TY - JOUR AB - There is much interest in whether the needs of ethnic minority patients are being met by palliative care services. Bradford has a population that includes people from several different ethnic minorities, the largest number of whom originate from Pakistan. In May 2000 a bilingual health-care worker (BHCW) was appointed to work with the local palliative care teams to improve service provision for patients from South Asia. An audit of referrals to Bradford teaching hospitals palliative care team from October 2001 to September 2002 looked at the role of the BHCW. It was found that the BHCW was involved in 41% of referrals from ethnic minorities. In addition to aiding communication, the BHCW also provided an important link between the community and the hospital for patients and had a role in bereavement and family support. This audit indicates the BHCW role can be successful and may be useful for other population groups. AD - Ackroyd, Rajeena. Hospital Palliative Care Team, Bradford Hospitals Trust, Bradford Royal Infirmary, Field House, Duckworth Lane, Bradford, West Yorkshire BD9 6RJ, UK. AN - 12968121 AU - Ackroyd, R. DA - Aug DB - MEDLINE DP - Ovid Technologies IS - 8 J2 - Int J Palliat Nurs KW - Aged *Communication Barriers *Ethnicity Female Hospitals Humans Male Medical Audit Minority Groups *Multilingualism *Palliative Care/og [Organization & Administration] *Patient Care Team *Referral and Consultation United Kingdom LA - English N1 - Ackroyd, Rajeena PY - 2003 SN - 1357-6321 SP - 352-7 ST - Audit of referrals to a hospital palliative care team: role of the bilingual health-care worker T2 - International Journal of Palliative Nursing TI - Audit of referrals to a hospital palliative care team: role of the bilingual health-care worker UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=12968121 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med5&rft.genre=article&rft_id=info:doi/10.12968%2Fijpn.2003.9.8.11519&rft_id=info:pmid/12968121&rft.issn=1357-6321&rft.volume=9&rft.issue=8&rft.spage=352&rft.pages=352-7&rft.date=2003&rft.jtitle=International+Journal+of+Palliative+Nursing&rft.atitle=Audit+of+referrals+to+a+hospital+palliative+care+team%3A+role+of+the+bilingual+health-care+worker.&rft.aulast=Ackroyd VL - 9 ID - 2122 ER - TY - JOUR AB - Eleven South Asian women were recruited from three domestic violence agencies in the United States and interviewed to examine their experiences with intimate partner violence (IPV). The interviews were analyzed using a grounded theory approach. Themes included detailed barriers and facilitators to disclosure of the abuse and leaving the abusive relationship. Findings suggest that families of origin and in-laws play a significant role in the process of leaving the relationship. Children are often cited as a source of strength for the women. The process of healing and recovery after leaving a relationship with IPV was also discussed by women enrolled in this study. Pragmatic approaches to addressing IPV among South Asian women in health care settings are also considered. AD - Ahmad-Stout, Farah. Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA. Ahmad-Stout, Farah. University of Pennsylvania, Philadelphia, USA. Nath, Sanjay R. Widener University, Chester, PA, USA. Khoury, Nayla M. University of Washington, Seattle, USA. Huang, Hsiang. Cambridge Health Alliance, MA, USA. Huang, Hsiang. Harvard Medical School, Cambridge, MA, USA. AN - 29429388 AU - Ahmad-Stout, F. AU - Nath, S. R. AU - Khoury, N. M. AU - Huang, H. DA - 02 DB - MEDLINE DO - https://dx.doi.org/10.1177/0886260517753850 DP - Ovid Technologies IS - 3-4 J2 - J Interpers Violence KW - Asians Child Disclosure *Domestic Violence Female Humans *Intimate Partner Violence United States LA - English M3 - Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't N1 - Ahmad-Stout, Farah Nath, Sanjay R Khoury, Nayla M Huang, Hsiang PY - 2021 SN - 1552-6518 SP - NP1941-1964NP ST - Experiences of Intimate Partner Violence: Findings From Interviews With South Asian Women in the United States T2 - Journal of Interpersonal Violence TI - Experiences of Intimate Partner Violence: Findings From Interviews With South Asian Women in the United States UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med18&AN=29429388 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med18&rft.genre=article&rft_id=info:doi/10.1177%2F0886260517753850&rft_id=info:pmid/29429388&rft.issn=0886-2605&rft.volume=36&rft.issue=3-4&rft.spage=NP1941&rft.pages=NP1941-1964NP&rft.date=2021&rft.jtitle=Journal+of+Interpersonal+Violence&rft.atitle=Experiences+of+Intimate+Partner+Violence%3A+Findings+From+Interviews+With+South+Asian+Women+in+the+United+States.