背景:空间抽样越来越多地用于健康调查,因为它提供了一种简单的方法来在无法获得有关一般人群的可靠和完整数据的地点随机选择目标人群。然而,以前实施的协议不够详细,使复制变得困难甚至不可能。据我们所知,我们的文件是第一个逐步描述健康调查的有效空间抽样方法的文件。我们的目标是促进快速获得其部署所需的技术技能和专门知识。
方法:空间采样设计基于研究区域中地理编码点的随机生成。之后,这些点被投影在GoogleEarthPro™软件的卫星视图上,并选择已确定的建筑物进行实地访问。所需点数的详细公式,考虑到不回应,是提议的。建筑物的密度是通过在点周围绘制圆圈并在无法实现面试时使用替换策略来确定的。该方法在2016年4月至5月期间在科托努(Bénin)进行了横断面研究。通过将收集的数据与科托努全国人口普查的数据进行比较来评估收集的数据的准确性。
结果:这种方法不需要在研究区域中进行预先位移,并且只有1%的使用GoogleEarthPro™的已识别建筑物不再存在。普查得出的大多数测量值都在用样本数据计算的置信区间内。此外,普查产生的测量范围与样本数据计算的测量范围相似。这些包括,例如,外国人口比例(未加权8.9%/加权9%,而人口普查数据为8.5%),17岁以上成年人的比例(56.7%,人口普查数据为57%),户主未受过教育的家庭比例(未加权21.9%/加权22.8%,人口普查数据为21.1%)。
结论:本文说明了如何以低成本成功实施基于空间抽样的流行病学实地调查,快速和很少的技术和理论知识。虽然统计上类似于简单随机抽样,这种调查方法大大简化了其实施。
BACKGROUND: Spatial sampling is increasingly used in health surveys as it provides a simple way to randomly select target populations on sites where reliable and complete data on the general population are not available. However, the previously implemented protocols have been poorly detailed, making replication difficult or even impossible. To our knowledge, ours is the first document describing step-by-step an efficient spatial sampling method for health surveys. Our objective is to facilitate the rapid acquisition of the technical skills and know-how necessary for its deployment.
METHODS: The spatial sampling design is based on the random generation of geocoded points in the study area. Afterwards, these points were projected on the satellite view of Google Earth Pro™ software and the identified buildings were selected for field visits. A detailed formula of the number of points required, considering non-responses, is proposed. Density of buildings was determined by drawing circles around points and by using a replacement strategy when interviewing was unachievable. The method was implemented for a cross-sectional study during the April-May 2016 period in Cotonou (Bénin). The accuracy of the collected data was assessed by comparing them to those of the Cotonou national census.
RESULTS: This approach does not require prior displacement in the study area and only 1% of identified buildings with Google Earth Pro™ were no longer extant. Most of the measurements resulting from the general census were within the confidence intervals of those calculated with the sample data. Furthermore, the range of measurements resulting from the general census was similar to those calculated with the sample data. These include, for example, the proportion of the foreign population (unweighted 8.9%/weighted 9% versus 8.5% in census data), the proportion of adults over 17 years of age (56.7% versus 57% in census data), the proportion of households whose head is not educated (unweighted 21.9%/weighted 22.8% versus 21.1% in census data).
CONCLUSIONS: This article illustrates how an epidemiological field survey based on spatial sampling can be successfully implemented at low cost, quickly and with little technical and theoretical knowledge. While statistically similar to simple random sampling, this survey method greatly simplifies its implementation.