Respondent driven sampling is an effective method for engaging methamphetamine users in HIV prevention research in South Africa

被引:18
作者
Kimani, Stephen M. [1 ]
Watt, Melissa H. [1 ]
Merli, M. Giovanna [1 ,2 ]
Skinner, Donald [3 ]
Myers, Bronwyn [4 ]
Pieterse, Desiree [3 ]
MacFarlane, Jessica C. [1 ]
Meade, Christina S. [1 ,5 ]
机构
[1] Duke Univ, Duke Global Hlth Inst, Durham, NC 27708 USA
[2] Duke Univ, Sanford Sch Publ Policy, Durham, NC 27708 USA
[3] Univ Stellenbosch, Fac Hlth Sci, ZA-7505 Tygerberg, South Africa
[4] Univ Cape Town, Dept Psychiat & Mental Hlth, Observatory, South Africa
[5] Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Durham, NC 27708 USA
关键词
Methamphetamine; Drug abuse; Respondent driven sampling (RDS); HIV/AIDS; HIV prevention; South Africa; RISK HETEROSEXUAL MEN; INJECTION-DRUG USERS; HARD-TO-REACH; CAPE-TOWN; SEXUAL RISK; BEHAVIORAL SURVEILLANCE; TREATMENT ADMISSIONS; HIDDEN POPULATIONS; ABUSE; WOMEN;
D O I
10.1016/j.drugalcdep.2014.07.018
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: South Africa, in the midst of the world's largest HIV epidemic, has a growing methamphetamine problem. Respondent driven sampling (RDS) is a useful tool for recruiting hard-to-reach populations in HIV prevention research, but its use with methamphetamine smokers in South Africa has not been described. This study examined the effectiveness of RDS as a method for engaging methamphetamine users in a Cape Town township into HIV behavioral research. Methods: Standard RDS procedures were used to recruit active methamphetamine smokers from a racially diverse pen-urban township in Cape Town. Effectiveness of RDS was determined by examining social network characteristics (network size, homophily, and equilibrium) of recruited participants. Results: Beginning with eight seeds, 345 methamphetamine users were enrolled over 6 months, with a coupon return rate of 67%. The sample included 197 men and 148 women who were racially diverse (73% Coloured, 27% Black African) and had a mean age of 28.8 years (SD = 7.2). Social networks were adequate (mean network size >5) and mainly comprised of close social ties. Equilibrium on race was reached after 11 waves of recruitment, and after <= 3 waves for all other variables of interest. There was little to moderate preference for either in- or out-group recruiting in all subgroups. Conclusions: Results suggest that RDS is an effective method for engaging methamphetamine users into HIV prevention research in South Africa. Additionally, RDS may be a useful strategy for seeking high-risk methamphetamine users for HIV testing and linkage to HIV care in this and other low resource settings. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:134 / 140
页数:7
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