768b2dc67c320beca04607e0f7103cb1 pmc_30360472.pdf 85141a527c039f933090263530a0e141f292ca9d pmc_30360472.pdf 18cd1afe495b60b69f3a6a90e208a1b0652eb3d08011712d65576c83d44e60ab pmc_30360472.pdf Title: Accessibility and Acceptability of Infectious Disease Interventions Among Migrants in the EU/EEA: A CERQual Systematic Review Subject: 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. Keywords: access to care; disease prevention; public health; stigma; refugees; migrants Author: Matt Driedger, Alain Mayhew, Vivian Welch, Eric Agbata, Doug Gruner, Christina Greenaway, Teymur Noori, Monica Sandu, Thierry Sangou, Christine Mathew, Harneel Kaur, Manish Pareek and Kevin Pottie Creator: LaTeX with hyperref package Producer: pdfTeX-1.40.18 CreationDate: Tue Oct 23 08:30:32 2018 CEST ModDate: Tue Oct 23 08:30:32 2018 CEST Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 21 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 741065 bytes Optimized: no PDF version: 1.5 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- NPCJFW+URWPalladioL-Ital Type 1 Custom yes yes no 104 0 INXVCX+URWPalladioL-Bold Type 1 Custom yes yes no 105 0 MFUFHD+URWPalladioL-Roma Type 1 Custom yes yes no 106 0 HCBGQO+VnURWPalladioL Type 1 Custom yes yes no 107 0 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