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

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
Additional contact information
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
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

IJERPH, 2018, vol. 15, issue 11, 1-21

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.

Keywords: access to care; disease prevention; public health; stigma; refugees; migrants (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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