&rft.aulast=Ahmad-Stout VL - 36 ID - 2072 ER - TY - JOUR AB - BACKGROUND: Betel quid chewing, often combined with tobacco chewing, is a common habit in the Indian subcontinent. It is associated with the development of malignancy of the oral mucosa and foregut. Among Asian communities in the United Kingdom (UK), Bangladeshis are particularly likely to retain this habit. AIM: To investigate the prevalence of betel quid chewing, smoking, and knowledge of health hazards associated with these habits among the Bangladeshi population in an east London general practice. METHOD: A bilingual postal questionnaire to all 306 adults (25 years and over) identified as being of Bangladeshi origin within one practice in east London. RESULTS: The questionnaire response rate was 46%. The prevalence of betel quid chewing was over 80% with no sex difference. Men were more likely to smoke tobacco than women (men = 57%, women = 11%, X2 = 33.3, P < 0.001), but over half the women added tobacco to their quid for chewing. Whereas over 80% of both male and female respondents identified the health risk of smoking, only one third identified oral cancer as a risk. In all, 25% of respondents started chewing in the UK. CONCLUSIONS: The low response rate is discussed. The findings indicate that the majority of Bangladeshi respondents are unaware of the health risks of a common social habit, although well informed about smoking risks. A government health warning should be introduced for betel quid sold in the UK. AD - Ahmed, S. Steels Lane Health Centre, London. AN - 9281870 AU - Ahmed, S. AU - Rahman, A. AU - Hull, S. DA - Jul DB - MEDLINE DP - Ovid Technologies IS - 420 J2 - Br J Gen Pract KW - Adult Aged *Areca Bangladesh/eh [Ethnology] Female *Health Knowledge, Attitudes, Practice Humans London/ep [Epidemiology] Male Middle Aged *Plants, Medicinal Prevalence Smoking/ep [Epidemiology] *Smoking/eh [Ethnology] Substance-Related Disorders/ep [Epidemiology] *Substance-Related Disorders/eh [Ethnology] Urban Health LA - English N1 - Ahmed, S Rahman, A Hull, S PY - 1997 SN - 0960-1643 SP - 431-4 ST - Use of betel quid and cigarettes among Bangladeshi patients in an inner-city practice: prevalence and knowledge of health effects T2 - British Journal of General Practice TI - Use of betel quid and cigarettes among Bangladeshi patients in an inner-city practice: prevalence and knowledge of health effects UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9281870 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med4&rft.genre=article&rft_id=info:doi/&rft_id=info:pmid/9281870&rft.issn=0960-1643&rft.volume=47&rft.issue=420&rft.spage=431&rft.pages=431-4&rft.date=1997&rft.jtitle=British+Journal+of+General+Practice&rft.atitle=Use+of+betel+quid+and+cigarettes+among+Bangladeshi+patients+in+an+inner-city+practice%3A+prevalence+and+knowledge+of+health+effects.&rft.aulast=Ahmed VL - 47 ID - 2068 ER - TY - JOUR AB - In a study on 'Assessment of Efficacy of an Anti-Tobacco Community Education Program' on Kolar District of Karnataka, India, an experimental and two control areas were chosen based on comparable population, health, and socioeconomic parameters. The two main objectives were to prevent individuals from taking up the tobacco habit among those who currently did not smoke or chew tobacco, and to stop the tobacco habit in those who did smoke or chew tobacco. A baseline tobacco-habit survey of the population was followed by anti-tobacco education of the community in the experimental area only. Two years later, a repeat survey of the population was conducted, followed by a final survey after a further three years. Methods of health education of the community included screening of films, exhibits, and personal contact with a display of photographs of the harmful effects of tobacco. The results were evaluated through changes in prevalence rates, quitters' rates, and initiation rate. The final survey showed that in the experimental area, the decline in the prevalence rate in the combined sample compared with the baseline rates was 10.2 percent in males and 16.3 percent in females, with a corresponding quitter's rate of 26.5 percent in males and 36.7 percent in females. Among men, a higher proportion (30.2 percent) had given up chewing compared with smoking (20.4 percent). AD - Anantha, N. Coordinating Unit, National Cancer Registry Programme, Kidwai Memorial Institute of Oncology, Bangalore, India. AN - 7749051 AU - Anantha, N. AU - Nandakumar, A. AU - Vishwanath, N. AU - Venkatesh, T. AU - Pallad, Y. G. AU - Manjunath, P. AU - Kumar, D. R. AU - Murthy, S. G. AU - Shivashankariah AU - Dayananda, C. S. DA - Mar DB - MEDLINE DP - Ovid Technologies IS - 2 J2 - Cancer Causes Control KW - Adult Female *Health Education Humans India/ep [Epidemiology] Male Smoking/ep [Epidemiology] Smoking Cessation *Smoking Prevention LA - English M3 - Research Support, Non-U.S. Gov't N1 - Anantha, N Nandakumar, A Vishwanath, N Venkatesh, T Pallad, Y G Manjunath, P Kumar, D R Murthy, S G Shivashankariah Dayananda, C S Erratum in (EIN) PY - 1995 SN - 0957-5243 SP - 119-29 ST - Efficacy of an anti-tobacco community education program in India T2 - Cancer Causes & Control TI - Efficacy of an anti-tobacco community education program in India UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7749051 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med3&rft.genre=article&rft_id=info:doi/10.1007%2FBF00052772&rft_id=info:pmid/7749051&rft.issn=0957-5243&rft.volume=6&rft.issue=2&rft.spage=119&rft.pages=119-29&rft.date=1995&rft.jtitle=Cancer+Causes+%26+Control&rft.atitle=Efficacy+of+an+anti-tobacco+community+education+program+in+India.