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Behavioural Surveillance Surveys - The Wisdom of Whores

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Under the heading <strong>of</strong> non-probability<br />

sampling methods are a variety <strong>of</strong> approaches<br />

that are not based upon the statistical<br />

principles which govern probability samples.<br />

<strong>The</strong>re are various reasons for using<br />

non-probability methods. Some methods<br />

(e.g. snowball or network sampling) are<br />

designed for use when probability sampling<br />

is not feasible. In snowball sampling, key<br />

informants in a sub-population identify other<br />

members <strong>of</strong> their community. <strong>The</strong>se people<br />

are contacted, and they in turn identify<br />

further contacts. <strong>The</strong> process goes on until an<br />

adequate sample is achieved. Other methods<br />

(e.g. purposive sampling) are designed to<br />

provide the maximum amount <strong>of</strong> information<br />

possible for key groups <strong>of</strong> study subjects in<br />

order to develop and/or test social theories.<br />

Yet others (convenience sampling) are<br />

designed to obtain a sample <strong>of</strong> subjects<br />

at the least possible cost. In general,<br />

non-probability sampling methods are not<br />

intended to produce “representative” data<br />

for larger populations, although they are<br />

sometimes (incorrectly) used to try to do so.<br />

Probability sampling has two major<br />

advantages. Firstly, it is less prone to bias<br />

than non-probability methods and secondly,<br />

it permits the application <strong>of</strong> statistical theory to<br />

estimate sampling error from the survey data<br />

themselves. Consistent use <strong>of</strong> probability<br />

sampling methods in the context <strong>of</strong> BSS has<br />

the critical advantage <strong>of</strong> producing data which<br />

are comparable from one survey to the next,<br />

and which can therefore be used to measure<br />

statistically significant changes in risk behavior<br />

over time. <strong>The</strong>refore probability sampling<br />

methods are the preferred choice for BSS<br />

whenever feasible. <strong>The</strong> major disadvantage <strong>of</strong><br />

probability sampling is that a list or sampling<br />

frame is needed, and this can take time and<br />

resources to produce. While there are ways to<br />

make the task <strong>of</strong> developing sampling frames<br />

less costly and time consuming, the use <strong>of</strong><br />

probability sampling methods will nevertheless<br />

involve greater time and expense than<br />

sampling approaches that do not require a list<br />

or sampling frame.<br />

While they are generally cheaper and easier<br />

to use, non-probability sampling methods have<br />

several important drawbacks. <strong>The</strong> first is the<br />

risk <strong>of</strong> sampling bias resulting from the<br />

subjectivity that <strong>of</strong>ten enters into the sample<br />

selection process. Where a list <strong>of</strong> sampling<br />

units is not available from which to select a<br />

sample following fixed rules, there is the<br />

danger that certain types <strong>of</strong> subjects will be<br />

disproportionately included in and others<br />

disproportionately excluded from the sample.<br />

Secondly, there is the issue <strong>of</strong> replicability,<br />

which is <strong>of</strong> key importance for surveys<br />

intended to monitor behavioral trends over<br />

time. Where sample selection criteria are not<br />

defined in operationally precise terms so that<br />

they can be replicated in subsequent survey<br />

rounds, there is a danger that observed<br />

changes will be due to changes in sampling<br />

rather than real changes in behavior. Finally,<br />

non-probability methods provide no statistical<br />

basis for assessing the precision or reliability<br />

<strong>of</strong> survey estimates. In fact, conventional<br />

statistical tests cannot reliably be used with<br />

non-probability samples, although in practice<br />

this limitation is <strong>of</strong>ten overlooked.<br />

B EHAV I OR A L S U R V EI L L A NC E SURV EY S CHAPTER 4<br />

31

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