Strategies for Recruiting Migrants to Participate in a Sexual Health Survey: Methods, Results, and Lessons
Abstract
:1. Introduction
- Ascertain whether it is possible to recruit at least 1100 African and Asian migrants living in Australia from a diverse range of countries of origin, age groups, and gender identities to participate in a self-administered paper and online SHBBV survey;
- Document the outcomes, strengths, and challenges associated with recruitment through social media, face-to-face recruitment at public events and venues, and direct invitations to networks;
- Determine the acceptability of providing gratuities to migrants during recruitment to an SHBBV survey study; and
- Identify other barriers to both recruitment and research on recruitment and provide recommendations to assist future researchers in overcoming these barriers.
2. Materials and Methods
2.1. Recruitment to the Online Survey
- Through print and online media advertisements published in (a) Korean-language newspapers (Vision Weekly and The Sunday Weekly; collective readership, 11,500) on 2 October 2020, (b) SS Newspaper (readership, 5000) on 6 October 2020, (c) AVN Newspaper (readership, 5000) on 30 October 2020, (d) Viet Queensland News Online on 7 October 2020, (e) Asian Community Newspaper (ACNews), and Queensland Asian Business Weekly on 24 September 2020 (collective readership, 35,000);
- On a flyer handed out by project officers at public events/locations (namely, to individuals who expressed interest in the survey but were not able or willing to complete the paper version at that time);
- On a poster that was displayed in public places frequented by the target population. The poster also featured a quick-response (QR) code link; and
- By project officers attempting to recruit individuals by phone call or text message.
2.2. Recruitment to the Paper Survey
2.3. Data, Variables, and Analysis
3. Results
3.1. Sample Characteristics
3.2. Online Survey Recruitment
3.3. Paper Survey Recruitment
3.4. Participation Rates
3.5. Documented Barriers to Participation
A person from the Philippines] said we should not use “Migrant Blood-borne Virus and Sexual Health Survey” as she thinks it meant migrants brought these diseases here. It would cause more stigma due to the current COVID-19 situation. She said we should use “Blood-borne Virus and Sexual Health Survey for Migrants”. She said she could not pass the survey to others because of this.(personal communication, email received from Queensland partner organization, 15 September 2020).
I am concerned about this research title Migrant Blood-borne Virus and Sexual Health Survey, it’s particularly sensitive under the current context that Asian communities are stigmatized and there is “I am not Virus Campaign”(personal communication, email received from New South Wales stakeholder, 21 September 2020).
Is this survey confidential for people who are collecting it?(Sub-Saharan African-born respondent, aged 40–29).
We don’t know how you keep the confidentially [sic] of this survey, since I got this survey from a girl I am not close with.(South-East Asian-born respondent, aged 18–29 years).
