UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Advancing Migrant Access to Health Services in Europe (AMASE): Protocol for a Cross-sectional Study

Fakoya, I; Álvarez-Del Arco, D; Monge, S; Copas, AJ; Gennotte, AF; Volny-Anne, A; Göpel, S; ... Burns, FM; + view all (2016) Advancing Migrant Access to Health Services in Europe (AMASE): Protocol for a Cross-sectional Study. JMIR Research Protocols , 5 (2) , Article e74. 10.2196/resprot.5085. Green open access

[img]
Preview
Text
fc-xsltGalley-5085-82687-27-PB.pdf - Published version

Download (146kB) | Preview

Abstract

BACKGROUND: Migrants form a substantial proportion of the population affected by the human immunodeficiency virus (HIV) epidemic in Europe, yet HIV prevention for this population is hindered by poor understanding of access to care and of postmigration transmission dynamics. OBJECTIVE: We present the design and methods of the advancing Migrant Access to health Services in Europe (aMASE) study, the first European cross-cultural study focused on multiple migrant populations. It aims to identify the structural, cultural, and financial barriers to HIV prevention, diagnosis, and treatment and to determine the likely country of HIV acquisition in HIV-positive migrant populations. METHODS: We delivered 2 cross-sectional electronic surveys across 10 countries (Belgium, France, Germany, Greece, Italy, the Netherlands, Portugal, Spain, Switzerland, and United Kingdom). A clinic survey aimed to recruit up to 2000 HIV-positive patients from 57 HIV clinics in 9 countries. A unique study number linked anonymized questionnaire data to clinical records data (viral loads, CD4 cell counts, viral clades, etc). This questionnaire was developed by expert panel consensus and cognitively tested, and a pilot study was carried out in 2 countries. A Web-based community survey (n=1000) reached those living with HIV but not currently accessing HIV clinics, as well as HIV-negative migrants. It was developed in close collaboration with a community advisory group (CAG) made up of representatives from community organizations in 9 of the participating countries. The CAG played a key role in data collection by promoting the survey to higher-risk migrant groups (sub-Saharan Africans, Latin Americans, men who have sex with men, and people who inject drugs). The questionnaires have considerable content overlap, allowing for comparison. Questions cover ethnicity, migration, immigration status, HIV testing and treatment, health-seeking behavior, sexual risk, and drug use. The electronic questionnaires, which were available in 15 languages, allowed for complex routing, preventing respondents from answering irrelevant questions. RESULTS: In total, we recruited 2249 participants from 57 HIV clinics as part of the clinic survey and retrieved 1637 complete responses as part of the community survey. CONCLUSIONS: The findings will provide much-needed information for improving HIV prevention interventions and access to services for migrant communities.

Type: Article
Title: Advancing Migrant Access to Health Services in Europe (AMASE): Protocol for a Cross-sectional Study
Location: Canada
Open access status: An open access version is available from UCL Discovery
DOI: 10.2196/resprot.5085
Publisher version: http://dx.doi.org/10.2196/resprot.5085
Language: English
Additional information: ©Ibidun Fakoya, Débora Álvarez-del Arco, Susana Monge, Andrew J Copas, Anne-Francoise Gennotte, Alain Volny-Anne, Siri Göpel, Giota Touloumi, Maria Prins, Henrique Barros, Cornelia Staehelin, Julia del Amo, Fiona M Burns. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 16.05.2016. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), 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 http://www.researchprotocols.org, as well as this copyright and license information must be included.
Keywords: HIV, community mobilization, migrants, survey
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
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/1493226
Downloads since deposit
62Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item