PMID- 28465279
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 6
IP  - 5
DP  - 2017 May 2
TI  - Knowledge, Attitude, Behavior, and Practices Regarding HIV, Viral Hepatitis, and 
      Sexually Transmitted Infections Among Migrants From Sub-Saharan Africa Living in 
      Germany: A Multicenter Survey Protocol.
PG  - e80
LID - 10.2196/resprot.6833 [doi]
LID - e80
AB  - BACKGROUND: Migration has an impact on the epidemiology of viral hepatitis B and 
      C (HEP) and HIV in Germany; migrants from sub-Saharan Africa (MisSA) in Germany 
      are disproportionally affected by HIV. In the last 10 years, a total of 10%-15% 
      of all newly diagnosed HIV cases were among MisSA; 20%-30% of them acquired HIV 
      in Germany. Prevalence of HEP among MisSA in Germany is unknown, but Western 
      Africa, from where most MisSA in Germany originate, reports the highest 
      prevalence of hepatitis B worldwide. There is limited information on knowledge, 
      attitudes, behaviors, and practices (KABP) regarding HIV, HEP, and sexually 
      transmitted infections (STIs), as MisSA are not reached with surveys targeting 
      the general population. OBJECTIVE: Our objective was to determine the HIV, HEP, 
      and STI information and prevention needs of MisSA in Germany. METHODS: We 
      conducted a multicenter, cross-sectional, KABP survey regarding HIV, HEP, and 
      STIs among MisSA living in Germany using convenience sampling. The study design 
      was developed as a community-based participatory health research (CBPHR) project; 
      HIV/STI-prevention specialists, key persons from MisSA communities, and HIV/STI 
      researchers were involved in all steps of the research process. Trained peer 
      researchers recruited participants in six study cities. Potential modes of survey 
      administration were interview or self-completion, and the questionnaire was 
      available in English, French, and German. Questions on knowledge about HIV, HEP, 
      and STIs were presented as true statements; participants were asked if they had 
      known the information before. Focus groups with MisSA were conducted to interpret 
      results. Data collection took place from October 2014 to November 2016. RESULTS: 
      Recruitment by peer researchers concluded with 3040 eligible participants. Data 
      collection was completed in November 2016. We are currently analyzing the 
      quantitative data and qualitative data from focus groups. We are conducting 
      working group meetings to discuss the results in the respective study cities and 
      to evaluate the application of participatory health research in epidemiological 
      studies. First results are expected by the end of 2017. CONCLUSIONS: Working with 
      peer researchers to collect data allowed accessibility to a diverse sample of 
      MisSA and, particularly, allowed us to reach vulnerable subgroups, such as MisSA 
      without legal status. The ability to access hard-to-reach groups is one of the 
      big advantages of CBPHR. The active inclusion of the persons under study in the 
      design of the study resulted in higher acceptance and ownership of the research 
      project in the target community; this ultimately lead to better quality of 
      collected data. Furthermore, the participation of MisSA in the development of 
      study design and data collection assures a better understanding of the interests, 
      needs, and living conditions of this group.
CI  - (c)Claudia Santos-Hovener, Carmen Koschollek, Anna Kuehne, Adama Thorlie, Viviane 
      Bremer. Originally published in JMIR Research Protocols 
      (http://www.researchprotocols.org), 02.05.2017.
FAU - Santos-Hovener, Claudia
AU  - Santos-Hovener C
AUID- ORCID: 0000-0001-5994-7715
AD  - Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, 
      Germany.
FAU - Koschollek, Carmen
AU  - Koschollek C
AUID- ORCID: 0000-0003-2186-1072
AD  - Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, 
      Germany.
FAU - Kuehne, Anna
AU  - Kuehne A
AUID- ORCID: 0000-0002-8578-0362
AD  - Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, 
      Germany.
FAU - Thorlie, Adama
AU  - Thorlie A
AUID- ORCID: 0000-0003-3600-0566
AD  - Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, 
      Germany.
FAU - Bremer, Viviane
AU  - Bremer V
AUID- ORCID: 0000-0003-0158-7053
AD  - Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, 
      Germany.
LA  - eng
PT  - Journal Article
DEP - 20170502
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC5434255
OTO - NOTNLM
OT  - HIV
OT  - KABP survey
OT  - STI
OT  - community-based participatory health research
OT  - migrants from sub-Saharan Africa
OT  - viral hepatitis
COIS- Conflicts of Interest: None declared.
EDAT- 2017/05/04 06:00
MHDA- 2017/05/04 06:01
PMCR- 2017/05/02
CRDT- 2017/05/04 06:00
PHST- 2016/10/17 00:00 [received]
PHST- 2017/02/18 00:00 [accepted]
PHST- 2017/02/13 00:00 [revised]
PHST- 2017/05/04 06:00 [entrez]
PHST- 2017/05/04 06:00 [pubmed]
PHST- 2017/05/04 06:01 [medline]
PHST- 2017/05/02 00:00 [pmc-release]
AID - v6i5e80 [pii]
AID - 10.2196/resprot.6833 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2017 May 2;6(5):e80. doi: 10.2196/resprot.6833.