Using respondent-driven sampling (RDS) to recruit illegal poly-substance users in Cape Town, South Africa: implications and future directions

dc.contributor.authorBurnhams, Nadine Harker
dc.contributor.authorLaubscher, Ria
dc.contributor.authorHowell, Simon
dc.contributor.authorShaw, Mark
dc.contributor.authorErasmus, Jodilee
dc.contributor.authorTownsend, Loraine
dc.date.accessioned2016-09-05T14:07:00Z
dc.date.available2016-09-05T14:07:00Z
dc.date.issued2016-09-01
dc.date.updated2016-09-01T18:10:09Z
dc.description.abstractBackground: South Africa continues to witness an increase in illicit poly-substance use, although a precise measurement continues to be compounded by difficulties in accessing users. In a pilot attempt to use respondent-driven sampling (RDS)—a chain referral sampling method used to access populations of individuals who are ‘hard-to-reach’—this article documents the feasibility of the method as recorded in a simultaneously run, multisite, poly-substance study in Cape Town. Here we aim to a) document the piloting of RDS among poly-substance users in the three socio-economic disparate communities targeted; b) briefly document the results; and c) review the utility of RDS as a research tool. Methods: Three cross-sectional surveys using standard RDS procedures were used to recruit active poly-substance users and were concurrently deployed in three sites. Formative research was initially conducted to assess the feasibility of the survey. To determine whether RDS could be used to successfully recruit poly-substance users, social network characteristics, such as network size was determined. Results: A 42.5 % coupon return rate was recorded in total from 12 initial seeds. There were vast differences in the recruitment chains of individual seeds—two generated more than 90 recruits, and 2 of the 10 recruitment chains showing a length of more than 10 waves. Findings include evidence of the use of 3 or more substances in all three sites, high levels of unemployment among users, with more than a third of participants in two sites reporting arrest for drug use in the past 12 months. Conclusions: Our results indicate that RDS was a feasible and acceptable sampling method for recruiting participants who may not otherwise be accessible. Future studies can use RDS to recruit such cohorts, and the method could form part of broader efforts to document vulnerable populations.
dc.identifier.apacitationBurnhams, N. H., Laubscher, R., Howell, S., Shaw, M., Erasmus, J., & Townsend, L. (2016). Using respondent-driven sampling (RDS) to recruit illegal poly-substance users in Cape Town, South Africa: implications and future directions. http://hdl.handle.net/11427/21666en_ZA
dc.identifier.chicagocitationBurnhams, Nadine Harker, Ria Laubscher, Simon Howell, Mark Shaw, Jodilee Erasmus, and Loraine Townsend "Using respondent-driven sampling (RDS) to recruit illegal poly-substance users in Cape Town, South Africa: implications and future directions." (2016) http://hdl.handle.net/11427/21666en_ZA
dc.identifier.citationBurnhams et al. (2016). Using respondent-driven sampling (RDS) to recruit illegal poly-substance users in Cape Town, South Africa: implications and future directions. Substance Abuse Treatment, Prevention, and Policy, 11(1), 31.
dc.identifier.ris TY - Journal Article AU - Burnhams, Nadine Harker AU - Laubscher, Ria AU - Howell, Simon AU - Shaw, Mark AU - Erasmus, Jodilee AU - Townsend, Loraine AB - Background: South Africa continues to witness an increase in illicit poly-substance use, although a precise measurement continues to be compounded by difficulties in accessing users. In a pilot attempt to use respondent-driven sampling (RDS)—a chain referral sampling method used to access populations of individuals who are ‘hard-to-reach’—this article documents the feasibility of the method as recorded in a simultaneously run, multisite, poly-substance study in Cape Town. Here we aim to a) document the piloting of RDS among poly-substance users in the three socio-economic disparate communities targeted; b) briefly document the results; and c) review the utility of RDS as a research tool. Methods: Three cross-sectional surveys using standard RDS procedures were used to recruit active poly-substance users and were concurrently deployed in three sites. Formative research was initially conducted to assess the feasibility of the survey. To determine whether RDS could be used to successfully recruit poly-substance users, social network characteristics, such as network size was determined. Results: A 42.5 % coupon return rate was recorded in total from 12 initial seeds. There were vast differences in the recruitment chains of individual seeds—two generated more than 90 recruits, and 2 of the 10 recruitment chains showing a length of more than 10 waves. Findings include evidence of the use of 3 or more substances in all three sites, high levels of unemployment among users, with more than a third of participants in two sites reporting arrest for drug use in the past 12 months. Conclusions: Our results indicate that RDS was a feasible and acceptable sampling method for recruiting participants who may not otherwise be accessible. Future studies can use RDS to recruit such cohorts, and the method could form part of broader efforts to document vulnerable populations. DA - 2016-09-01 DB - OpenUCT DO - 10.1186/s13011-016-0074-1 DP - University of Cape Town KW - Poly-substances KW - Respondent-driven sampling KW - South Africa KW - Illicit Drugs LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - Using respondent-driven sampling (RDS) to recruit illegal poly-substance users in Cape Town, South Africa: implications and future directions TI - Using respondent-driven sampling (RDS) to recruit illegal poly-substance users in Cape Town, South Africa: implications and future directions UR - http://hdl.handle.net/11427/21666 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s13011-016-0074-1
dc.identifier.urihttp://hdl.handle.net/11427/21666
dc.identifier.vancouvercitationBurnhams NH, Laubscher R, Howell S, Shaw M, Erasmus J, Townsend L. Using respondent-driven sampling (RDS) to recruit illegal poly-substance users in Cape Town, South Africa: implications and future directions. 2016; http://hdl.handle.net/11427/21666.en_ZA
dc.language.rfc3066en
dc.publisherBioMed Central
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0
dc.rights.holderThe Author(s).
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectPoly-substances
dc.subjectRespondent-driven sampling
dc.subjectSouth Africa
dc.subjectIllicit Drugs
dc.titleUsing respondent-driven sampling (RDS) to recruit illegal poly-substance users in Cape Town, South Africa: implications and future directions
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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