Undertaking the first online sexuality survey among private university students in Lebanon – Process, challenges, and lessons learned.

Background: The taboo surrounding reproductive and sexual health in the Middle East and North African (MENA) region, specifically among unmarried youth, has resulted in an incomplete and inaccurate documentation of the status of youth sexual and reproductive health (SRH). Documenting regional research processes and successes can support SRH researchers in promoting evidence-based services and local policies. This paper describes the process, challenges and lessons learned during the first online research study in the MENA to assess university students’ sexual practices, values and perceptions.

Methods: An online survey was completed by 2,182 university students attending the 4th largest private university in Lebanon.

Results: An online SRH survey among Arab youth must be carefully developed with the cultural context and its prevailing issues in mind. Careful attention must be paid to any translation process specifically regarding tone and choice of certain sexual terms. The online program/software must be thoroughly piloted for possible technical flaws, language support, and web browser compatibility. Inter-disciplinary collaboration between the research team, IT and IRB offices is crucial in order to conduct an ethicallyappropriate technically-functional online survey.

Conclusion: Online survey methods hold great promise for surveying SRH and other sensitive topics in Lebanon and the MENA.