Engaging New Migrants in Infectious Disease Screening: A Qualitative Semi-Structured Interview Study of UK Migrant Community Health-Care Leads
Identifieur interne : 002C36 ( Ncbi/Merge ); précédent : 002C35; suivant : 002C37Engaging New Migrants in Infectious Disease Screening: A Qualitative Semi-Structured Interview Study of UK Migrant Community Health-Care Leads
Auteurs : Farah Seedat ; Sally Hargreaves ; Jonathan S. FriedlandSource :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Migration to Europe - and in particular the UK - has risen dramatically in the past decades, with implications for public health services. Migrants have increased vulnerability to infectious diseases (70% of TB cases and 60% HIV cases are in migrants) and face multiple barriers to healthcare. There is currently considerable debate as to the optimum approach to infectious disease screening in this often hard-to-reach group, and an urgent need for innovative approaches. Little research has focused on the specific experience of new migrants, nor sought their views on ways forward. We undertook a qualitative semi-structured interview study of migrant community health-care leads representing dominant new migrant groups in London, UK, to explore their views around barriers to screening, acceptability of screening, and innovative approaches to screening for four key diseases (HIV, TB, hepatitis B, and hepatitis C). Participants unanimously agreed that current screening models are not perceived to be widely accessible to new migrant communities. Dominant barriers that discourage uptake of screening include disease-related stigma present in their own communities and services being perceived as non-migrant friendly. New migrants are likely to be disproportionately affected by these barriers, with implications for health status. Screening is certainly acceptable to new migrants, however, services need to be developed to become more community-based, proactive, and to work more closely with community organisations; findings that mirror the views of migrants and health-care providers in Europe and internationally. Awareness raising about the benefits of screening within new migrant communities is critical. One innovative approach proposed by participants is a community-based package of health screening combining all key diseases into one general health check-up, to lessen the associated stigma. Further research is needed to develop evidence-based community-focused screening models - drawing on models of best practice from other countries receiving high numbers of migrants.
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DOI: 10.1371/journal.pone.0108261
PubMed: 25330079
PubMed Central: 4198109
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Engaging New Migrants in Infectious Disease Screening: A Qualitative Semi-Structured Interview Study of UK Migrant Community Health-Care Leads</title><author><name sortKey="Seedat, Farah" sort="Seedat, Farah" uniqKey="Seedat F" first="Farah" last="Seedat">Farah Seedat</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Hargreaves, Sally" sort="Hargreaves, Sally" uniqKey="Hargreaves S" first="Sally" last="Hargreaves">Sally Hargreaves</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Friedland, Jonathan S" sort="Friedland, Jonathan S" uniqKey="Friedland J" first="Jonathan S." last="Friedland">Jonathan S. Friedland</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25330079</idno><idno type="pmc">4198109</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198109</idno><idno type="RBID">PMC:4198109</idno><idno type="doi">10.1371/journal.pone.0108261</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000227</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000227</idno><idno type="wicri:Area/Pmc/Curation">000227</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000227</idno><idno type="wicri:Area/Pmc/Checkpoint">001416</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001416</idno><idno type="wicri:Area/Ncbi/Merge">002C36</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Engaging New Migrants in Infectious Disease Screening: A Qualitative Semi-Structured Interview Study of UK Migrant Community Health-Care Leads</title><author><name sortKey="Seedat, Farah" sort="Seedat, Farah" uniqKey="Seedat F" first="Farah" last="Seedat">Farah Seedat</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Hargreaves, Sally" sort="Hargreaves, Sally" uniqKey="Hargreaves S" first="Sally" last="Hargreaves">Sally Hargreaves</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Friedland, Jonathan S" sort="Friedland, Jonathan S" uniqKey="Friedland J" first="Jonathan S." last="Friedland">Jonathan S. Friedland</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Migration to Europe - and in particular the UK - has risen dramatically in the past decades, with implications for public health services. Migrants have increased vulnerability to infectious diseases (70% of TB cases and 60% HIV cases are in migrants) and face multiple barriers to healthcare. There is currently considerable debate as to the optimum approach to infectious disease screening in this often hard-to-reach group, and an urgent need for innovative approaches. Little research has focused on the specific experience of new migrants, nor sought their views on ways forward. We undertook a qualitative semi-structured interview study of migrant community health-care leads representing dominant new migrant groups in London, UK, to explore their views around barriers to screening, acceptability of screening, and innovative approaches to screening for four key diseases (HIV, TB, hepatitis B, and hepatitis C). Participants unanimously agreed that current screening models are not perceived to be widely accessible to new migrant communities. Dominant barriers that discourage uptake of screening include disease-related stigma present in their own communities and services being perceived as non-migrant friendly. New migrants are likely to be disproportionately affected by these barriers, with implications for health status. Screening is certainly acceptable to new migrants, however, services need to be developed to become more community-based, proactive, and to work more closely with community organisations; findings that mirror the views of migrants and health-care providers in Europe and internationally. Awareness raising about the benefits of screening within new migrant communities is critical. One innovative approach proposed by participants is a community-based package of health screening combining all key diseases into one general health check-up, to lessen the associated stigma. Further research is needed to develop evidence-based community-focused screening models - drawing on models of best practice from other countries receiving high numbers of migrants.