TOGETHER Project to Increase Understanding of the HIV Epidemic Among Sub-Saharan African Migrants: Protocol of Community-Based Participatory Mixed-Method Studies
Identifieur interne : 000394 ( Pmc/Curation ); précédent : 000393; suivant : 000395TOGETHER Project to Increase Understanding of the HIV Epidemic Among Sub-Saharan African Migrants: Protocol of Community-Based Participatory Mixed-Method Studies
Auteurs :Source :
- JMIR Research Protocols [ 1929-0748 ] ; 2016.
Abstract
Sub-Saharan African Migrants (SAM) are the second largest group affected by HIV/AIDS in Belgium and the rest of Western Europe. Increasing evidence shows that, more than previously thought, SAM are acquiring HIV in their host countries. This calls for a renewed focus on primary prevention. Yet, knowledge on the magnitude of the HIV epidemic among SAM (HIV prevalence estimates and proportions of undiagnosed HIV infections) and underlying drivers are scarce and limit the development of such interventions.
By applying a community-based participatory and mixed-methods approach, the TOGETHER project aims to deepen our understanding of HIV transmission dynamics, as well as inform future primary prevention interventions for this target group.
The TOGETHER project consists of a cross-sectional study to assess HIV prevalence and risk factors among SAM visiting community settings in Antwerp city, Belgium, and links an anonymous electronic self-reported questionnaire to oral fluid samples. Three formative studies informed this method: (1) a social mapping of community settings using an adaptation of the PLACE method; (2) a multiple case study aiming to identify factors that increase risk and vulnerability for HIV infection by triangulating data from life history interviews, lifelines, and patient files; and (3) an acceptability and feasibility study of oral fluid sampling in community settings using participant observations.
Results have been obtained from 4 interlinked studies and will be described in future research.
Combining empirically tested and innovative epidemiological and social science methods, this project provides the first HIV prevalence estimates for a representative sample of SAM residing in a West European city. By triangulating qualitative and quantitative insights, the project will generate an in-depth understanding of the factors that increase risk and vulnerability for HIV infection among SAM. Based on this knowledge, the project will identify priority subgroups within SAM communities and places for HIV prevention. Adopting a community-based participatory approach throughout the full research process should increase community ownership, investment, and mobilization for HIV prevention.
Url:
DOI: 10.2196/resprot.5162
PubMed: 26988266
PubMed Central: 4816927
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<series><title level="j">JMIR Research Protocols</title>
<idno type="eISSN">1929-0748</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec sec-type="background"><title>Background</title>
<p>Sub-Saharan African Migrants (SAM) are the second largest group affected by HIV/AIDS in Belgium and the rest of Western Europe. Increasing evidence shows that, more than previously thought, SAM are acquiring HIV in their host countries. This calls for a renewed focus on primary prevention. Yet, knowledge on the magnitude of the HIV epidemic among SAM (HIV prevalence estimates and proportions of undiagnosed HIV infections) and underlying drivers are scarce and limit the development of such interventions.</p>
</sec>
<sec sec-type="objective"><title>Objective</title>
<p>By applying a community-based participatory and mixed-methods approach, the TOGETHER project aims to deepen our understanding of HIV transmission dynamics, as well as inform future primary prevention interventions for this target group.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>The TOGETHER project consists of a cross-sectional study to assess HIV prevalence and risk factors among SAM visiting community settings in Antwerp city, Belgium, and links an anonymous electronic self-reported questionnaire to oral fluid samples. Three formative studies informed this method: (1) a social mapping of community settings using an adaptation of the PLACE method; (2) a multiple case study aiming to identify factors that increase risk and vulnerability for HIV infection by triangulating data from life history interviews, lifelines, and patient files; and (3) an acceptability and feasibility study of oral fluid sampling in community settings using participant observations.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>Results have been obtained from 4 interlinked studies and will be described in future research.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusions</title>