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
Tally | |
Number of recruitment attempts made * This is the number of people you directly invited to complete the survey | |
Number of people who completed the survey | |
Number of people who took survey link to complete at a later date | |
Number of people not eligible to complete survey * This is the number of people who you directly invited to complete the survey but were not eligible due to age, country of birth or length of time in Australia | |
Number of people who refused to complete the survey with reasons | |
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Did you observe that any groups of people were more likely to refuse to complete the survey (e.g., men, women, people of a certain age, people from particular countries)? | |
*We realise it is difficult to make these judgments so please answer as best you can | |
Is there anything else about your experiences recruiting at this event that you would like to share? |
Appendix B
Characteristics of Person (If Known) | How Contact Made—Attempt 1 | How Contact Made—Attempt 2 | How Contact Made—Attempt 3 | Outcome (Choose One Option) |
Gender: |
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Actual or estimated age: | ||||
Country of birth: | ||||
Length of time in Australia: | ||||
Gender: |
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Actual or estimated age: | ||||
Country of birth: | ||||
Length of time in Australia: |
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Method | Western Australia | South Australia | Victoria | New South Wales | Queensland |
---|---|---|---|---|---|
Poster QR codes | Yes | Yes | Yes | Yes | Yes |
Email invitations | Yes | Yes | Yes | Yes | Yes |
Social media posts | Yes | Yes | Yes | Yes | Yes |
Facebook advertisements | Yes | Yes | Yes | Yes | Yes |
Newspaper advertisements | No | No | No | No | Yes |
Posts on local websites | Yes | Yes | No | Yes | Yes |
Attending public venues | Yes | Yes | No | No | Yes |
Variables | Categories | Source Data |
---|---|---|
Region of birth | NEA; SEA; SSA; not reported 1 | Based on responses to survey item ‘country of birth’ |
State of residence | WA; Qld; SA; Vic; NSW; not reported/other 2 | Based on reported postcode, information in source query string, or state paper surveys were collected from |
Age in years | 18–29; 30–39; 40–49; 50–59; 60+; not reported | Based on responses to survey item ‘age’ |
Gender | Male; female; not reported or other | Based on responses to survey item ‘own gender’ |
Years in Australia | ≤9; 10–19; 20–29; 30+; not reported | Based on responses to survey item ‘time in Australia’ |
Sexuality | Heterosexually attracted only; same-sex attraction; not reported/other | Based on matching responses to survey item ‘own gender’ and ‘gender of those to whom sexually attracted’ |
Survey type | Online; paper | Based on information in source query string |