&rft.aulast=Anantha VL - 6 ID - 2070 ER - TY - JOUR AB - Gutka and tambaku paan (smokeless tobacco products used by South Asian immigrants) are carcinogenic to humans (and perceived as such), yet, one-fourth of South Asian immigrants report current use. This study examined disengagement beliefs that perpetuate gutka/tambaku paan use among South Asians despite awareness of health risks. Six focus groups were conducted with immigrant South Asian adult gutka/tambaku paan users, in Gujarati, Bengali and Urdu languages in New York, USA. Participants included 39 South Asian adults residing in the New York City Metropolitan area, current (a minimum of weekly gutka or tambaku paan use in the last 12 months) or former (regular use prior to past 12 months) gutka or tambaku paan users and self-reported spoken fluency in Gujarati, Urdu or Bengali languages. Participants identified many health risks associated with gutka/tambaku paan use including locked jaw, high blood pressure and cancer. Five themes of disengagement beliefs emerged: (a) skepticism about the gutka/tambaku paan-cancer link, (b) perceived invulnerability to harm, (c) compensatory beliefs, (d) faith-based rationalization and (e) acknowledgment of addiction. To promote smokeless tobacco cessation among South Asians, interventions to counter disengagement beliefs and heighten the discomfort between the dissonant cognitions represent a promising area warranting further attention. AD - Banerjee, Smita C. Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, USA. Ostroff, Jamie S. Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, USA. D'Agostino, Thomas A. Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, USA. Bari, Sehrish. Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, USA. Khera, Mitali. Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, USA. Acharya, Sudha. Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, USA. Gany, Francesca. Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, USA. AN - 28042288 AU - Banerjee, S. C. AU - Ostroff, J. S. AU - D'Agostino, T. A. AU - Bari, S. AU - Khera, M. AU - Acharya, S. AU - Gany, F. DA - Jun DB - MEDLINE DO - https://dx.doi.org/10.3109/16066359.2013.825718 DP - Ovid Technologies IS - 3 J2 - Addict Res Theory LA - English N1 - Banerjee, Smita C Ostroff, Jamie S D'Agostino, Thomas A Bari, Sehrish Khera, Mitali Acharya, Sudha Gany, Francesca PY - 2014 SN - 1606-6359 SP - 229-238 ST - Disengagement beliefs in South Asian immigrant smokeless tobacco users: A qualitative study T2 - Addiction Research & Theory TI - Disengagement beliefs in South Asian immigrant smokeless tobacco users: A qualitative study UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=pmnm3&AN=28042288 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:pmnm3&rft.genre=article&rft_id=info:doi/10.3109%2F16066359.2013.825718&rft_id=info:pmid/28042288&rft.issn=1606-6359&rft.volume=22&rft.issue=3&rft.spage=229&rft.pages=229-238&rft.date=2014&rft.jtitle=Addiction+Research+%26+Theory&rft.atitle=Disengagement+beliefs+in+South+Asian+immigrant+smokeless+tobacco+users%3A+A+qualitative+study.&rft.aulast=Banerjee VL - 22 ID - 2093 ER - TY - JOUR AB - Each day in India, an estimated 5,500 youth initiate tobacco use, contributing to predictions that by 2020, tobacco will account for 13% of all deaths in India. Project MYTRI (Mobilizing Youth for Tobacco-Related Initiatives in India) is a multi-component school-based intervention designed to prevent and reduce tobacco use among adolescents in Delhi and Chennai, India. The intervention was implemented over the 2004-2006 school years and involved 6th and 8th grade students in 32 classrooms. Students participated in peer-led classroom activities involving games, competitions, and other activities intended to target a number of psychosocial risk factors believed to prevent tobacco use among urban Indian youth. To more fully understand how Project MYTRI influenced students' intentions to smoke or chew tobacco, the current study used mediation analysis to investigate whether Project MYTRI altered the psychosocial risk factors as intended, and whether the changes in psychosocial risk factors were, in turn, responsible for altering students' tobacco-use intentions. Multi-level mediation models were estimated using student data from baseline and 1-year follow-up surveys. Results indicated that the psychosocial risk factors Knowledge of Health Effects, Normative Beliefs, Reasons to Use Tobacco, and Perceived Prevalence were significant mediators between the intervention activities and students' tobacco use intentions. Evidence of inconsistent mediation was observed for the Perceived Prevalence factor. These findings, combined with those from qualitative research and the second-year student data, will help to illuminate the impact of Project MYTRI on participating youth. AD - Bate, Sheri