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Rechel, B" uniqKey="Rechel B">B Rechel</name></author><author><name sortKey="Mladovsky, P" uniqKey="Mladovsky P">P Mladovsky</name></author><author><name sortKey="Ingleby, D" uniqKey="Ingleby D">D Ingleby</name></author><author><name sortKey="Mackenbach, Jp" uniqKey="Mackenbach J">JP Mackenbach</name></author><author><name sortKey="Mckee, M" uniqKey="Mckee M">M McKee</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Clark, Rc" uniqKey="Clark R">RC Clark</name></author><author><name sortKey="Mytton, J" uniqKey="Mytton J">J 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<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25330079</article-id><article-id pub-id-type="pmc">4198109</article-id><article-id pub-id-type="publisher-id">PONE-D-14-23013</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0108261</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine and Health Sciences</subject><subj-group><subject>Health Care</subject><subj-group><subject>Community-Based Intervention</subject><subject>Health Care Policy</subject><subject>Health Education and Awareness</subject><subject>Health Services Research</subject><subject>Primary Care</subject></subj-group></subj-group><subj-group><subject>Infectious Diseases</subject><subj-group><subject>Bacterial Diseases</subject><subj-group><subject>Tuberculosis</subject></subj-group></subj-group><subj-group><subject>Infectious Disease Control</subject></subj-group></subj-group><subj-group><subject>Public and Occupational Health</subject><subj-group><subject>Health Screening</subject></subj-group></subj-group><subj-group><subject>Tropical Diseases</subject></subj-group></subj-group></article-categories><title-group><article-title>Engaging New Migrants in Infectious Disease Screening: A Qualitative Semi-Structured Interview Study of UK Migrant Community Health-Care Leads</article-title><alt-title alt-title-type="running-head">Screening Migrants for Infectious Diseases</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Seedat</surname><given-names>Farah</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="author-notes" rid="fn1"><sup>¶</sup></xref></contrib><contrib contrib-type="author"><name><surname>Hargreaves</surname><given-names>Sally</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref><xref ref-type="author-notes" rid="fn1"><sup>¶</sup></xref></contrib><contrib contrib-type="author"><name><surname>Friedland</surname><given-names>Jonathan S.</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><aff id="aff1"><addr-line>International Health Unit, Section of Infectious Diseases and Immunity, Commonwealth Building, Hammersmith Campus, Imperial College London, London, United Kingdom</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Marsh</surname><given-names>Vicki</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>Kilifi, Kenya</addr-line></aff><author-notes><corresp id="cor1">* E-mail: <email>s.hargreaves@imperial.ac.uk</email></corresp><fn fn-type="conflict"><p><bold>Competing Interests: </bold>The authors have declared that no competing interests exist.</p></fn><fn fn-type="con"><p>Conceived and designed the experiments: SH JSF. Analyzed the data: FS SH JSF. Wrote the paper: FS SH JSF. Data collection: FS. Supported data collection: SH.</p></fn><fn id="fn1" fn-type="other"><p>¶ These authors are joint first authors on this work.</p></fn></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>15</day><month>10</month><year>2014</year></pub-date><volume>9</volume><issue>10</issue><elocation-id>e108261</elocation-id><history><date date-type="received"><day>28</day><month>5</month><year>2014</year></date><date date-type="accepted"><day>27</day><month>7</month><year>2014</year></date></history><permissions><copyright-year>2014</copyright-year><copyright-holder>Seedat et al</copyright-holder><license><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract><p>Migration to Europe - and in particular the UK - has risen dramatically in the past decades, with implications for public health services. Migrants have increased vulnerability to infectious diseases (70% of TB cases and 60% HIV cases are in migrants) and face multiple barriers to healthcare. There is currently considerable debate as to the optimum approach to infectious disease screening in this often hard-to-reach group, and an urgent need for innovative approaches. Little research has focused on the specific experience of new migrants, nor sought their views on ways forward. We undertook a qualitative semi-structured interview study of migrant community health-care leads representing dominant new migrant groups in London, UK, to explore their views around barriers to screening, acceptability of screening, and innovative approaches to screening for four key diseases (HIV, TB, hepatitis B, and hepatitis C). Participants unanimously agreed that current screening models are not perceived to be widely accessible to new migrant communities. Dominant barriers that discourage uptake of screening include disease-related stigma present in their own communities and services being perceived as non-migrant friendly. New migrants are likely to be disproportionately affected by these barriers, with implications for health status. Screening is certainly acceptable to new migrants, however, services need to be developed to become more community-based, proactive, and to work more closely with community organisations; findings that mirror the views of migrants and health-care providers in Europe and internationally. Awareness raising about the benefits of screening within new migrant communities is critical. One innovative approach proposed by participants is a community-based package of health screening combining all key diseases into one general health check-up, to lessen the associated stigma. Further research is needed to develop evidence-based community-focused screening models - drawing on models of best practice from other countries receiving high numbers of migrants.</p></abstract><funding-group><funding-statement>The study was funded by the Imperial College Healthcare Charity and the Biomedical Research Centre at Imperial College London. The funders had no role in study design, data collection, analysis, decision to publish, or preparation of the manuscript.</funding-statement></funding-group><counts><page-count count="10"></page-count></counts><custom-meta-group><custom-meta id="data-availability"><meta-name>Data Availability</meta-name><meta-value>The authors confirm that all data underlying the findings are fully available without restriction. The authors confirm that all data underlying the findings are fully available without restriction. All relevant data are within the Supporting Information files.</meta-value></custom-meta></custom-meta-group></article-meta><notes><title>Data Availability</title><p>The authors confirm that all data underlying the findings are fully available without restriction. The authors confirm that all data underlying the findings are fully available without restriction. All relevant data are within the Supporting Information files.</p></notes></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Friedland, Jonathan S" sort="Friedland, Jonathan S" uniqKey="Friedland J" first="Jonathan S." last="Friedland">Jonathan S. Friedland</name><name sortKey="Hargreaves, Sally" sort="Hargreaves, Sally" uniqKey="Hargreaves S" first="Sally" last="Hargreaves">Sally Hargreaves</name><name sortKey="Seedat, Farah" sort="Seedat, Farah" uniqKey="Seedat F" first="Farah" last="Seedat">Farah Seedat</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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