Recruiting African Immigrant Women for Community-Based Cancer Prevention Studies: Lessons Learned from the AfroPap Study

Cudjoe, Joycelyn; Turkson‐Ocran, Ruth‐Alma; Ezeigwe, Angelica K.; Commodore‐Mensah, Yvonne; Nkimbeng, Manka; Han, Hae Ra

doi:10.1007/s10900-019-00677-y

Cited by 27 publications

(32 citation statements)

References 35 publications

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“…While the complexity and high costs associated with the U.S. healthcare system may not be unique to African immigrants [82,83], their poor treatment by the U.S. medical institution is idiosyncratic [73,84,85]. This contributes to the pre-existing distrust of the U.S. healthcare system, which makes it difficult to engage them in intervention programs and research [86]. Contrary to the well-documented mistreatment of African Americans by the U.S. health system, including the Tuskegee Syphilis experiment [87], the underpinnings of the cynicism among African immigrants towards the U.S. healthcare system, have not yet been well identified [75].…”

Section: Discussionmentioning

confidence: 99%

Understanding the healthcare experiences and needs of African immigrants in the United States: a scoping review

2020

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Background: Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the "black" category, along with other phenotypically-similar groups. This process makes utilizing research data to make critical healthcare decisions specifically targeting African immigrants, difficult. The purpose of this Scoping Review was to examine extant information about African immigrant health in the U.S., in order to develop lines of inquiry using the identified knowledge-gaps. Methods: Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of the question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results: Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. In addition, lack of culturally-competent healthcare, distrust, and complexity, of the U.S. health system, and the exorbitant cost of care, were identified as major healthcare access barriers. Conclusion: Knowledge about African immigrant health in the U.S. is scarce, with available literature mainly focusing on databases, which make it difficult to identify African immigrants. To our knowledge, this is the first Scoping Review pertaining to the healthcare experiences and needs of African immigrants in the U.S.

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Section: Discussionmentioning

confidence: 99%

Understanding the healthcare experiences and needs of African immigrants in the United States: a scoping review

2020

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“…healthcare system, which makes it difficult to engage them in intervention programs and research (83). Contrary to the well-documented mistreatment of African Americans by the U.S. health system, including the Tuskegee Syphilis experiment (84), the underpinnings of the cynicism among African immigrants towards the U.S. healthcare system, have not yet been well identified (72).…”

Section: Biased/hostile Provider Attitudesmentioning

confidence: 99%

Understanding the Healthcare Experiences and Needs of African Immigrants in the United States: A Scoping Review

Omenka

Watson

Hendrie

2019

Preprint

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Background: Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the “black” category, along with other phenotypically-similar groups. This process makes utilizing research data to make critical healthcare decisions specifically targeting African immigrants, difficult. The purpose of this Scoping Review was to examine extant information about African immigrant health in the U.S., in order to develop lines of inquiry using the identified knowledge-gaps. Methods: Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of the question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results: Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. In addition, lack of culturally-competent healthcare, distrust, and complexity, of the U.S. health system, and the exorbitant cost of care, were identified as major healthcare access barriers. Conclusion: Knowledge about African immigrant health in the U.S. is scarce, with available literature mainly focusing on databases, which make it difficult to identify African immigrants. To our knowledge, this is the first Scoping Review pertaining to the healthcare experiences and needs of African immigrants in the U.S.

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“…8 While 42% of African immigrants aged >25 years have at least a bachelor's degree, only 28% of all US-born persons and 27% of all immigrants have a bachelor's degree. 9 In the Afro-Cardiac Study 10 , and Afro-Pap Study 11 , 51% and 68% of participants, respectively, reported being collegeeducated. Significant heterogeneity has been reported in educational attainment as 59% of Nigerian immigrants, and 10% of Somalia immigrants had at least a bachelor's degree.…”

Section: Sociodemographic Characteristics Of African Immigrants In Thmentioning

confidence: 99%

“…We employed several strategies including recruiting from known and trusted community organizations, developing new relationships/ partnerships with community organizations, 11 and fostering a culture of transparency of research findings by sharing preliminary results. This approach helped participants develop trust in the research and resulted in participants referring the researchers to other potential organizations for data collection.…”

Section: Building Trust With African Immigrantsmentioning

confidence: 99%

Commentary: Engaging African Immigrants in Research – Experiences and Lessons from the Field

et al. 2019

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Global migration from Africa to more economically developed regions such as the United States, Europe, the Middle East, and Australia has reached unprecedented rates in the past five decades. The size of the African immigrant population in the United States has roughly doubled every decade since 1970. However, research has not kept up with the growing size of this vulnerable population. Data from African immigrants have not traditionally been reported separately from Blacks/African Americans. There is growing interest in increasing the participation of African immigrants in research to understand their unique health needs and the full spectrum of factors impacting their health, ranging from racial, social, environmental, and behavioral factors, to individual biological and genetic factors which may also inform health challenges. This line of inquiry may also inform our understanding of health disparities among their African American counterparts. However, little is known about effective community engagement and recruitment strategies that may increase the participation of this population in research studies. The purpose of this commentary is to: 1) describe lessons learned from our experiences engaging African immigrants in research in the Baltimore, Washington, DC, and Atlanta metropolitan areas; 2) discuss strategies for successful recruitment; and 3) consider future directions of research and opportunities to translate research findings into health policy for this population. Ethn Dis. 2019;29(4):617-622; doi:10.18865/ed.29.4.617

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Recruiting African Immigrant Women for Community-Based Cancer Prevention Studies: Lessons Learned from the AfroPap Study

Cited by 27 publications

References 35 publications

Understanding the healthcare experiences and needs of African immigrants in the United States: a scoping review

Understanding the healthcare experiences and needs of African immigrants in the United States: a scoping review

Understanding the Healthcare Experiences and Needs of African Immigrants in the United States: A Scoping Review

Commentary: Engaging African Immigrants in Research – Experiences and Lessons from the Field

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