在2022年英格兰mopox疫情期间,自行管理问卷中的匿名性是否改善了敏感信息的披露? 一个观察性研究
Neil Bray1, Paula Blomquist1, Jo Hardstaff1
1UK Health Security Agency, London, UK.
Lancet (London, England)
|November 24, 2023
概括
在mopox问卷中的可选匿名性没有影响敏感数据报告. 虽然在线表格减少了整体参与,但匿名性可能会减轻公共卫生监测的响应.
科学领域:
- 流行病学
- 公共卫生监测
- 传染病研究
背景情况:
- 在英格兰 (2022年5月至2023年1月) 的麻疹病例主要发生在与男性发生性关系的男性中.
- 最初的mopox病例数据采集涉及英国卫生安全局的电话问卷.
- 为了提高数据收集的效率,还引入了可选的在线匿名问卷.
研究的目的:
- 评估可选匿名性对mpox问卷中的敏感信息披露的影响.
- 为未来的公共卫生数据收集策略提供信息,
主要方法:
- 一项观察性研究分析了英格兰实验室确认的mpox病例的自我填写问卷数据.
- 数据包括2022年5月25日至2023年1月16日期间收集的匿名和可识别的响应.
- 匿名和可识别的群体使用皮尔森的千平方测试对七个敏感风险因素问题的回答进行了比较.
主要成果:
- 总共分析了531个自我填写的问卷 (259个匿名,272个可识别).
- 在匿名和可识别的受访者之间报告敏感信息 (例如,性病诊断,性伴侣数量,先前的mpox暴露) 没有发现显著差异.
- 尽管推出了在线表格,但从5月到2022年7月的总体问卷采用量显著下降.
结论:
- 在mopox问卷中的可选匿名性似乎没有影响敏感健康行为或风险因素的报告.
- 转向自行填写的在线问卷导致整体病例报告减少.
- 提供匿名性的决定应该平衡增加参与的潜在好处与数据链接的限制.
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