Sigma Research

EMIS-2017: European MSM Internet Survey

Duration: August 2016 - September 2019

If you want to read more about...

  1. ...UNAIDS website: geo-mapping of EMIS-2017 and LAMIS data, click here
  2. ...the EMIS-2017 European Report (including data on Canada and the Philippines in tables), click here
  3. ...EMIS-2017 National Reports, click here
  4. ...EMIS-2017 Community Reports, click here
  5. ...published journal articles and international reports, click here
  6. ...planned international journal articles, click here
  7. ...planned national journal articles, click here
  8. ...for some selected EMIS-2017 presentations, click here

Background: Sigma @ LSHTM and a range of partners were funded as part of the European Commission Health Programme 2014-2020 to deliver evidence about the sexual health of gay men, bisexual men and other MSM across Europe. Called ESTICOM (European Surveys and Trainings to Improve MSM Community Health) the partnership delivered on three inter-linked projects over three years from August 2016 to August 2019.

The 3 main projects were:

The overall aim of EMIS-2017 was to generate data useful for the planning of HIV and STI prevention and care programmes and the monitoring of national progress in this area (by comparing with the results of the 2010 survey). The survey sought to describe the level and distribution of HIV transmission risk and precautionary behaviours; related HIV prevention needs; and to assess self-reported STI testing behaviours, testing performance and STI diagnoses, including viral hepatitis. At a country level, the survey generated data for understanding the needs of populations and directing prevention programmes. At the international level, patterns of policy, service and cultural responses can be examined for their impact on epidemic spread and containment, providing knowledge beyond the grasp of any one country.

EMIS-2017 was live and collecting data from gay, bisexual, and other MSM in 50 countries between 18 October 2017 and 31 January 2018. The online questionnaire was available simultaneously in 33 languages - PDFs of all the language-versions of the questionnaire are available here. About 137,000 MSM in our 50 target countries took part and submitted their answers including 100,000 in the European Union, more than 6,000 in EFTA countries, and about 7,000 in countries in the EU Enlargement Area or the European Neighbourhood Policy. We also recruited 6,000 MSM in Russia, 6,000 in Canada and on behalf of WHO, 3,500 in the Philippines.

Apart from the products listed above, we merged 2010 and 2017 data and prepared an EMIS Variable Manual (covering EMIS-2017 as well as the combined data set) for scientists around the world who work with the data.

EMIS-2017 was undertaken by Sigma Research at the London School of Hygiene and Tropical Medicine (LSHTM) in association with the Robert Koch Institute (RKI) in Berlin. EMIS-2017 core team: Ford Hickson, David Reid, Axel J. Schmidt and Peter Weatherburn @ LSHTM and Ulrich Marcus and Susanne B. Schink @ RKI.

Primary Funding: EU Health Programme 2014-2020 for Europe.

Other international financial contributions: Swedish Ministry of Health for recruitment in the Nordic Countries; The Arctic University of Norway and University Hospital of North Norway for Russia; Israel Ministry of Health for Israel; Public Health Agency of Canada for Canada; Office of the WHO Representative in the Philippines for the Philippines.

Acknowledgements: We begin by thanking all of the men who took part in EMIS-2017 and our partners who recruited 17% of all respondents through activities on Facebook and other social media and by placing EMIS banners on their websites. We thank all our partners for being part of something huge!

The following list acknowledges all partners in EMIS by country. Individual names are mentioned if a freelancer was the main contact and/or translator or where input on the questionnaire development came from a person not formally representing an organisation. The order is: main NGO partner, other NGO partners, academic partners, governmental partners, individuals.

Europe: PlanetRomeo, European AIDS Treatment Group (EATG), Eurasian Coalition on Male Health (ECOM), European Centre for Disease Prevention and Control (ECDC), European Monitoring Centre for Drugs & Drug Addiction (EMCDDA), European Commission (DG SANTE). We would like to highlight the individual contributions of Caoimhe Cawley (ESTICOM consortium coordinator from October 2016 to May 2018), and Teymur Noori for continuous support for EMIS since the first version of the project in 2010.