Online referral source | WA sexual health organization website; WA multicultural organization website; Korean-Australian website; NSW Government website; mibss.org; email from WA partner; email from Qld partner; email from Victorian partner; email from NSW partner; email from SA partner; QR code; Twitter; Facebook | Based on information in source query string |
Place of Birth | State of Residence | Age (Years) | Gender | Length of Time in Australia (Years) | Sexuality | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
WA | QLD | SA | VIC | NSW | N/A | 18–29 | 30–39 | 40–49 | 50–59 | 60+ | N/A | Male | Female | N/A & Other | ≤9 | 10–19 | 20–29 | 30+ | N/A | Hetero-Sexual Only | Same-Sex Attraction | N/A & Un-defined | |
SSA (n = 358) | 42 | 159 | 132 | 20 | 3 | 2 | 110 | 116 | 81 | 37 | 11 | 3 | 163 | 184 | 11 | 121 | 198 | 14 | 6 | 19 | 306 | 28 | 24 |
Eastern 1 (n = 267) | 37 | 124 | 88 | 18 | 0 | 0 | 83 | 91 | 60 | 25 | 8 | 0 | 122 | 136 | 9 | 84 | 159 | 9 | 3 | 12 | 232 | 17 | 18 |
Western 2 (n = 53) | 1 | 17 | 30 | 1 | 2 | 2 | 18 | 11 | 9 | 10 | 3 | 2 | 24 | 28 | 1 | 21 | 21 | 4 | 1 | 6 | 43 | 5 | 5 |
Central 3 (n = 22) | 0 | 12 | 10 | 0 | 0 | 0 | 8 | 7 | 5 | 1 | 0 | 1 | 13 | 9 | 0 | 10 | 12 | 0 | 0 | 0 | 19 | 3 | 0 |
Southern 4 (n = 16) | 4 | 6 | 4 | 1 | 1 | 0 | 1 | 7 | 7 | 1 | 0 | 0 | 4 | 11 | 1 | 6 | 6 | 1 | 2 | 1 | 12 | 3 | 1 |
SEA (n = 533) | 213 | 134 | 95 | 83 | 6 | 2 | 127 | 117 | 115 | 83 | 82 | 9 | 193 | 329 | 11 | 220 | 136 | 54 | 105 | 18 | 445 | 43 | 45 |
Cambodia (n = 27) | 0 | 4 | 23 | 0 | 0 | 0 | 12 | 6 | 7 | 1 | 1 | 0 | 16 | 10 | 1 | 18 | 6 | 0 | 3 | 0 | 17 | 6 | 4 |
Indonesia (n = 165) | 141 | 12 | 3 | 7 | 1 | 1 | 31 | 37 | 46 | 34 | 15 | 2 | 50 | 115 | 0 | 70 | 50 | 21 | 18 | 6 | 154 | 8 | 3 |
Malaysia (n = 64) | 25 | 20 | 7 | 11 | 1 | 0 | 19 | 14 | 9 | 7 | 15 | 0 | 24 | 38 | 2 | 24 | 19 | 4 | 14 | 3 | 47 | 7 | 8 |
Myanmar (n = 27) | 2 | 22 | 3 | 0 | 0 | 0 | 8 | 5 | 4 | 4 | 6 | 0 | 11 | 15 | 1 | 14 | 4 | 3 | 5 | 1 | 21 | 2 | 4 |
Philippines (n = 104) | 12 | 10 | 40 | 42 | 0 | 0 | 22 | 25 | 17 | 18 | 20 | 2 | 30 | 71 | 3 | 46 | 18 | 7 | 28 | 5 | 83 | 8 | 13 |
Singapore (n = 33) | 16 | 8 | 2 | 7 | 0 | 0 | 7 | 3 | 5 | 7 | 10 | 1 | 8 | 25 | 0 | 9 | 9 | 6 | 8 | 1 | 29 | 4 | 0 |
Thailand (n = 22) | 2 | 5 | 2 | 13 | 0 | 0 | 4 | 10 | 8 | 0 | 0 | 0 | 9 | 12 | 1 | 8 | 11 | 1 | 2 | 0 | 14 | 3 | 5 |
Vietnam (n = 88) | 14 | 53 | 15 | 2 | 3 | 1 | 23 | 15 | 19 | 12 | 15 | 4 | 43 | 42 | 3 | 31 | 18 | 11 | 26 | 2 | 76 | 5 | 7 |
Other (small cells combined) (n = 3) | 1 | 0 | 0 | 1 | 1 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 2 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 2 | 0 | 1 |
NEA (n = 422) | 37 | 125 | 144 | 70 | 37 | 9 | 118 | 152 | 104 | 28 | 18 | 2 | 113 | 307 | 2 | 224 | 140 | 34 | 14 | 10 | 366 | 31 | 25 |
Mainland China (n = 164) | 13 | 49 | 75 | 25 | 0 | 2 | 70 | 41 | 27 | 16 | 8 | 2 | 63 | 100 | 1 | 108 | 33 | 11 | 6 | 6 | 139 | 11 | 14 |
Hong Kong/Macau (n = 14) | 5 | 2 | 5 | 2 | 0 | 0 | 4 | 6 | 1 | 2 | 1 | 0 | 3 | 10 | 1 | 9 | 5 | 0 | 0 | 0 | 11 | 2 | 1 |
