关键词: COVID-19 pandemic Chile hard-to-reach populations international migrants public health research qualitative research

Mesh : Humans COVID-19 / epidemiology Pandemics Public Health Chile / epidemiology Retrospective Studies Transients and Migrants Communicable Disease Control Qualitative Research

来  源:   DOI:10.3390/ijerph20031956   PDF(Pubmed)

Abstract:
The COVID-19 pandemic has further deepened socioeconomic and health inequities worldwide, especially among populations experiencing social vulnerability, such as international migrants. Sustained lockdowns and social distancing have raised challenges to conducting public health research with hard-to-reach populations. This study aims at exploring strategies to recruit \"hard-to-reach\" international migrants for qualitative public health research during the pandemic in Chile, based on the authors\' experience. A retrospective qualitative evaluation process was carried out on the recruitment processes of three qualitative research projects focused on international migrants in Chile. All projects were implemented during the COVID-19 pandemic, demanding complementary and flexible strategies: (i) social media; (ii) snowball sampling; (iii) referrals from social workers and pro-migrant and migrant-led organizations; (iv) vaccination centers and healthcare centers; and (v) community-based recruitment. The strategies are qualitatively evaluated around seven emerging qualitative categories: (i) feasibility during lockdown periods; (ii) speed of recruitment; (iii) geographical coverage; (iv) sample diversity; (v) proportion of successful interviews; (vi) ethical considerations; and (vii) cost. Engaging hard-to-reach international migrants in public health research during the pandemic required constantly adapting recruitment strategies. Furthermore, relying on strategies that were not only Internet-based promoted the participation of populations with limited access to the Internet and low-digital literacy.
摘要:
新冠肺炎疫情进一步加深了全球社会经济和卫生不平等,特别是在经历社会脆弱性的人群中,比如国际移民。持续的封锁和社会距离增加了对难以接触的人群进行公共卫生研究的挑战。这项研究旨在探索在智利大流行期间招募“难以到达”国际移民进行定性公共卫生研究的策略,根据作者的经验。对侧重于智利国际移民的三个定性研究项目的征聘过程进行了回顾性定性评估。所有项目都在COVID-19大流行期间实施,要求补充和灵活的策略:(i)社交媒体;(ii)滚雪球抽样;(iii)社会工作者以及支持移民和移民主导的组织的推荐;(iv)疫苗接种中心和医疗中心;(v)基于社区的招聘。围绕七个新兴的定性类别对这些策略进行了定性评估:(i)封锁期间的可行性;(ii)招聘速度;(iii)地理覆盖范围;(iv)样本多样性;(v)成功面试的比例;(vi)道德考虑;(vii)成本。在大流行期间,让难以接触的国际移民参与公共卫生研究需要不断调整招聘策略。此外,依靠不仅基于互联网的战略,促进了互联网接入有限和数字识字率低的人群的参与。
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