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

作者：Ibidun Fakoya, Débora Álvarez-del Arco, Susana Monge, Andrew Copas, Anne-Françoise Gennotte, Alain Volny‐Anne, Siri Göpel, Giota Touloumi, Maria Prins, Henrique Barros, Cornelia Staehelin, Julia del Amo, Fiona Burns · 发表于：JMIR Research Protocols · 年份：2016 · DOI：10.2196/resprot.5085 · 被引用次数：22 · 研究领域：HIV/AIDS Research and Interventions、Sex work and related issues、HIV, Drug Use, Sexual Risk

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 commun...