chakraborty Debjit, Bhatta Mihir
All India Institute of Medical Sciences, Vijaypur, Jammu, 184120, Jammu and Kashmir, India.
College of Medicine and Sagore Dutta Hospital, Kolkata, West Bengal, India.
AIDS Behav. 2025 Jan;29(1):211-227. doi: 10.1007/s10461-024-04518-5. Epub 2024 Oct 2.
Clients of Female Sex Workers (FSWs) are major bridge population in HIV transmission. Any research among them remains challenging because they are hidden within society. The objective of this review was tocompile the global evidence on different sampling strategies used to access male clients of female sex workers for research purpose, the challenges faced during the sampling process andpossible sources of bias. Original articles and reports published globally in last 10 years, in English language and those with full text freely available online were included in this scoping review. A comprehensive search was carried out among the electronic peer-reviewed literature database (Pubmed and Web of Science) using a pre-designed peer reviewed search strategy. Narrative synthesis was applied out across all such articles. A total of 36 articles were finally included in this review. The common sampling techniques used include convenience sampling, referral by FSWs/ pimp/brothel manager/clients, time location cluster sampling, use of virtual network, anonymous telephone survey, referred by clinicians of STI clinic etc. Overall response rate varied between 35 and 90%. Major challenges in participant recruitment included non-response, feasibility issue specially to cater non-brothel-based clients, safety issue for investigators, over-representation of clients with lower socio-economic status, higher refusal rate for known HIV positive clients to provide biological sample etc. As different sampling techniques have comparable response rate, it can be recommended that a pilot study should be carried out in local context to finalise appropriate participant recruitment technique for a given population.
女性性工作者（FSW）的客户是艾滋病毒传播中的主要桥梁人群。对他们进行任何研究都仍然具有挑战性，因为他们隐匿于社会之中。本综述的目的是汇总全球范围内关于为研究目的而接触女性性工作者男性客户所采用的不同抽样策略、抽样过程中面临的挑战以及可能的偏差来源的证据。本范围综述纳入了过去10年在全球以英文发表的、全文可在网上免费获取的原创文章和报告。使用预先设计的同行评审搜索策略，在电子同行评审文献数据库（PubMed和科学网）中进行了全面搜索。对所有此类文章进行了叙述性综合分析。本综述最终共纳入36篇文章。常用的抽样技术包括便利抽样、由女性性工作者/皮条客/妓院经理/客户转介、时间地点整群抽样、使用虚拟网络、匿名电话调查、由性传播感染诊所的临床医生转介等。总体回复率在35%至90%之间。参与者招募中的主要挑战包括无回应、可行性问题，特别是针对非妓院客户的情况、调查人员的安全问题、社会经济地位较低的客户代表性过高、已知艾滋病毒呈阳性的客户提供生物样本的拒绝率较高等。由于不同抽样技术的回复率相当，建议在当地开展一项试点研究来确定针对特定人群的合适参与者招募技术。