Lewis. Division of Psychology in Education, Arizona State University, Tempe, AZ, USA. sheri.lewis@asu.edu AN - 19023657 AU - Bate, S. L. AU - Stigler, M. H. AU - Thompson, M. S. AU - Arora, M. AU - Perry, C. L. AU - Reddy, K. S. AU - Mackinnon, D. P. DA - Jun DB - MEDLINE DO - https://dx.doi.org/10.1007/s11121-008-0113-x DP - Ovid Technologies IS - 2 J2 - Prev Sci KW - Curriculum Humans India Models, Theoretical Peer Group *Psychology Risk Factors *School Health Services *Tobacco Use Disorder/pc [Prevention & Control] Tobacco Use Disorder/px [Psychology] LA - English M3 - Randomized Controlled Trial N1 - Bate, Sheri Lewis Stigler, Melissa H Thompson, Marilyn S Arora, Monika Perry, Cheryl L Reddy, K Srinath Mackinnon, David P PY - 2009 SN - 1573-6695 SP - 116-28 ST - Psychosocial mediators of a school-based tobacco prevention program in India: results from the first year of project MYTRI T2 - Prevention Science TI - Psychosocial mediators of a school-based tobacco prevention program in India: results from the first year of project MYTRI UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=19023657 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med7&rft.genre=article&rft_id=info:doi/10.1007%2Fs11121-008-0113-x&rft_id=info:pmid/19023657&rft.issn=1389-4986&rft.volume=10&rft.issue=2&rft.spage=116&rft.pages=116-28&rft.date=2009&rft.jtitle=Prevention+Science&rft.atitle=Psychosocial+mediators+of+a+school-based+tobacco+prevention+program+in+India%3A+results+from+the+first+year+of+project+MYTRI.&rft.aulast=Bate VL - 10 ID - 2055 ER - TY - JOUR AB - PURPOSE OF THE STUDY: This study set out to examine the prevalence of betel-quid chewing with or without the inclusion of tobacco and to provide baseline information on the experience, behaviour and perceptions of risk of first generation Bangladeshi adults. POPULATION STUDIED: A total of 127 households, which formed the sample base for this study, were selected by a systematic sampling procedure. Each household was visited by two interviewers and all adults resident in the home were asked to participate in the study. METHOD: A pretested questionnaire which explored the use, attitudes, knowledge of the health risk, and behaviour towards betel-quid chewing and the use of tobacco was used. FINDINGS: A total of 92% of males and 96% of females chewed betel-quid on a daily basis with 39% and 82% respectively including tobacco within their quid. There was a general acceptance of the use of tobacco, that is, males on the whole, smoking and females chewing tobacco. The perception of health risk, with regard to tobacco chewing, was low. CONCLUSION: The general acceptance of tobacco use and low perceived health risk in those engaged in tobacco chewing is a major concern that health professionals involved in health education need to address. General dental practitioners should be aware there is a high level of use in this community. AD - Bedi, R. School of Dentistry, University of Birmingham. AN - 8941795 AU - Bedi, R. AU - Gilthorpe, M. S. DA - Sep DB - MEDLINE DP - Ovid Technologies IS - 2 J2 - Prim Dent care KW - Adolescent Adult Age Factors Aged *Areca Bangladesh/eh [Ethnology] Chi-Square Distribution England/ep [Epidemiology] Female Health Behavior/eh [Ethnology] Health Knowledge, Attitudes, Practice Humans Male Middle Aged *Plants, Medicinal *Plants, Toxic Poverty Areas Prevalence Sex Factors Socioeconomic Factors *Substance-Related Disorders/ep [Epidemiology] Surveys and Questionnaires *Tobacco, Smokeless Urban Population LA - English M3 - Research Support, Non-U.S. Gov't N1 - Bedi, R Gilthorpe, M S PY - 1995 SN - 1355-7610 SP - 39-42 ST - The prevalence of betel-quid and tobacco chewing among the Bangladeshi community resident in a United Kingdom area of multiple deprivation T2 - Primary Dental Care TI - The prevalence of betel-quid and tobacco chewing among the Bangladeshi community resident in a United Kingdom area of multiple deprivation UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8941795 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med3&rft.genre=article&rft_id=info:doi/&rft_id=info:pmid/8941795&rft.issn=1355-7610&rft.volume=2&rft.issue=2&rft.spage=39&rft.pages=39-42&rft.date=1995&rft.jtitle=Primary+Dental+Care&rft.atitle=The+prevalence+of+betel-quid+and+tobacco+chewing+among+the+Bangladeshi+community+resident+in+a+United+Kingdom+area+of+multiple+deprivation.