<p>Combining empirically tested and innovative epidemiological and social science methods, this project provides the first HIV prevalence estimates for a representative sample of SAM residing in a West European city. By triangulating qualitative and quantitative insights, the project will generate an in-depth understanding of the factors that increase risk and vulnerability for HIV infection among SAM. Based on this knowledge, the project will identify priority subgroups within SAM communities and places for HIV prevention. Adopting a community-based participatory approach throughout the full research process should increase community ownership, investment, and mobilization for HIV prevention.</p>
</sec>
</div>
</front>
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</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">JMIR Res Protoc</journal-id>
<journal-id journal-id-type="iso-abbrev">JMIR Res Protoc</journal-id>
<journal-id journal-id-type="publisher-id">ResProt</journal-id>
<journal-title-group><journal-title>JMIR Research Protocols</journal-title>
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<issn pub-type="epub">1929-0748</issn>
<publisher><publisher-name>JMIR Publications Inc.</publisher-name>
<publisher-loc>Toronto, Canada</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26988266</article-id>
<article-id pub-id-type="pmc">4816927</article-id>
<article-id pub-id-type="publisher-id">v5i1e48</article-id>
<article-id pub-id-type="doi">10.2196/resprot.5162</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Protocol</subject>
</subj-group>
<subj-group subj-group-type="article-type"><subject>Original Paper</subject>
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</article-categories>
<title-group><article-title>TOGETHER Project to Increase Understanding of the HIV Epidemic Among Sub-Saharan African Migrants: Protocol of Community-Based Participatory Mixed-Method Studies</article-title>
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<degrees>MA (Cult. and Soc. Anthropology)</degrees>
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<address><institution>HIV and Sexual Health Unit</institution>
<institution>Department of Public Health</institution>
<institution>Institute of Tropical Medicine</institution>
<addr-line>Nationalestraat 155</addr-line>
<addr-line>Antwerpen, 2000</addr-line>
<country>Belgium</country>
<phone>32 03 247 07 18</phone>
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<email>jloos@itg.be</email>
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<degrees>MA</degrees>
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<contrib-id contrib-id-type="orcid">http://orcid.org/0000-0003-2127-4599</contrib-id>
</contrib>
<contrib id="contrib8" contrib-type="author"><name><surname>Colebunders</surname>
<given-names>Robert</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff5">5</xref>
<xref ref-type="aff" rid="aff6">6</xref>
<contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-1919-1340</contrib-id>
</contrib>
<contrib id="contrib9" contrib-type="author"><name><surname>Laga</surname>
<given-names>Marie</given-names>
</name>
<degrees>MD, MPH, PhD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
<contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-3567-000X</contrib-id>
</contrib>
<contrib id="contrib10" contrib-type="author"><name><surname>Adobea</surname>
<given-names>Dorothy</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-0131-7742</contrib-id>
</contrib>
<contrib id="contrib11" contrib-type="author"><name><surname>Nöstlinger</surname>
<given-names>Christiana</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
<contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-9031-8503</contrib-id>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup>
<institution>HIV and Sexual Health Unit</institution>
<institution>Department of Public Health</institution>
<institution>Institute of Tropical Medicine</institution>
<addr-line>Antwerpen</addr-line>
<country>Belgium</country>
</aff>
<aff id="aff2"><sup>2</sup>
<institution>Epidemiology of Infectious Diseases Unit</institution>
<institution>Department of Public Health and Surveillance</institution>
<institution>Scientific Institute of Public Health</institution>
<addr-line>Brussels</addr-line>
<country>Belgium</country>
</aff>
<aff id="aff3"><sup>3</sup>
<institution>HIV/STI clinic</institution>
<institution>Department of Clinical Sciences</institution>
<institution>Institute of Tropical Medicine</institution>
<addr-line>Antwerpen</addr-line>
<country>Belgium</country>
</aff>
<aff id="aff4"><sup>4</sup>
<institution>AIDS Reference Laboratory</institution>
<institution>Department of Clinical Sciences</institution>
<institution>Institute of Tropical Medicine</institution>
<addr-line>Antwerpen</addr-line>
<country>Belgium</country>
</aff>
<aff id="aff5"><sup>5</sup>
<institution>Department of Clinical Sciences</institution>