Taiwan (n = 41) | 6 | 20 | 11 | 3 | 0 | 1 | 5 | 20 | 8 | 2 | 6 | 0 | 11 | 30 | 0 | 21 | 9 | 3 | 6 | 2 | 33 | 3 | 5 |
Japan (n = 23) | 1 | 3 | 16 | 1 | 0 | 2 | 4 | 5 | 13 | 1 | 0 | 0 | 3 | 20 | 0 | 8 | 13 | 1 | 0 | 1 | 20 | 3 | 0 |
Korean peninsula (n = 180) | 12 | 51 | 37 | 39 | 37 | 4 | 35 | 80 | 55 | 7 | 3 | 0 | 33 | 147 | 0 | 78 | 80 | 19 | 2 | 1 | 163 | 12 | 5 |
Unknown (n = 141) | 16 | 34 | 46 | 5 | 4 | 36 | 21 | 32 | 11 | 18 | 5 | 54 | 36 | 44 | 61 | 23 | 39 | 2 | 9 | 68 | 65 | 5 | 71 |
TOTAL (n = 1454) (%) | 308 (21.18) | 452 (31.09) | 417 (28.68) | 178 (12.24) | 50 (3.44) | 49 (3.37) | 376 (25.86) | 417 (28.68) | 311 (21.39) | 166 (11.42) | 116 (7.98) | 68 (4.68) | 505 (34.73) | 864 (59.42) | 85 (5.85) | 588 (40.44) | 513 (35.28) | 104 (7.15) | 134 (9.22) | 115 (7.91) | 1182 (81.29) | 107 (7.36) | 165 (11.35) |
Correlate | Proportion (%) of Total Sample (n = 1454) | Proportion of Online Sample (n = 411) | Odds Ratio | 95% Confidence Interval | p-Value |
---|---|---|---|---|---|
Total online completion (n = 411) | 28.27 | - | - | - | - |
Gender | |||||
Male | 5.98 | 21.17 | - | - | |
Female | 18.71 | 66.18 | 2.21 | 1.68–2.90 | <0.001 |
Invalid/missing response | 3.58 | 12.65 | 7.57 | 4.62–12.40 | <0.001 |
Region of birth | |||||
North-East Asia | 14.37 | 50.85 | - | - | |
South-East Asia | 6.46 | 22.87 | 0.22 | 0.16–0.29 | <0.001 |
Sub-Saharan Africa | 3.78 | 13.38 | 0.18 | 0.13–0.26 | <0.001 |
Invalid/missing response | 3.65 | 12.90 | 0.61 | 0.42–0.91 | 0.014 |
Age (years) | |||||
18–29 | 6.46 | 22.87 | - | - | |
30–39 | 8.60 | 30.41 | 1.28 | 0.94–1.76 | 0.118 |
40–49 | 7.02 | 24.82 | 1.46 | 1.05–2.04 | 0.025 |
50–59 | 1.58 | 5.60 | 0.48 | 0.29–0.79 | 0.004 |
60 and older | 1.31 | 4.62 | 0.59 | 0.34–1.01 | 0.056 |
Invalid/missing response | 3.30 | 11.68 | 7.20 | 4.07–12.75 | <0.001 |
Sexual attraction | |||||
Heterosexual only | 20.84 | 73.72 | - | - | |
Same sex | 2.75 | 9.73 | 1.73 | 1.15–2.62 | 0.009 |
Invalid/missing response | 4.68 | 16.55 | 2.03 | 1.45–2.85 | <0.001 |
State * | |||||
Queensland | 5.84 | 19.95 | - | - | |
South Australia | 7.40 | 25.30 | 1.50 | 1.08–2.08 | 0.015 |
Western Australia | 4.77 | 16.30 | 1.25 | 0.87–1.80 | 0.219 |
Victoria | 4.20 | 14.36 | 2.23 | 1.51–3.31 | <0.001 |
Length of time in Australia (years) | |||||
Fewer than 10 | 11.69 | 41.36 | - | - | |
10–19 | 8.73 | 30.90 | 0.81 | 0.62–1.06 | 0.122 |
20–29 | 2.20 | 7.79 | 1.09 | 0.69–1.72 | 0.701 |
30 or more | 1.72 | 6.08 | 0.56 | 0.35–0.90 | 0.017 |
Invalid/missing response | 3.92 | 13.87 | 2.42 | 1.61–3.63 | <0.001 |
Peak | Dates | Promotional Activities | Number of Respondents Recruited during Peak (n) | Respondents’ Country of Birth (% of Peak Sample) 1 | Respondents’ State of Residence (% of Peak Sample) 1 | ||
---|---|---|---|---|---|---|---|
Peak 1 | 23/09/2020–24/09/2020 |
| 12 | China and Taiwan Other p-value | 100.00% 0.00% <0.001 | South Australia Not answered p-value | 83.33% 16.67% 0.001 |
Peak 2 | 15/10/2020–16/10/2020 |
| 8 | Korea Other p-value | 75.00% 25.00% 0.282 | South Australia Not answered p-value | 87.50% 12.50% 0.015 |