&rft.aulast=Bedi VL - 2 ID - 2069 ER - TY - JOUR AB - OBJECTIVE: There is little research on how different ethnic groups adapt after an acute cardiac event. This qualitative study explores between-ethnicity and within-ethnicity variation in adaptation, and the psychological impact of an acute cardiac event among UK South Asian and white British people. SETTING: We purposively sampled people by ethnic group from general practices in London who had a new myocardial infarction, angina or acute arrhythmia in the preceding 18 months. PARTICIPANTS: We conducted 28 semistructured interviews for exploring the psychological symptoms, experiences and adaptations following a cardiac event among South Asians (Indian and Bangladeshi) in comparison to white British people. Data were analysed using a thematic 'framework' approach. RESULTS: Findings showed heterogeneity in experiences of the cardiac event and its subsequent psychological and physical impact. Adaptation to the event related predominantly to life circumstances, personal attitudes and employment status. Anxiety and low mood symptoms were common sequelae, especially in the Bangladeshi group. Indian men tended to normalise symptoms and the cardiac event, and reported less negative mood symptoms than other groups. Fear of physical exertion, particularly heavy lifting, persisted across the groups. Some people across all ethnic groups indicated the need for more psychological therapy postcardiac event. Socioeconomic circumstances, age and prior work status appeared to be more important in relation to adaptation after a cardiac event than ethnic status. CONCLUSIONS: Heterogeneity in views and experiences related to the socioeconomic background, age and work status of the participants along with some cultural influences. Rehabilitation programmes should be flexibly tailored for individuals in particular and where relevant, specific support should be provided for returning to work. AD - Bhattacharyya, Mimi. Research Department of Primary Care and Population Health, University College London, London, UK. Stevenson, Fiona. Research Department of Primary Care and Population Health, University College London, London, UK. Walters, Kate. Research Department of Primary Care and Population Health, University College London, London, UK. AN - 27401355 AU - Bhattacharyya, M. AU - Stevenson, F. AU - Walters, K. DA - 07 08 DB - MEDLINE DO - https://dx.doi.org/10.1136/bmjopen-2015-010195 DP - Ovid Technologies IS - 7 J2 - BMJ Open KW - *Adaptation, Psychological Adult Aged Aged, 80 and over *Angina Pectoris/px [Psychology] Anxiety/px [Psychology] *Arrhythmias, Cardiac/px [Psychology] *Asians/px [Psychology] Attitude Attitude to Health Bangladesh/eh [Ethnology] Depression/px [Psychology] Employment Ethnicity Female Humans India/eh [Ethnology] London Male Middle Aged *Myocardial Infarction/px [Psychology] Qualitative Research Social Class *Stress, Psychological/px [Psychology] United Kingdom *Whites/px [Psychology] LA - English N1 - Bhattacharyya, Mimi Stevenson, Fiona Walters, Kate PY - 2016 SN - 2044-6055 SP - e010195 ST - Exploration of the psychological impact and adaptation to cardiac events in South Asians in the UK: a qualitative study T2 - BMJ Open TI - Exploration of the psychological impact and adaptation to cardiac events in South Asians in the UK: a qualitative study UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med13&AN=27401355 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med13&rft.genre=article&rft_id=info:doi/10.1136%2Fbmjopen-2015-010195&rft_id=info:pmid/27401355&rft.issn=2044-6055&rft.volume=6&rft.issue=7&rft.spage=e010195&rft.pages=e010195&rft.date=2016&rft.jtitle=BMJ+Open&rft.atitle=Exploration+of+the+psychological+impact+and+adaptation+to+cardiac+events+in+South+Asians+in+the+UK%3A+a+qualitative+study.&rft.aulast=Bhattacharyya VL - 6 ID - 2076 ER - TY - JOUR AB - BACKGROUND: Advance care planning (ACP) is a process of reflection on and communication of a person's future health-care preferences. Evidence suggests visible minorities engage less in ACP. The South Asian ethnic group is the largest visible minority group in Canada, and information is needed to understand how ACP is perceived and how best to approach ACP within this diverse community. OBJECTIVE: To explore perspectives of South Asian community members towards ACP. DESIGN: Peer-to-peer inquiry. South Asian community members who graduated from the Patient and Community Engagement Research programme (PaCER) at the University of Calgary utilized the PaCER method (SET, COLLECT and REFLECT) to conduct a focus group, family interviews and a community forum. SETTING AND PARTICIPANTS: Fifty-seven community-dwelling men and women (22-86 years) who self-identified with the South Asian community in Calgary, Alberta, Canada. RESULTS: The concept of ACP was mostly foreign to this community and was often associated with other end-of-life issues such as organ donation and estate planning. Cultural aspects (e.g. trust in shared family decision making and taboos related to discussing death), religious beliefs (e.g. fatalism) and immigration challenges (e.g. essential priorities) emerged as barriers to participation in ACP. However, participants were eager to learn about ACP and recommended several engagement strategies (e.g. disseminate information through religious institutions and community centres, include families in ACP discussions, encourage family physicians to initiate discussions and translate materials). CONCLUSIONS: Use of a patient engagement research model proved highly successful in understanding South Asian community members' participation in ACP. AD - Biondo, Patricia D. Advance Care Planning Collaborative Research and Innovation Opportunities Program (ACP CRIO), University of Calgary, Calgary, AB, Canada. Kalia, Rashika. Patient and Community Engagement Research Program (PaCER), University of Calgary, Calgary, AB, Canada. Khan, Rooh-Afza. Patient and Community Engagement Research Program (PaCER), University of Calgary, Calgary, AB, Canada. Asghar, Nadia. Patient and Community Engagement Research Program (PaCER), University of Calgary, Calgary, AB, Canada. Banerjee, Cyrene. Patient and Community Engagement Research Program (PaCER), University of Calgary, Calgary, AB, Canada. Boulton, Debbie. Patient and Community Engagement Research Program (PaCER), University of Calgary, Calgary, AB, Canada. Marlett, Nancy. Patient and Community Engagement Research Program (PaCER), University of Calgary, Calgary, AB, Canada. Marlett, Nancy. Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada. Shklarov, Svetlana. Patient and Community Engagement Research Program (PaCER), University of Calgary, Calgary, AB, Canada. Shklarov, Svetlana. Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada. Simon, Jessica E. Advance Care Planning Collaborative Research and Innovation Opportunities Program (ACP CRIO), University of Calgary, Calgary, AB, Canada. Simon, Jessica E. Departments of Oncology, Medicine, and Community Health Sciences, University of Calgary, Calgary, AB, Canada. AN - 28294479 AU - Biondo, P. D. AU - Kalia, R. AU - Khan, R. A. AU - Asghar, N. AU - Banerjee, C. AU - Boulton, D. AU - Marlett, N. AU - Shklarov, S. AU - Simon, J. E. DA - 10 DB - MEDLINE DO - https://dx.doi.org/10.1111/hex.12531 DP - Ovid Technologies IS - 5 J2 - Health Expect KW - Adult *Advance Care Planning Aged Aged, 80 and over Asia, Western/eh [Ethnology] *Asians/px [Psychology] Canada/ep [Epidemiology] Communication Cultural Characteristics Female Focus Groups Humans Male Middle Aged *Perception Qualitative Research Religion LA - English N1 - Biondo, Patricia D Kalia, Rashika Khan, Rooh-Afza Asghar, Nadia Banerjee, Cyrene Boulton, Debbie Marlett, Nancy Shklarov, Svetlana Simon, Jessica E PY - 2017 SN - 1369-7625 SP - 911-919 ST - Understanding advance care planning within the South Asian community T2 - Health Expectations TI - Understanding advance care planning within the South Asian community UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med14&AN=28294479 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med14&rft.genre=article&rft_id=info:doi/10.1111%2Fhex.12531&rft_id=info:pmid/28294479&rft.issn=1369-6513&rft.volume=20&rft.issue=5&rft.spage=911&rft.pages=911-919&rft.date=2017&rft.jtitle=Health+Expectations&rft.atitle=Understanding+advance+care+planning+within+the+South+Asian+community.&rft.aulast=Biondo VL - 20 ID - 2104 ER - TY - JOUR AB - As a framework for organising health care interactions, compliance and adherence have come in for increasing criticism in recent years. It has been suggested that interactions with patients should not be viewed simply as opportunities to reinforce instructions around treatment: rather, they should be seen as a space where the expertise of patients and health professionals can be pooled to arrive at mutually agreed goals. This concept-known as concordance-is attracting increasing interest in health services research within the UK. In this paper, we seek to empirically explore the relevance of a re-framed consultation through qualitative interviews with a small group of English speaking patients of Pakistani origin with a diagnosis of type 2 diabetes. We suggest that the focus of many respondents in this study on material and structural factors limiting diabetic regimen integration and the emphasis on a 'doctor-centred' model of health care interactions represent distinct problems for the accomplishment of the concordance project. However, given that some patients sought greater understanding and appreciation by health professionals of the subjective aspects of living with diabetes, if it is evaluated at the level of health care relationships, rather than health outcomes (such as improved compliance) concordance may well be a significant development for those who suggest that respect for the patients agenda is a fundamental aspect of health care. AD - Bissell, Paul. The Pharmacy School, University of Nottingham, Nottingham NG7 2RD, UK. paul.bissell@nottingham.ac.uk AN - 14672598 AU - Bissell, P. AU - May, C. R. AU - Noyce, P. R. DA - Feb DB - MEDLINE DP - Ovid Technologies IS - 4 J2 - Soc Sci Med KW - *Asians/px [Psychology] Diabetes Mellitus, Type 2/eh [Ethnology] *Diabetes Mellitus, Type 2/px [Psychology] Diabetes Mellitus, Type 2/th [Therapy] Disease Management Health Knowledge, Attitudes, Practice Humans Interviews as Topic Pakistan/eh [Ethnology] Patient Compliance/eh [Ethnology] *Patient Compliance/px [Psychology] Patient Participation *Physician-Patient Relations United Kingdom LA - English N1 - Bissell, Paul May, Carl R Noyce, Peter R PY - 2004 SN - 0277-9536 SP - 851-62 ST - From compliance to concordance: barriers to accomplishing a re-framed model of health care interactions T2 - Social Science & Medicine TI - From compliance to concordance: barriers to accomplishing a re-framed model of health care interactions UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14672598 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med5&rft.genre=article&rft_id=info:doi/10.1016%2Fs0277-9536%2803%2900259-4&rft_id=info:pmid/14672598&rft.issn=0277-9536&rft.volume=58&rft.issue=4&rft.spage=851&rft.pages=851-62&rft.date=2004&rft.jtitle=Social+Science+%26+Medicine&rft.atitle=From+compliance+to+concordance%3A+barriers+to+accomplishing+a+re-framed+model+of+health+care+interactions.