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Comparing Self-Reported Demographic and Sexual Behavioral Factors Among Men Who Have Sex with Men Recruited Through Mechanical Turk, Qualtrics, and a HIV/STI Clinic-Based Sample: Implications for Researchers and Providers

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Abstract

Recruitment for HIV research among gay, bisexual, and other men who have sex with men (MSM) has increasingly moved to the online sphere. However, there are limited data comparing the characteristics of clinic-based respondents versus those recruited via online survey platforms. MSM were recruited from three sampling sites (STI clinic, MTurk, and Qualtrics) to participate in a survey from March 2015 to April 2016. Respondents were compared between each of the sampling sites on demographics, sexual history, substance use, and attention filter passage. Attention filter passage was high for the online sampling sites (MTurk = 93%; Qualtrics = 86%), but significantly lower for the clinic-based sampling site (72%). Clinic-based respondents were significantly more racially/ethnically diverse, reported lower income, and reported more unemployment than online respondents. Clinic-based respondents reported significantly more male sexual partners in the previous 3 months (M clinic-based = 6; MTurk = 3.6; Qualtrics = 4.5), a higher proportion of gonorrhea, chlamydia, and/or syphilis in the last year, and a greater proportion of methamphetamine use (clinic-based = 21%; MTurk = 5%), and inhaled nitrates use (clinic-based = 41%; MTurk = 11%). The clinic-based sample demonstrated more demographic diversity and a greater proportion of HIV risk behaviors when compared to the online samples, but also a relatively low attention filter passage rate. We recommend the use of attention filters across all modalities to assess response validity and urge caution with online survey engines as samples may differ demographically and behaviorally when compared to clinic-based respondents.

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Acknowledgements

The authors would like to acknowledge the work of the Los Angeles LGBT Center’s HIV/STI testing counselors for recruiting participants for the clinic-based arm of the study.

Funding

This work was funded by the UCLA School of Public Affairs and the Los Angeles LGBT Center. MRB was supported by the UCLA Postdoctoral Fellowship Training Program in Global HIV Prevention Research (Currier and Gorbach, PIs); T32MH080634. IWH was supported by California HIV/AIDS Research Program (CHRP; Grant RP15-LA-007); the Center for HIV Identification, Prevention, and Treatment (CHIPTS; NIMH Grant MH58107); the UCLA Center for AIDS Research (CFAR; NIAID Grant AI028697); and the National Center for Advancing Translational Sciences through UCLA (CSTI; Grant UL1TR000124). The content is solely the responsibility of the authors and does not necessarily represent the official views of NIH.

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Correspondence to Matthew R. Beymer.

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Conflict of interest

The authors disclose no conflicts of interest.

Research involving Human Participants and/or Animals

This study was approved by the University of California, Los Angeles North General Institutional Review Board (IRB00004474; Project No. 14-000750).

Informed Consent

Informed consent was provided for each participant completing the survey. An example of the informed consent can be found here: https://uscsocialwork.qualtrics.com/SE/?SID=SV_beXsWwODysDi2od.

Appendix

Appendix

MTurk Recruitment Script

The survey is to assess the feasibility of conducting online research among gay and bisexual men. The survey will take approximately 15 min and ask various questions about your health and demographics.

Clinic-Based Recruitment Script

The Los Angeles LGBT Center is conducting a study in collaboration with UCLA to determine if online samples of gay, bisexual, and other men who have sex with men are comparable to individuals who come to The Los Angeles LGBT Center for HIV/STD screening on sexual health behaviors. The survey will last between 10 and 20 min, and you will be given a $10 gift card to either Target or Trader Joe’s for your participation. You are not required to participate, and your agreement or rejection to participate will NOT affect either current or future services at The Los Angeles LGBT Center. Are you interested in participating?

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Beymer, M.R., Holloway, I.W. & Grov, C. Comparing Self-Reported Demographic and Sexual Behavioral Factors Among Men Who Have Sex with Men Recruited Through Mechanical Turk, Qualtrics, and a HIV/STI Clinic-Based Sample: Implications for Researchers and Providers. Arch Sex Behav 47, 133–142 (2018). https://doi.org/10.1007/s10508-016-0932-y

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