What is AMIS?

The American Men’s Internet Survey (AMIS) is an annual cross-sectional online HIV behavioral survey of men who have sex with men (MSM) in the United States. The primary objective of AMIS is to monitor trends in HIV risk behavior, use of HIV testing services, and access to prevention services among gay and bisexual men in order to improve public health services for HIV prevention. The survey is conducted in annual cycles with a goal of at least 10,000 complete surveys of MSM participants each year. The first cycle was completed in May 2013, and the fourth cycle was recently completed in February 2017.

Why is this study important?

MSM contribute the highest proportion of HIV infections in the United States. Assessing trends in HIV behavior is critical for public health planning and evaluation, and identifying key or emerging behaviors associated with HIV risk and testing is important for informing policy and programmatic discussion. The CDC’s National HIV Behavioral Surveillance System (NHBS) conducts HIV behavioral surveys of MSM every three years using venue-based sampling, including in bars and clubs, to monitor trends in HIV risk and testing behavior. However, an increasing number of MSM are meeting sexual partners through the internet and may have different patterns of sexual risk and HIV testing behaviors compared to MSM recruited through traditional venues. AMIS provides the opportunity to collect data from a large sample of internet-using MSM with broad geographic diversity as a supplement to venue-based studies, such as NHBS. The online data collection platform allows for rapid response to emerging issues in the evolving HIV prevention landscape.

Who is eligible to participate?

Participants are recruited online and are screened for eligibility after clicking on ads placed on a variety of websites and apps. We also collect email addresses from participants who agree to be recontacted for future studies and invite them to complete each new AMIS survey. Men are currently eligible for participation if they are:

  • At least 15 years old
  • Resident of the US
  • History of oral or anal sex with a man, or identifies as gay or bisexual
  • Able to complete the survey in English
What kinds of information are collected?

The online survey consists of a core questionnaire, including questions in the following domains: demographics, sexual behavior, HIV and STI testing and diagnosis history, drug and alcohol use, PrEP knowledge, interest, and use, and HIV prevention services. Additional subsets are included for specific research questions for each survey cycle. The survey is reviewed and revised annually.

Click here to access the full survey materials for each AMIS cycle.

What will you do with the data?

The data are used to monitor trends in HIV risk behaviors, HIV testing, and use of HIV prevention services. The data are compiled and used in analyses for publication. Additionally, health departments in states and large cities with enough respondents for their jurisdiction will receive annual state reports that include data tables for use in prevention planning and policy development. The data are also compared across each survey cycle to identify trends and changes in HIV behavior among MSM. Reports and publications disseminated for use by researchers, community organizers, and collaborative research partners contain only aggregated data and no identifying information are included. Deidentified datasets are available by request for state and city health departments who wish to analyze trends in their local jurisdictions.

Where can I get more information?

AMIS is conducted by the PRISM Health team at the Emory University Rollins School of Public Health. To request datasets or more information about the study, please contact us.

Who conducts AMIS?

The survey is conducted by the PRISM Health Research team at the Emory University Rollins School of Public Health and supported through funding from the MAC AIDS Fund. Travis Sanchez is the Principal Investigator and Maria Zlotorzynska is the Project Manager.