<institution>Institute of Tropical Medicine</institution>
<addr-line>Antwerpen</addr-line>
<country>Belgium</country>
</aff>
<aff id="aff6"><sup>6</sup>
<institution>Epidemiology for Global Health Institute</institution>
<institution>Faculty of Medicine & Health Sciences</institution>
<institution>University of Antwerp</institution>
<addr-line>Antwerpen</addr-line>
<country>Belgium</country>
</aff>
<author-notes><corresp>Corresponding Author: Jasna Loos <email>jloos@itg.be</email>
</corresp>
</author-notes>
<pub-date pub-type="collection"><season>Jan-Mar</season>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>17</day>
<month>3</month>
<year>2016</year>
</pub-date>
<volume>5</volume>
<issue>1</issue>
<elocation-id>e48</elocation-id>
<history><date date-type="received"><day>24</day>
<month>9</month>
<year>2015</year>
</date>
<date date-type="rev-request"><day>29</day>
<month>10</month>
<year>2015</year>
</date>
<date date-type="rev-recd"><day>18</day>
<month>11</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>29</day>
<month>11</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>©Jasna Loos, Bea Vuylsteke, Lazare Manirankunda, Jessika Deblonde, Ilse Kint, Fiona Namanya, Katrien Fransen, Robert Colebunders, Marie Laga, Dorothy Adobea, Christiana Nöstlinger. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 17.03.2016. </copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>
This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0/">http://creativecommons.org/licenses/by/2.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="http://www.researchprotocols.org,">http://www.researchprotocols.org,</ext-link>
as well as this copyright and license information must be included.</license-p>
</license>
</permissions>
<self-uri xlink:type="simple" xlink:href="http://www.researchprotocols.org/2016/1/e48/"></self-uri>
<abstract><sec sec-type="background"><title>Background</title>
<p>Sub-Saharan African Migrants (SAM) are the second largest group affected by HIV/AIDS in Belgium and the rest of Western Europe. Increasing evidence shows that, more than previously thought, SAM are acquiring HIV in their host countries. This calls for a renewed focus on primary prevention. Yet, knowledge on the magnitude of the HIV epidemic among SAM (HIV prevalence estimates and proportions of undiagnosed HIV infections) and underlying drivers are scarce and limit the development of such interventions.</p>
</sec>
<sec sec-type="objective"><title>Objective</title>
<p>By applying a community-based participatory and mixed-methods approach, the TOGETHER project aims to deepen our understanding of HIV transmission dynamics, as well as inform future primary prevention interventions for this target group.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>The TOGETHER project consists of a cross-sectional study to assess HIV prevalence and risk factors among SAM visiting community settings in Antwerp city, Belgium, and links an anonymous electronic self-reported questionnaire to oral fluid samples. Three formative studies informed this method: (1) a social mapping of community settings using an adaptation of the PLACE method; (2) a multiple case study aiming to identify factors that increase risk and vulnerability for HIV infection by triangulating data from life history interviews, lifelines, and patient files; and (3) an acceptability and feasibility study of oral fluid sampling in community settings using participant observations.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>Results have been obtained from 4 interlinked studies and will be described in future research.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusions</title>
<p>Combining empirically tested and innovative epidemiological and social science methods, this project provides the first HIV prevalence estimates for a representative sample of SAM residing in a West European city. By triangulating qualitative and quantitative insights, the project will generate an in-depth understanding of the factors that increase risk and vulnerability for HIV infection among SAM. Based on this knowledge, the project will identify priority subgroups within SAM communities and places for HIV prevention. Adopting a community-based participatory approach throughout the full research process should increase community ownership, investment, and mobilization for HIV prevention.</p>
</sec>
</abstract>
<kwd-group><kwd>HIV</kwd>
<kwd>HIV prevention</kwd>
<kwd>sub-Saharan African migrants</kwd>
<kwd>HIV prevalence</kwd>
<kwd>HIV risk factors</kwd>
<kwd>mixed methods</kwd>
<kwd>community-based participatory research</kwd>
<kwd>oral fluid</kwd>
<kwd>electronic questionnaire</kwd>
<kwd>surveys and questionnaires</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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