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Accessibility and Acceptability of Infectious Disease Interventions Among Migrants in the EU/EEA: A CERQual Systematic Review

Author

Listed:
  • Matt Driedger

    (Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada)

  • Alain Mayhew

    (Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada)

  • Vivian Welch

    (Departments of Family Medicine & Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada)

  • Eric Agbata

    (Department of Paediatrics, Obstetrics, Gynaecology and Preventive Medicine, Universität Autònoma de Barcelona, 08193 Barcelona, Spain)

  • Doug Gruner

    (Departments of Family Medicine & Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada)

  • Christina Greenaway

    (Division of Infectious Diseases, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada
    Centre for Clinical Epidemiology of the Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC H3T 1E2, Canada)

  • Teymur Noori

    (European Centre for Disease Prevention and Control, 16973 Stockholm, Sweden)

  • Monica Sandu

    (Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada)

  • Thierry Sangou

    (Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada)

  • Christine Mathew

    (Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada)

  • Harneel Kaur

    (Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada)

  • Manish Pareek

    (Department of Infection, Immunity and Inflammation, University of Leicester, Leicester LE1 7RH, UK)

  • Kevin Pottie

    (Departments of Family Medicine & Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada)

Abstract

In the EU/EEA, subgroups of international migrants have an increased prevalence of certain infectious diseases. The objective of this study was to examine migrants’ acceptability, value placed on outcomes, and accessibility of infectious disease interventions. We conducted a systematic review of qualitative reviews adhering to the PRISMA reporting guidelines. We searched MEDLINE, EMBASE, CINAHL, DARE, and CDSR, and assessed review quality using AMSTAR. We conducted a framework analysis based on the Health Beliefs Model, which was used to organize our preliminary findings with respect to the beliefs that underlie preventive health behavior, including knowledge of risk factors, perceived susceptibility, severity and barriers, and cues to action. We assessed confidence in findings using an adapted GRADE CERQual tool. We included 11 qualitative systematic reviews from 2111 articles. In these studies, migrants report several facilitators to public health interventions. Acceptability depended on migrants’ relationship with healthcare practitioners, knowledge of the disease, and degree of disease-related stigma. Facilitators to public health interventions relevant for migrant populations may provide clues for implementation. Trust, cultural sensitivity, and communication skills also have implications for linkage to care and public health practitioner education. Recommendations from practitioners continue to play a key role in the acceptance of infectious disease interventions.

Suggested Citation

  • Matt Driedger & Alain Mayhew & Vivian Welch & Eric Agbata & Doug Gruner & Christina Greenaway & Teymur Noori & Monica Sandu & Thierry Sangou & Christine Mathew & Harneel Kaur & Manish Pareek & Kevin P, 2018. "Accessibility and Acceptability of Infectious Disease Interventions Among Migrants in the EU/EEA: A CERQual Systematic Review," IJERPH, MDPI, vol. 15(11), pages 1-21, October.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2329-:d:177548
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    References listed on IDEAS

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    1. Simon Lewin & Claire Glenton & Heather Munthe-Kaas & Benedicte Carlsen & Christopher J Colvin & Metin Gülmezoglu & Jane Noyes & Andrew Booth & Ruth Garside & Arash Rashidian, 2015. "Using Qualitative Evidence in Decision Making for Health and Social Interventions: An Approach to Assess Confidence in Findings from Qualitative Evidence Syntheses (GRADE-CERQual)," PLOS Medicine, Public Library of Science, vol. 12(10), pages 1-18, October.
    2. Wallerstein, N. & Duran, B., 2010. "Community-based participatory research contributions to intervention research: The intersection of science and practice to improve health equity," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 40-46.
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    1. Joseph Benjamen & Vincent Girard & Shabana Jamani & Olivia Magwood & Tim Holland & Nazia Sharfuddin & Kevin Pottie, 2021. "Access to Refugee and Migrant Mental Health Care Services during the First Six Months of the COVID-19 Pandemic: A Canadian Refugee Clinician Survey," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    2. Osnat Keidar & David S. Srivastava & Emmanouil Pikoulis & Aristomenis K. Exadaktylos, 2019. "Health of Refugees and Migrants—Where Do We Stand and What Directions Should We Take?," IJERPH, MDPI, vol. 16(8), pages 1-8, April.

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