Peak 3 | 07/11/2020–08/11/2020 |
| 85 | Korea Other p-value | 90.59% 9.41% <0.001 | Queensland South Australia Western Australia New South Wales Victoria Not answered p-value | 22.35% 4.71% 7.06% 29.41% 23.53% 12.94% <0.001 |
Peak 4 | 11/11/2020–12/11/2020 |
| 8 | Malaysia South Sudan Vietnam Hong Kong/Macau p-value | 50.00% 12.50% 25.00% 12.50% 0.002 | Western Australia New South Wales p-value | 87.50% 12.50% <0.001 |
Peak 5 | 16/12/2020–17/12/2020 |
| 30 | Indonesia Korea Somalia Hong Kong/Macau Not answered p-value | 6.67% 66.67% 3.33% 6.67% 16.67% 0.510 | Queensland Western Australia New South Wales Victoria Not answered p-value | 16.67% 16.67% 26.67% 23.33% 16.67% 0.001 |
Peak 6 | 17/02/2021–18/02/2021 |
| 10 | Korea Other p-value | 80.00% 20.00% 0.053 | Queensland South Australia New South Wales Victoria Not answered p-value | 10.00% 10.00% 40.00% 20.00% 20.00% 0.248 |
State | Date | Event Description | Number of Recruitment Attempts | Number of Ineligible Persons Identified | Number of Surveys Refused | Reason for Refusal | Number of Respondents Recruited | Participation Rate ǂ | Observations |
---|---|---|---|---|---|---|---|---|---|
Qld | 28.11.20 | World AIDS Day Event | 55 | 3 | 3 | Unknown | 49 | 94.23% | N/A |
04.12.20 | Inala Square Market (public space) | 30 | 1 | 4 | Too busy | 8 | 27.59% | Those approached on way to work less likely to participate | |
11 | Not interested | ||||||||
5 | Uncomfortable | ||||||||
1 | Incapable | ||||||||
08.12.20 | Inala Square Market | 37 | 0 | 12 | Too busy | 6 | 16.22% | Men 30 years old seemed more likely to refuse the survey | |
16 | Not interested | ||||||||
3 | Uncomfortable | ||||||||
02.12.20 | STI and HPV Vaccination Workshop | 13 | 0 | 0 | N/A | 13 | 100.00% | N/A | |
16.3.21 | Lunar New Year Lantern Festival (Sunshine Coast) * | 12 | 0 | 2 | Too busy | 2 | 16.67% | Men are more likely to refuse. It is easier to recruit people among event staff/volunteers rather than participants/general public | |
WA | 17.12.20 | Christmas gathering | 22 | 0 | 3 | Too busy | 5 | 22.73% | N/A |
2 | Not interested | ||||||||
12 | Took link for completion at later date | ||||||||
24.12.20 | Christmas gathering | 24 | 10 | 4 | Too busy | 5 | 35.71% | N/A | |
1 | Uncomfortable | ||||||||
1 | Incapable | ||||||||
3 | Took link for completion at later date | ||||||||
29.12.20 | Wellington Square (public space) | 19 | 3 | 2 | Too busy | 6 | 37.5% | N/A | |
2 | Not interested | ||||||||
3 | Uncomfortable | ||||||||
3 | Took link for completion at later date | ||||||||
13.01.21 | Yanchep Observatory (tourist location) | 50 | 0 | 50 | Too busy | 0 | 0.00% | N/A | |
14.01.21 | Fellowship Group | 20 | 0 | 0 | N/A | 20 | 100.00% | N/A | |
19.01.21 | Church Fellowship Group | 45 | 0 | 2 | Too busy | 5 | 11.11% | Women aged 65–75 and Indonesian people more likely to decline to participate | |
1 | Uncomfortable | ||||||||
37 | Took link for completion at later date | ||||||||
