SONHIA - study of newly diagnosed HIV infection amongst Africans in London. (360G-Wellcome-066866_Z_02_B)
HIV/AIDS amongst Britain's African communities is a major public health concern, yet to date, relatively little research has focused on this group. This study will increase our understanding of the factors which influence access to, and utilisation of, HIV treatment and prevention services among African communities in Britain. It will also help to inform the development of culturally appropriate HIV health promotion interventions aimed at increasing service uptake within these communities. Plan of investigation: The study population will be all African patients attending in- or outpatient services at selected London HIV treatment centres. To date 7 centres have agreed to participate. The project will consist of two inter-linked components implemented over 2 years: i) A qualitative study amongst a purposively selected sample of newly diagnosed HIV positive Africans employing in-depth interview techniques, and ii) A cross-sectional survey of newly diagnosed HIV positive Africans presenting to specialist HIV services in London. Key workers at each study site will recruit patients and distribute the questionnaires. Dr Burns will perform the interviews. 'Framework' will be used for organising and analysing the qualitative research. Quantitative data analysis will be using STATA 6.0. The questionnaire, topic guide and protocol will be submitted to all appropriate Research Ethics Committees for approval. All patients will be given written information regarding the study and written informed consent will be obtained prior to participation. An African Community Reference Group will be set up to oversee all stages of the study design. Background preparation for the study will be undertaken as part of the MSc dissertation. Study outputs: Peer reviewed publication on health care seeking behaviours among Africans and reasons for delayed presentation; contextual information on healthcare access and utilisation, stigma, onward HIV transmission risk and proportion of HIV infections acquired within the UK.
£23,380 23 Jan 2006