Good acceptability of HIV, HBV, and HCV screening during immigration medical check-up amongst migrants in France in the STRADA study

Duracinský, Martin; Thonon, F.; Bun, Sonia; Nasr, I Ben; Dara, Aïchata Fofana; Lakhdari, S; Coblentz-Baumann, Laurence; Lert, France; Dimi, Svetlane; Chassany, Olivier

doi:10.1371/journal.pone.0235260

Cited by 17 publications

(18 citation statements)

References 32 publications

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“…Basic rights of the refugee in a host country include the rights to be protected from refoulement, to work, to housing, to education, and the right to public relief and assistance ( United Nations High Commission for Refugees [UNHCR], 2011 ). Thus, IME processes must re-structure the HIV screening/care access, and reduce alienation of ACB populations ( Duracinsky et al., 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“I die silently inside”. Qualitative findings from a study of people living with HIV who migrate to and settle in Canada

Cruz

Maposa

Patten³

et al. 2022

Journal of Migration and Health

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Section: Discussionmentioning

confidence: 99%

“I die silently inside”. Qualitative findings from a study of people living with HIV who migrate to and settle in Canada

Cruz

Maposa

Patten³

et al. 2022

Journal of Migration and Health

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“…Feedback from field‐based experience, including feedback from the non‐governmental organization Médecins du Monde's centres of care and orientation (CASO), 47 can be of great help in designing such strategies. Proposing HCV screening during immigration medical check‐up 15 and implementing test‐and‐treat strategies could also potentially improve the HCV cascade of care for migrant populations.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of direct‐acting antivirals for chronic hepatitis C treatment in migrant and non‐migrant populations in France

Carrieri

Fontaine

Baudoin

et al. 2021

Liver International

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Despite universal health coverage in France, migrants face specific socioeconomic barriers that increase the likelihood of a suboptimal cascade of care for chronic hepatitis C virus (HCV) infection and impaired treatment effectiveness in this sub‐population. We selected data collected from 2012 to 2018 from the ANRS CO22 HEPATHER prospective cohort study for chronic HCV participants with available data on treatment failure (defined as the presence of a detectable HCV‐RNA load 12 weeks after their first DAA treatment ended). We performed multivariable Poisson regression models to test whether treatment failure rates differed significantly between HCV‐infected migrants and non‐migrants receiving DAA in France (cross‐sectional analysis), while taking into account the former's world region of birth and other potential social vulnerability factors. Among the study population's 7,879 patients, 5,829 (74%) were non‐migrants and 2,050 (26%) migrants. Median [interquartile range] age was 57 [51‐65] years, 4433 (56%) were men and 369 (5%) of the entire study population had treatment failure. After multivariable adjustment, only migrants from Central Asia were at higher risk of treatment failure than non‐migrants (aIRR = 2.83; 95% CI [1.72, 4.65]). Results from this large‐scale study performed in France suggest a higher risk of DAA treatment failure in migrants from Central Asia than in non‐migrants and confirm the overall low treatment failure rate in chronic HCV patients treated with DAA (whether migrants or not). Simplified models of care taking into account language and cultural barriers are needed to improve DAA effectiveness in migrants from Central Asia.

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“…Acceptability was evaluated in almost two-thirds of the apps and was generally high. Although health promotion or prevention programs specifically targeting people who have migrated might be complex to integrate into a health system, they are generally well accepted [ 39 ] and are a way to elevate health for all individuals.…”

Section: Discussionmentioning

confidence: 99%

Electronic Tools to Bridge the Language Gap in Health Care for People Who Have Migrated: Systematic Review

Thonon¹,

Perrot²,

Yergolkar³

et al. 2021

J Med Internet Res

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Background People who have migrated or with a language barrier may face significant hurdles in accessing health care. Some apps have been specifically developed to facilitate the dialogue between health care professionals and people who have migrated who have low-level language proficiency or to promote health among people who have migrated. Objective We conducted a systematic review to investigate development, acceptability, and effectiveness of these types of apps. Methods We conducted a search of PubMed, Scopus, and Embase databases. We included all study designs (qualitative, quantitative, mixed) reporting development, evaluation of efficacy, or acceptability of apps facilitating dialogue with a health professional or promoting health for people who have migrated, minorities, or tourists with a language barrier, using any outcome. Two researchers selected the studies independently. We collected general information about the app, information about health literacy and cultural adaptation, information about the development of the app, evidence on acceptability or efficacy, and information on app use. Data were collected by 2 researchers independently and results were reviewed to verify agreement and reported according to PRISMA (Preferred Reporting Items for Systematic Review and Meta-analysis). Results Positive results for translation apps included better communication, but with possible limitations, and reduced consultation time. Positive results for health promotion apps included improved quality of life and better management of chronic illnesses. Conclusions Overall, the apps had good levels of acceptability, though only half had their efficacy evaluated. In those evaluations, the endpoints were mostly related to reported behavior change and knowledge improvement, which is common for evaluations of health promotion programs. In the future, as more health apps are created, it is essential that apps that claim to have a public health objective undergo a rigorous evaluation of their acceptability, efficacy, and actual use. Indicators of outcomes beyond changes in behavior and knowledge should be reported; change in health status or access to care should also be reported. This systematic review has helped us note the characteristics associated with improved acceptability and efficacy, which can be helpful for the development of future apps.

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Good acceptability of HIV, HBV, and HCV screening during immigration medical check-up amongst migrants in France in the STRADA study

Cited by 17 publications

References 32 publications

“I die silently inside”. Qualitative findings from a study of people living with HIV who migrate to and settle in Canada

“I die silently inside”. Qualitative findings from a study of people living with HIV who migrate to and settle in Canada

Effectiveness of direct‐acting antivirals for chronic hepatitis C treatment in migrant and non‐migrant populations in France

Electronic Tools to Bridge the Language Gap in Health Care for People Who Have Migrated: Systematic Review

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