A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region
IntroductionHepatitis B and C are a threat to public health. Screening of high-risk groups, such as migrants from high-endemic areas, enables early identification and treatment initiation. This systematic review identified barriers and facilitators for hepatitis B and C screening among migrants in t...
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1118227/full |
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| author | Chrissy P. B. Moonen Chrissy P. B. Moonen Casper D. J. den Heijer Casper D. J. den Heijer Nicole H. T. M. Dukers-Muijrers Nicole H. T. M. Dukers-Muijrers Ragni van Dreumel Sabine C. J. Steins Christian J. P. A. Hoebe Christian J. P. A. Hoebe Christian J. P. A. Hoebe |
| author_facet | Chrissy P. B. Moonen Chrissy P. B. Moonen Casper D. J. den Heijer Casper D. J. den Heijer Nicole H. T. M. Dukers-Muijrers Nicole H. T. M. Dukers-Muijrers Ragni van Dreumel Sabine C. J. Steins Christian J. P. A. Hoebe Christian J. P. A. Hoebe Christian J. P. A. Hoebe |
| author_sort | Chrissy P. B. Moonen |
| collection | DOAJ |
| description | IntroductionHepatitis B and C are a threat to public health. Screening of high-risk groups, such as migrants from high-endemic areas, enables early identification and treatment initiation. This systematic review identified barriers and facilitators for hepatitis B and C screening among migrants in the European Union/European Economic Area (EU/EEA).MethodsFollowing PRISMA guidelines, databases PubMed, Embase via Ovid, and Cochrane were searched for English articles published between 1 July 2015 and 24 February 2022. Articles were included, not restricted to a specific study design, if they elaborated on HBV or HCV screening in migrant populations from countries outside Western Europe, North America, and Oceania, and residing in EU/EEA countries. Excluded were studies with solely an epidemiological or microbiological focus, including only general populations or non-migrant subgroups, or conducted outside the EU/EEA, without qualitative, quantitative, or mixed methods. Data appraisal, extraction, and quality assessment were conducted and assessed by two reviewers. Barriers and facilitators were categorized into seven levels based on multiple theoretical frameworks and included factors related to guidelines, the individual health professional, the migrant and community, interaction, the organization and economics, the political and legal level, and innovations.ResultsThe search strategy yielded 2,115 unique articles of which 68 were included. Major identified barriers and facilitators to the success of screening related to the migrant (knowledge and awareness) and community level (culture, religion, support) and the organizational and economic level (capacity, resources, coordinated structures). Given possible language barriers, language support and migrant sensitivity are indispensable for facilitating interaction. Rapid point-of-care-testing is a promising strategy to lower screening barriers.DiscussionThe inclusion of multiple study designs provided extensive insight into barriers, strategies to lower these barriers, and facilitators to maximize the success of screening. A great variety of factors were revealed on multiple levels, therefore there is no one-size-fits-all approach for screening, and initiatives should be adopted for the targeted group(s), including tailoring to cultural and religious beliefs. We provide a checklist of facilitators and barriers to inform adapted interventions to allow for optimal screening impact. |
| first_indexed | 2024-04-10T15:02:57Z |
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| id | doaj.art-48e8295ff4cb4361a1611b992aeae4c4 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T15:02:57Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-48e8295ff4cb4361a1611b992aeae4c42023-02-15T09:36:04ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-02-011110.3389/fpubh.2023.11182271118227A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA regionChrissy P. B. Moonen0Chrissy P. B. Moonen1Casper D. J. den Heijer2Casper D. J. den Heijer3Nicole H. T. M. Dukers-Muijrers4Nicole H. T. M. Dukers-Muijrers5Ragni van Dreumel6Sabine C. J. Steins7Christian J. P. A. Hoebe8Christian J. P. A. Hoebe9Christian J. P. A. Hoebe10Living Lab Public Health, Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, Heerlen, NetherlandsDepartment of Social Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, NetherlandsLiving Lab Public Health, Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, Heerlen, NetherlandsDepartment of Social Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, NetherlandsLiving Lab Public Health, Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, Heerlen, NetherlandsDepartment of Health Promotion, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, NetherlandsLiving Lab Public Health, Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, Heerlen, NetherlandsLiving Lab Public Health, Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, Heerlen, NetherlandsLiving Lab Public Health, Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, Heerlen, NetherlandsDepartment of Social Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, NetherlandsDepartment of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Centre (MUMC+), Maastricht, NetherlandsIntroductionHepatitis B and C are a threat to public health. Screening of high-risk groups, such as migrants from high-endemic areas, enables early identification and treatment initiation. This systematic review identified barriers and facilitators for hepatitis B and C screening among migrants in the European Union/European Economic Area (EU/EEA).MethodsFollowing PRISMA guidelines, databases PubMed, Embase via Ovid, and Cochrane were searched for English articles published between 1 July 2015 and 24 February 2022. Articles were included, not restricted to a specific study design, if they elaborated on HBV or HCV screening in migrant populations from countries outside Western Europe, North America, and Oceania, and residing in EU/EEA countries. Excluded were studies with solely an epidemiological or microbiological focus, including only general populations or non-migrant subgroups, or conducted outside the EU/EEA, without qualitative, quantitative, or mixed methods. Data appraisal, extraction, and quality assessment were conducted and assessed by two reviewers. Barriers and facilitators were categorized into seven levels based on multiple theoretical frameworks and included factors related to guidelines, the individual health professional, the migrant and community, interaction, the organization and economics, the political and legal level, and innovations.ResultsThe search strategy yielded 2,115 unique articles of which 68 were included. Major identified barriers and facilitators to the success of screening related to the migrant (knowledge and awareness) and community level (culture, religion, support) and the organizational and economic level (capacity, resources, coordinated structures). Given possible language barriers, language support and migrant sensitivity are indispensable for facilitating interaction. Rapid point-of-care-testing is a promising strategy to lower screening barriers.DiscussionThe inclusion of multiple study designs provided extensive insight into barriers, strategies to lower these barriers, and facilitators to maximize the success of screening. A great variety of factors were revealed on multiple levels, therefore there is no one-size-fits-all approach for screening, and initiatives should be adopted for the targeted group(s), including tailoring to cultural and religious beliefs. We provide a checklist of facilitators and barriers to inform adapted interventions to allow for optimal screening impact.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1118227/fullsystematic reviewhepatitis Bhepatitis Cscreeningmigrantsfacilitators and barriers |
| spellingShingle | Chrissy P. B. Moonen Chrissy P. B. Moonen Casper D. J. den Heijer Casper D. J. den Heijer Nicole H. T. M. Dukers-Muijrers Nicole H. T. M. Dukers-Muijrers Ragni van Dreumel Sabine C. J. Steins Christian J. P. A. Hoebe Christian J. P. A. Hoebe Christian J. P. A. Hoebe A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region Frontiers in Public Health systematic review hepatitis B hepatitis C screening migrants facilitators and barriers |
| title | A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region |
| title_full | A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region |
| title_fullStr | A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region |
| title_full_unstemmed | A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region |
| title_short | A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region |
| title_sort | systematic review of barriers and facilitators for hepatitis b and c screening among migrants in the eu eea region |
| topic | systematic review hepatitis B hepatitis C screening migrants facilitators and barriers |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1118227/full |
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