1. Barriers and recruitment strategies for precarious status migrants in Montreal, Canada
- Author
-
Valéry Ridde, Margaux Fête, Magalie Benoit, Joséphine Aho, Patrick Cloos, Institut de recherche en santé publique de l’Université de Montréal [Montréal, Canada] (IRSPUM), Université de Montréal (UdeM), School of Public Health [Montréal, Canada], School of Social Work [Montréal, Canada], Faculty of Arts and Sciences [Montréal, Canada], Université de Montréal (UdeM)-Université de Montréal (UdeM), Centre population et développement (CEPED - UMR_D 196), Institut de Recherche pour le Développement (IRD)-Université Paris Descartes - Paris 5 (UPD5), This project was funded by the Canadian Institutes of Health Research (CIHR), grant number MOP 142332., and Bodescot, Myriam
- Subjects
Adult ,Male ,Canada ,Interview ,Epidemiology ,Hard to reach population ,Health Personnel ,Population ,Ethnic group ,Research participation ,Health Informatics ,Sample (statistics) ,Qualitative property ,Health Services Accessibility ,Recruitment strategies ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,Health care ,Humans ,030212 general & internal medicine ,Sociology ,10. No inequality ,education ,Qualitative Research ,Transients and Migrants ,lcsh:R5-920 ,education.field_of_study ,Health Services Needs and Demand ,business.industry ,030503 health policy & services ,4. Education ,Communication ,Patient Selection ,Public relations ,Middle Aged ,Snowball sampling ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,Research Design ,Respondent ,Precarious status migrants ,Research method ,Female ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,lcsh:Medicine (General) ,0305 other medical science ,business ,Research Article - Abstract
Background Precarious status migrants are a group of persons who are vulnerable, heterogeneous, and often suspicious of research teams. They are underrepresented in population-based research projects, and strategies to recruit them are described exclusively in terms of a single cultural group. We analyzed the recruitment strategies implemented during a research project aimed at understanding precarious status migrants’ health status and healthcare access in Montreal, Canada. The research sample consisted of 854 persons recruited from a variety of ethnocultural communities between June 2016 and September 2017. This article analyzes the strategies implemented by the research team to respond to the challenges of that recruitment, and assess the effectiveness of those strategies. Based on the results, we share the lessons learned with a view to increasing precarious status migrants’ representation in research. Method A mixed sequential design was used to combine qualitative data gathered from members of the research team at a reflexive workshop (n = 16) and in individual interviews (n = 15) with qualitative and quantitative data collected using the conceptual mapping method (n = 10). Results The research team encountered challenges in implementing the strategies, related to the identification of the target population, the establishment of community partnerships, and suspicion on the part of the individuals approached. The combination of a venue-based sampling method, a communications strategy, and the snowball sampling method was key to the recruitment. Linking people with resources that could help them was useful in obtaining their effective and non-instrumental participation in the study. Creating a diverse and multicultural team helped build trust with participants. However, the strategy of matching the ethnocultural identity of the interviewer with that of the respondent was not systematically effective. Conclusion The interviewers’ experience and their understanding of the issue are important factors to take into consideration in future research. More over, the development of a community resource guide tailored to the needs of participants should be major components of any research project targeting migrants. Finally, strategies should be implemented as the result of a continuous reflexive process among all members of the research team. Electronic supplementary material The online version of this article (10.1186/s12874-019-0683-2) contains supplementary material, which is available to authorized users.
- Published
- 2019
- Full Text
- View/download PDF