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IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2024-12-15 DOI:10.1111/hex.70105

Nora Hamdiui, Maartje Boer, Jim van Steenbergen, Maria van den Muijsenbergh, Aura Timen, Mart Stein

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引用次数: 0

摘要

导言：荷兰自 1996 年起开始实施一项针对 30-60 岁妇女的全国宫颈癌（CC）筛查计划。土耳其裔和摩洛哥裔荷兰妇女的参与率非常低。为了帮助她们做出知情决定，我们制作了一部具有文化敏感性的教育视频，并通过问卷调查对其进行了评估。由于我们采用了多种策略来招募受访者，因此我们的目标是：（1）探讨哪种抽样策略会产生哪种类型的受访者；（2）调查哪种抽样策略和个人特征与成功招募到其他受访者有关；（3）研究通过受访者驱动抽样（RDS）招募到的受访者之间的相似性：我们使用了六种抽样策略并对其进行了比较，以探讨其招募成功率：(1) RDS（即点对点招募）；(2) 公共和私人妇女 Facebook 群组；(3) Instagram；(4) 研究人员网络；(5) 线下组织（如社区中心和清真寺）；(6) 其他渠道（如传单、信息图表和信息会议）。为此，我们进行了χ2 检验、多元逻辑回归和类内相关性（ICCs）检验：共有 782 名摩洛哥受访者和 696 名土耳其-荷兰受访者参与了分析。近 40% 的受访者通过 RDS 填写了问卷。与平均水平相比，通过 RDS 募集的受访者多为年龄较大、受教育程度较低的第一代移民妇女。与平均水平相比，通过 RDS 招募的受访者往往对 CC 筛查知识知之甚少，往往在不知情的情况下做出 CC 筛查决定。然而，社交媒体渠道的受访者中，年轻、受过高等教育和第二代移民妇女的比例高于平均水平。与网络树之间相比，网络树内部的社会人口特征和对 CC 筛查的态度差异更大。网络树内配对受访者具有相似特征的概率因特征不同而有很大差异：通过使用 RDS 和要求受访者招募同伴，较难接触到的人群（即年龄较大、受教育程度较低和第一代移民）被接触到了。通过使用社交媒体渠道，可以招募到年轻、高学历和第二代移民。在 RDS 中，更多的女性对 CC 筛查知之甚少，也更多的女性在不知情的情况下做出了 CC 筛查决定。为了接触到需要定制信息或符合其需求的干预措施的人群，我们建议使用 RDS 作为干预措施的实施策略：在 RDS 之后，我们让摩洛哥和土耳其裔荷兰妇女参与招募其他摩洛哥和土耳其裔荷兰妇女。通过招募，妇女们能够填写我们的调查问卷，并观看我们具有文化敏感性的教育视频，以改善她们对 CC 筛查计划的知情决策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Exploring Different Sampling Strategies: A Description of Our Success in Reaching Hard-to-Reach Turkish and Moroccan Immigrant Women in The Netherlands

查看原文本刊更多论文

Exploring Different Sampling Strategies: A Description of Our Success in Reaching Hard-to-Reach Turkish and Moroccan Immigrant Women in The Netherlands

Introduction

In the Netherlands, since 1996, there is a national cervical cancer (CC) screening programme in place for women aged 30–60 years. The participation of Turkish- and Moroccan-Dutch women is very low. To facilitate their informed decision-making, we developed a culturally sensitive educational video, and evaluated it through a questionnaire study. Since we used multiple strategies for the recruitment of respondents, we aimed (1) to explore which sampling strategy resulted in which type of respondents, (2) to investigate which sampling strategy and individual characteristics were associated with successful recruitment of other respondents, and (3) to examine similarity between those recruited via respondent-driven sampling (RDS).

Methods

Six sampling strategies were used and compared to explore their recruitment success: (1) RDS (i.e. peer-to-peer recruitment), (2) public and private women's Facebook groups, (3) Instagram, (4) researchers' network, (5) offline organizations (e.g., community centres and mosques), and (6) other channels (e.g. flyers, infographics, and information meetings). To do this, χ² tests, a multivariate logistic regression, and intra class correlations (ICCs) were performed.

Results

Overall, 782 Moroccan- and 696 Turkish-Dutch respondents were included in the analysis. Almost 40% filled out the questionnaire via RDS. RDS yields more often older, lower educated, and first-generation immigrant women than average. Respondents recruited via RDS have more often low CC screening knowledge and make more often uninformed CC screening decisions than average. Social media channels, however, yielded more younger, highly educated, and second-generation immigrant women than average. Sociodemographic characteristics and attitudes towards CC screening varied more strongly within than between network trees. The probability that paired respondents within a network tree had similar characteristics varied strongly depending on the characteristic.

Conclusions

By using RDS and asking respondents to recruit peers, the more hard-to-reach individuals (i.e. older, lower educated, and first-generation immigrants) were reached. By using social media channels, younger, highly educated, and second-generation individuals can be recruited. RDS yielded more often women with low CC screening knowledge and women making uninformed CC screening decisions. To reach the individuals in need of tailored information or an intervention conform their needs, we recommend to use RDS as an intervention delivery strategy.

Patient or Public Contribution

Following RDS, we involved Moroccan- and Turkish-Dutch women in recruiting other Moroccan- and Turkish-Dutch women. Through this recruitment, women were able to fill out our questionnaire, and watch our culturally sensitive educational video to improve their informed decision-making in regard to the CC screening programme.

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.