Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael Hospital, Toronto, Ontario, Canada.
School of Nursing, University of Rochester, Rochester, New York, USA.
BMJ Open. 2019 Jan 30;9(1):e027440. doi: 10.1136/bmjopen-2018-027440.
Language is a social determinant of health. Addressing social determinants of health is paramount to successful progression along the HIV-care continuum. Canada is a bilingual country with French and English as official languages. There are few studies to date that have focused on the impact of being a French-speaking linguistic minority on the HIV-care continuum. The primary objective of this scoping, systematic review of literature is to evaluate existing gaps in access to HIV- care among French-speaking people living with HIV in Canada. Our primary outcome is healthcare services availability and access for French- speaking people living with HIV.
Our scoping, systematic review will draw on a systematic search of published literature, both quantitative and qualitative studies published on French-speaking individuals' healthcare and HIV status in Canada, with particular emphasis on the province of Ontario. We will conduct our search in MEDLINE, the Excerpta Medica Database, the Cumulative Index to Nursing and Allied Health Literature, Web of Science, EBSCO and Google Scholar for work published between 1990 and 2018. Identified articles will be screened in duplicate and full-text articles of relevant studies will be retrieved. Data will also be extracted by two researchers working independently. Any discrepancies that arise will be resolved by consensus or by consulting a third author. Our findings will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
Our proposed research will not be conducted with human participants. We will only use secondary published data and therefore ethics approval is not required. Our findings will be disseminated as peer reviewed manuscripts at conferences and student rounds, and could be of interest to government health agencies and local HIV/AIDS service organisations.
语言是健康的社会决定因素之一。解决健康的社会决定因素对于沿着 HIV 护理连续体取得成功至关重要。加拿大是一个双语国家，法语和英语同为官方语言。迄今为止，很少有研究关注说法语的语言少数民族对 HIV 护理连续体的影响。本研究旨在评估加拿大讲法语的 HIV 感染者在获得 HIV 护理方面的现有差距，对相关文献进行了范围广泛的系统评价。我们的主要结果是讲法语的 HIV 感染者可获得的医疗保健服务。
我们的范围广泛的系统评价将从系统搜索已发表的文献中获取，这些文献包括在加拿大发表的关于讲法语人群的医疗保健和 HIV 状况的定量和定性研究，特别强调安大略省。我们将在 MEDLINE、Excerpta Medica Database、Cumulative Index to Nursing and Allied Health Literature、Web of Science、EBSCO 和 Google Scholar 中进行搜索，搜索时间为 1990 年至 2018 年。将对识别出的文章进行重复筛选，并检索相关研究的全文文章。两位研究人员将独立提取数据。出现任何分歧都将通过协商或咨询第三位作者来解决。我们将根据系统评价和荟萃分析的首选报告项目报告我们的发现。
我们拟议的研究将不涉及人类参与者。我们将只使用已发表的二级数据，因此不需要伦理批准。我们的研究结果将以会议和学生轮次的同行评审手稿的形式发表，并可能引起政府卫生机构和当地艾滋病毒/艾滋病服务组织的兴趣。