21.01.21 | Pinnacles (tourist location) | 40 | 25 | 5 | Too busy | 5 | 33.33% | Women aged 50–70 more likely to decline to participate | |
5 | Uncomfortable | ||||||||
26.01.21 | Yanchep Lavender Farm (tourist location) | 51 | 7 | 10 | Too busy | 5 | 11.36% | N/A | |
4 | Not interested | ||||||||
3 | Uncomfortable | ||||||||
2 | Incapable | ||||||||
20 | Took link for completion at later date | ||||||||
19.02.21 | Hyde Park (public space) | 18 | 5 | 1 | Too busy | 6 | 46.15% | N/A | |
6 | Took link for completion at later date | ||||||||
23.02.21 | Fellowship group * | 37 | 0 | 12 | Took link for completion at later date | 20 | 54.05% | N/A | |
TOTAL | 473 | 54 | 251 | N/A | 155 | 36.99% | N/A |
Type of Contact | Outcome | Number | Participation Rate 2 |
---|---|---|---|
Face-to-face only (n = 211) | Ineligible | 6 | 90.24% |
Survey completed | 185 | ||
Took link for later completion | 3 | ||
No response | 2 | ||
Refused—too busy | 4 | ||
Refused—uncomfortable | 8 | ||
Refused—incapable of completing | 3 | ||
Telephone, email, or text message only (n = 88) | Ineligible | 0 | 68.18% |
Survey completed | 60 | ||
Took link for later completion | 3 | ||
No response | 3 | ||
Refused—too busy | 6 | ||
Refused—not interested | 7 | ||
Refused—uncomfortable | 5 | ||
Refused—incapable of completing | 2 | ||
Refused—no reason | 2 | ||
Mixture of face-to-face and telephone, email, or text message (n = 51) | Ineligible | 2 | 77.55% |
Survey completed | 38 | ||
Refused—too busy | 4 | ||
Refused—not interested | 1 | ||
Refused—uncomfortable | 3 | ||
Refused—incapable | 2 | ||
Refused—no reason | 1 | ||
TOTAL DOCUMENTED RECRUITMENT ATTEMPTS (n = 350) | Ineligible | 8 | 82.75% |
Survey completed | 283 | ||
Took link for later completion | 6 | ||
No response | 5 | ||
Refused—too busy | 14 | ||
Refused—not interested | 8 | ||
Refused—uncomfortable | 16 | ||
Refused—incapable | 7 | ||
Refused—no reason | 3 |
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Vujcich, D.; Brown, G.; Durham, J.; Gu, Z.; Hartley, L.; Lobo, R.; Mao, L.; Moro, P.; Pillay, V.; Mullens, A.B.; et al. Strategies for Recruiting Migrants to Participate in a Sexual Health Survey: Methods, Results, and Lessons. Int. J. Environ. Res. Public Health 2022, 19, 12213. https://doi.org/10.3390/ijerph191912213
Vujcich D, Brown G, Durham J, Gu Z, Hartley L, Lobo R, Mao L, Moro P, Pillay V, Mullens AB, et al. Strategies for Recruiting Migrants to Participate in a Sexual Health Survey: Methods, Results, and Lessons. International Journal of Environmental Research and Public Health. 2022; 19(19):12213. https://doi.org/10.3390/ijerph191912213
Chicago/Turabian StyleVujcich, Daniel, Graham Brown, Jo Durham, Zhihong Gu, Lisa Hartley, Roanna Lobo, Limin Mao, Piergiorgio Moro, Vivienne Pillay, Amy B. Mullens, and et al. 2022. "Strategies for Recruiting Migrants to Participate in a Sexual Health Survey: Methods, Results, and Lessons" International Journal of Environmental Research and Public Health 19, no. 19: 12213. https://doi.org/10.3390/ijerph191912213