Accessibility and Acceptability of Infectious Disease Interventions Among Migrants in the EU/EEA : A CERQual Systematic Review
Driedger, Matt (Bruyère Research Institute (Ottawa, Canadà))
Mayhew, Alain (Bruyère Research Institute (Ottawa, Canadà))
Welch, Vivian (University of Ottawa (Ottawa, Canadà))
Agbata, Eric (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i de Medicina Preventiva i Salut Pública)
Gruner, Doug (University of Ottawa (Ottawa, Canadà))
Greenaway, Christina (Jewish General Hospital (Montreal, Canadà))
Noori, Teymur (European Centre for Disease Prevention and Control (Estocolm, Suècia))
Sandu, Monica (Bruyère Research Institute (Ottawa, Canadà))
Sangou, Thierry (Bruyère Research Institute (Ottawa, Canadà))
Mathew, Christine (Bruyère Research Institute (Ottawa, Canadà))
Kaur, Harneel (Bruyère Research Institute (Ottawa, Canadà))
Pareek, Manish (University of Leicester (Leicester, Regne Unit))
Pottie, Kevin (University of Ottawa (Ottawa, Canadà))

Data:	2018
Resum:	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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Access to care ; Disease prevention ; Public health ; Stigma ; Refugees ; Migrants
Publicat a:	International journal of environmental research and public health, Vol. 15 (october 2018) , ISSN 1660-4601

DOI: 10.3390/ijerph15112329
PMID: 30360472

21 p, 723.7 KB

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