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Integrated screening of migrants for multiple infectious diseases: Qualitative study of a city-wide programme

Eborall, H; Wobi, F; Ellis, K; Willars, J; Abubakar, I; Griffiths, C; Pareek, M; (2020) Integrated screening of migrants for multiple infectious diseases: Qualitative study of a city-wide programme. EClinicalMedicine , 21 , Article 100315. 10.1016/j.eclinm.2020.100315. Green open access

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Abstract

Background: Migrants from certain regions are at increased risk of key infectious diseases (including HIV, tuberculosis (TB), hepatitis B and hepatitis C). Although guidelines increasingly recommend integrated screening for multiple infections to reduce morbidity little is known about what migrants and healthcare professionals think about this approach. / Methods: Prospective qualitative study in Leicester, United Kingdom within a novel city-wide integrated screening programme in three iterative phases to understand views about infections and integrated screening. Phase 1 focus groups (nine) with migrants from diverse communities (n = 74); phase 2 semi-structured interviews with healthcare professionals involved in the screening pathway (n = 32); phase 3 semi-structured interviews (n = 23) with individuals having tested positive for one/more infections through the programme. Analysis was informed by the constant comparative process and iterative across phases 1–3. / Findings: Migrants’ awareness of TB, HIV and hepatitis B/C varied, with greater awareness of TB and HIV than hepatitis B/C; perceived susceptibility to the infections was low. The integrated screening programme was well-received by migrants and professionals; concerns were limited to data-sharing. As anticipated, given the target group, language was cited as a challenge but mitigated by various interpretation strategies. / Interpretation: This large qualitative analysis is the first to confirm that integrated screening for key infectious diseases is feasible, positively viewed by, and acceptable to, migrants and healthcare professionals. These findings support recent guideline recommendations and therefore have important implications for policy-makers and clinicians as programmes of this type are more widely implemented in diverse settings. / Funding: National Institute for Health Research.

Type: Article
Title: Integrated screening of migrants for multiple infectious diseases: Qualitative study of a city-wide programme
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.eclinm.2020.100315
Publisher version: https://doi.org/10.1016/j.eclinm.2020.100315
Language: English
Additional information: Copyright © 2020 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: Migrants, Tuberculosis, HIV, Hepatitis B, Hepatitis C, Screening, Primary care
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10096497
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