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3.1 THE EMIS SAMPLE<br />

The European Men-who-have-sex-with-men Internet<br />

Survey (EMIS) was an anonymous, self-administered<br />

online survey conducted simultaneously in 25 languages<br />

across 38 countries in Europe. The survey was open<br />

during June, July and August 2010. Respondents were<br />

recruited through 230 social and community websites<br />

for MSM. Typical completion time was 20 minutes. No<br />

financial incentives were given and no IP addresses were<br />

collected. The questionnaire is available at www.emisproject.eu.<br />

A detailed account of the methods can be<br />

found elsewhere (Weatherburn et al, 2013).<br />

EMIS polled 174,209 MSM living in Europe, of which<br />

15,423 lived in England. As with all national surveys of<br />

MSM, more respondents indicated that they lived in<br />

Lambeth than any other borough in England. Southwark<br />

was the third most populous borough (after Manchester)<br />

and Lewisham the 16th most populous. The number of<br />

men living in each borough was:<br />

Lambeth<br />

Southwark<br />

Lewisham<br />

603 men<br />

357 men<br />

182 men<br />

Therefore, the EMIS database includes 1142 men living<br />

in LSL. This was 22.8% of the men living in London and<br />

8.3% of those living in England. These data suggest LSL<br />

is home to more homosexually active men than any other<br />

three coterminous local authority areas in England. In<br />

the following sections we compare men living in LSL<br />

with men living in the rest of London and those living<br />

elsewhere in England. The most common sources of<br />

recruitment for men living in LSL were websites Gaydar<br />

(33.3%), Gay Romeo (23.6%) and Manhunt (17.2%).<br />

3.2 SAMPLE DEMOGRAPHIC CHARACTERISTICS<br />

The mean age of men living in LSL was 36.6 years<br />

(median 36 years, range17-76). This was not significantly<br />

different to the rest of London or the rest of England.<br />

However the standard deviation in LSL was smaller at 9.5<br />

years compared with 11.2 in the rest of London and 12.8 in<br />

the rest of England, suggesting both fewer younger and<br />

fewer older men in LSL than elsewhere (i.e. men in LSL<br />

are more ‘bunched’ into middle of the age range).<br />

One in five (19.7%) of the men in LSL were living with<br />

diagnosed HIV infection, compared with 13.7% in the<br />

rest of London and 8.4% in the rest of England. EMIS<br />

disproportionately recruited men with diagnosed HIV<br />

infection (Marcus et al, 2012), so we know these figures<br />

are overestimates for the population. However, the<br />

differences confirm a very high prevalence of HIV among<br />

MSM in LSL compared with elsewhere in England and in<br />

Europe more broadly.<br />

A total of 11.8% of the men in LSL completed the survey<br />

in a language other than English. This was the same<br />

proportion as the rest of London (11.9%), which is much<br />

higher than the rest of England (4.5%). Men in LSL chose<br />

18 other languages to participate, the most common<br />

being Spanish (2.4%, 27 men), German (1.8%, 21 men),<br />

Italian (1.8%, 20 men) and French (1.2%, 14 men).<br />

The Chemsex Study | 3. DRUG USE SURVEY DATA FROM EMIS 18

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