&rft.aulast=Bissell VL - 58 ID - 2085 ER - TY - JOUR AB - AIM: To examine fears about dying in an ethnically diverse population sample, and a more homogeneous population sample, aged 65 and over. METHODS: Personal interviews with people aged 65+ living at home responding to two Office for National Statistics Omnibus Surveys in Britain, and two Ethnibus Surveys of ethnically diverse populations in Britain. RESULTS: Ethnically diverse respondents were more likely than British population respondents to express fears about dying on all measures used. Respondents in both samples with better, compared with worse, quality of life had significantly reduced odds of having extreme fears of dying (ethnically diverse sample, OR 0.924 (95% CI 0.898 to 0.951); British population sample, OR 0.981 (95% CI 0.966 to 0.996); both p<0.001). In the latter sample only, older age was protective (OR 0.957; 95% CI 0.930 to 0.985; p<0.001), whereas in the Ethnibus sample, having a longstanding illness (OR 2.024; 95% CI 1.158 to 3.535; p<0.05) and having more relatives to help them (OR 1.134; 95% CI 1.010 to 1.274; p<0.05) increased fears about dying. CONCLUSIONS: Enabling older people to express fears about dying is likely to be important when planning supportive end-of-life care. Practitioners should not assume that fears about dying are the same in different social groups, or that extensive family support is protective against such anxiety. Older people from ethnic minorities had more anxieties about dying than others, and were more likely to express fears the more extensive their family support. These findings have implications for commissioners and practitioners of primary and secondary care. AD - Bowling, Ann. Department of Primary Care and Population Health, University College London, Royal Free Campus, London NW3 2PF, UK. a.bowling@ucl.ac.uk AN - 20354041 AU - Bowling, A. AU - Iliffe, S. AU - Kessel, A. AU - Higginson, I. J. DA - Apr DB - MEDLINE DO - https://dx.doi.org/10.1136/pgmj.2009.084020 DP - Ovid Technologies IS - 1014 J2 - Postgrad Med J KW - Aged Asia/eh [Ethnology] *Attitude to Death/eh [Ethnology] Cross-Sectional Studies *Fear Female Health Status Humans Male Quality of Life Regression Analysis United Kingdom/ep [Epidemiology] West Indies/eh [Ethnology] LA - English M3 - Research Support, Non-U.S. Gov't N1 - Bowling, Ann Iliffe, Steve Kessel, Anthony Higginson, Irene J PY - 2010 SN - 1469-0756 SP - 197-202 ST - Fear of dying in an ethnically diverse society: cross-sectional studies of people aged 65+ in Britain T2 - Postgraduate Medical Journal TI - Fear of dying in an ethnically diverse society: cross-sectional studies of people aged 65+ in Britain UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=20354041 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med8&rft.genre=article&rft_id=info:doi/10.1136%2Fpgmj.2009.084020&rft_id=info:pmid/20354041&rft.issn=0032-5473&rft.volume=86&rft.issue=1014&rft.spage=197&rft.pages=197-202&rft.date=2010&rft.jtitle=Postgraduate+Medical+Journal&rft.atitle=Fear+of+dying+in+an+ethnically+diverse+society%3A+cross-sectional+studies+of+people+aged+65%2B+in+Britain.&rft.aulast=Bowling VL - 86 ID - 2117 ER - TY - JOUR AB - Smokeless tobacco and areca nut are popular with South Asians and South Asian immigrants, most commonly used as paan and gutka. Their regular use leads to oral cancer. The South Asian community in the U.S. is rapidly growing, where paan and gutka are readily available. The study was the first exploration of the migration of the paan and gutka habits, and their use in the U.S.A 108-item questionnaire on paan and gutka usage and beliefs was administered to 138 first-generation Bangladeshi and Indian-Gujarati immigrant adults at community sites in the New York metropolitan area. Forty-five percent Indian-Gujaratis reported ever-regular paan use; of which 5% are current users. Thirty-one percent reported ever-regular gutka use; of which 77% are current users. Thirty-five percent Bangladeshis reported ever-regular paan use; of which 70% arc current users. Nine percent reported ever-regular gutka use; of which 67% are current users. Bangladeshis are more likely to identify paan as causing oral cancer. Indian-Gujaratis are more likely to identify gutka as causing oral cancer.Between the two communities, there were significant differences in paan and gutfca usage, migration effects, and oral career risk perception. There is a need for comprehensive migration studies on the determinants of usage, and for