AL: Arian Boci. AT: Aids Hilfe Wien, Dr Frank M. Amort. BA:, Masha Durkalić. BE: SENSOA, exaequo, Observatoire du SIDA et des sexualités, Sciensano. BG: HUGE, GLAS Foundation, Dr Emilia Naseva, Petar Tsintsarski. BY: Vstrecha. CA: Health Initiative for Men, Rézo, Gay Men’s Sexual Health Alliance of Ontario, CATIE, Ontario HIV Treatment Network, Université du Quebec & Montréal, University of Toronto, University of Windsor, University of Victoria, Public Health Agency of Canada, Rob Gair. CH: Swiss AIDS Federation, Cantonal Hospital St. Gallen, Centre Hospitalier Universitaire Vaudois, University Hospital Zurich, Fachhochschule Nordwestschweiz, Swiss Federal Office of Public Health. CY: AIDS Solidarity Movement, University of Cyprus. CZ: AIDS pomoc, National Institute of Public Health, Tereza Zvolska, Dr Michal Pitoňák. DE: Deutsche AIDS-Hilfe, Robert Koch Institute, BZgA, Dr Michael Bochow, Dr Richard Lemke. DK: AIDS-Fondet, Statens Serum Institut, François Pinchon, Jakob Haff. EE: Eesti LGBT, VEK LGBT, Estonia National Institute for Health Development, Dr Kristi Rüütel. ES: Stop Sida, CEEISCAT, Ministerio de Sanidad. FI: Positiiviset, Hivpoint, SeksiPertti, Trasek, National Institute for Health and Welfare. FR: AIDES, Coalition PLUS, SexoSafe, Santé Publique France, INSERM. GR: Ath Checkpoint, Thess Checkpoint; Positive Voice. HR: Iskorak,, Zoran Dominković, Vjeko Vacek. HU: Háttér Society, Tamás Bereczky. IE: Gay Health Network, Man2Man, HIV Ireland, Outhouse, GOSHH, Sexual Health Centre Cork, AIDSWEST, Gay Community News, Health Service Executive, Gay Men's Health Service, Sexual Health and Crisis Pregnancy Programme, Health Protection Surveillance Centre, Mick Quinlan. IL: Israel AIDS Task Force, Israel Ministry of Health, Dr Zohar Mor. IS: Samtökin '78. IT: Arcigay, Fondazione LILA Milano ONLUS, University of Verona, Dr Raffaele Lelleri. LB: SIDC, Dr Ismaël Maatouk. LT: demetra, LGL, Gayline. LV: Testpunkts, Baltic HIV Association, Dr Antons Mozalevskis, Indra Linina. MD: GENDERDOC-M. ME: Juventas. MK: Subversive Front, Dr Kristefer Stojanovski. MT: Malta LGBTIQ Rights Movement, Allied Rainbow Communities, Infectious Disease Prevention and Control Unit, Silvan Agius, Russel Sammut. NL: Results in Health, Maastricht University, Amsterdam Pink Panel, Soa Aids Nederland, Rutgers, Rijksinstituut voor Volksgezondheid en Milieu, Dr Wim Vanden Berghe, Marije Veenstra. NO: Helseutvalget, Norwegian Directorate of Health, Folkehelseinstituttet, Dr Rigmor C. Berg. PH: Bisdak Pride-Cebu, Cebu Plus, HASH, Pinoy Plus, UP Babaylanes, YPEER, TLF, Office of the WHO Representative in the Philippines, Natasha Montevirgen, Mikael N. Navarro. PL: Spoleczny Komitet ds AIDS, Kampania Przeciw Homofobii, Lambda Warszawa, National Institute of Public Health/National Institute of Hygiene, Dr Łukasz Henszel. PT: GAT Portugal, CheckpointLX, Associação ABRAÇO, rede ex aequo, SexED, dezanove, ILGA Portugal, Trombeta Bath, Instituto de Saúde Pública da Universidade do Porto. RO: Association “Eu sunt! Tu?”, PSI Romania, ARAS Romania, Tudor Kovacs. RS: Association Duga, Association Red Line, Omladina JAZAS-a Novi Sad, Institute of Public Health of Serbia, Sladjana Baros, Dr Marija Pantelic. RU: The Charity Foundation For Support of Social Initiatives and Public Health/LaSky Project. SE: RFSL, University of Gothenburg, Folkhålsomyndigheten. SI: ŠKUC, Legebitra, LJUDMILA. SK: PRIDE Košice, Light-House Slovakia, Slovak Medical University, Public Health Authority of the Slovak Republic, Dr Zuzana Klocháňová. TR: Pozitif Yaşam, Sami Sarper Yazıcılaroğlu. UA: Alliance for Public Health,,, Oleksii Shestakovskyi. UK: Terrence Higgins Trust, NAM, PrEPster, Antidote, Horizon Drugs and Alcohol Support, LGBT Foundation, Yorkshire MESMAC, MESMAC Newcastle, Derbyshire LGBT+, Trade Sexual Health, London Friend, GMFA, Spectra, International HIV Partnerships, International Planned Parenthood Federation, Bristol University, University College London, Sigma Research, Raul Soriano. Other: Dr John Pachankis, Dr Mark Hatzenbühler, Dr Valeria Stuardo Ávila, Dr Michael W. Ross.

These acknowledgements and recruitment information can be found here as Powerpoint slides.

EMIS co-ordinator: Axel J. Schmidt