community-specific interventions for these carcinogenic products. AD - Changrani, Jyotsna. Jyotsna Changrani, MD, MPH, is affiliated with the Center for Immigrant Health, New York University School of Medicine, OBV-D-402,550 First Avenue, New York, NY 10016. AN - 17492057 AU - Changrani, J. AU - Gany, F. M. AU - Cruz, G. AU - Kerr, R. AU - Katz, R. DB - MEDLINE DP - Ovid Technologies IS - 1 J2 - J Immigr Refug Stud LA - English N1 - Changrani, Jyotsna Gany, Francesca M Cruz, Gustavo Kerr, Ross Katz, Ralph PY - 2006 SN - 1556-2948 SP - 99-110 ST - Paan and Gutka Use in the United States: A Pilot Study in Bangladeshi and Indian-Gujarati Immigrants in New York City T2 - Journal of Immigrant & Refugee Studies TI - Paan and Gutka Use in the United States: A Pilot Study in Bangladeshi and Indian-Gujarati Immigrants in New York City UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=pmnm2&AN=17492057 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:pmnm2&rft.genre=article&rft_id=info:doi/10.1300%2FJ500v04n01_07&rft_id=info:pmid/17492057&rft.issn=1556-2948&rft.volume=4&rft.issue=1&rft.spage=99&rft.pages=99-110&rft.date=2006&rft.jtitle=Journal+of+Immigrant+%26+Refugee+Studies&rft.atitle=Paan+and+Gutka+Use+in+the+United+States%3A+A+Pilot+Study+in+Bangladeshi+and+Indian-Gujarati+Immigrants+in+New+York+City.&rft.aulast=Changrani VL - 4 ID - 2094 ER - TY - JOUR AB - This paper engages with the dichotomous notions of caring underpinning social policy and practice in Britain, that splits up the 'carer' and 'cared for' into autonomous, unitary subjects, by locating personal care as an embodied, moral practice within a theoretical framework of relational ontology. Drawing on empirical accounts and narratives related to personal care within the context of advanced cancer, we argue that personal care involves negotiation of boundaries between notions of relatedness and legitimate dependence on one hand, and independence and integrity of the embodied self on the other; and we analyse how these boundaries are informed by particular cultural or religious scripts on gender, relatedness, conjugality and filial obligations. The paper draws on data and analysis based on observations and in-depth interviews with White and South Asian participants between 19 and 89 years of age receiving treatment for cancer, and family members closely involved in their personal care. In using a comparative method for analysis and understanding caring as an embodied moral practice and site of subjectivity across cultural/religious groups, it is suggested that ethnicity is not necessarily the only useful analytical concept to explore the illness and caring experiences of research participants from minority ethnic backgrounds. AD - Chattoo, Sangeeta. Health Sciences, University of York, York, UK. sc543@york.ac.uk AN - 18298630 AU - Chattoo, S. AU - Ahmad, W. I. DA - May DB - MEDLINE DO - https://dx.doi.org/10.1111/j.1467-9566.2007.01072.x DP - Ovid Technologies IS - 4 J2 - Sociol Health Illn KW - Adult Aged Aged, 80 and over *Caregivers England Female Home Care Services Humans Interviews as Topic Male Middle Aged *Morals *Negotiating Neoplasms Palliative Care *Privacy LA - English M3 - Research Support, Non-U.S. Gov't N1 - Chattoo, Sangeeta Ahmad, Waqar I U PY - 2008 SN - 1467-9566 SP - 550-64 ST - The moral economy of selfhood and caring: negotiating boundaries of personal care as embodied moral practice T2 - Sociology of Health & Illness TI - The moral economy of selfhood and caring: negotiating boundaries of personal care as embodied moral practice UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=18298630 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med7&rft.genre=article&rft_id=info:doi/10.1111%2Fj.1467-9566.2007.01072.x&rft_id=info:pmid/18298630&rft.issn=0141-9889&rft.volume=30&rft.issue=4&rft.spage=550&rft.pages=550-64&rft.date=2008&rft.jtitle=Sociology+of+Health+%26+Illness&rft.atitle=The+moral+economy+of+selfhood+and+caring%3A+negotiating+boundaries+of+personal+care+as+embodied+moral+practice.&rft.aulast=Chattoo VL - 30 ID - 2119 ER - TY - JOUR AB - AIMS: To examine the understanding and beliefs of people with diabetes from the Bangladeshi community living in the UK. METHODS: Structured interviews were carried out with 14 people invited to a peer educational programme. All interviews were on a one-to-one basis and were in Sylheti or in English. Interviews were transcribed and analysed by two independent researchers. RESULTS: The majority of participants did not know what caused diabetes. Knowledge of the management of diabetes was linked to controlling sugar intake and a number of participants reported eating bitter foods such as bitter gourd to control their diabetes. There was little access to information as many participants did not speak English and did not have a Bengali-speaking doctor. The majority of participants felt that education classes should teach them what the doctor thought was important and that these classes would best be advertised by word of mouth. Therefore, participants were quite passive about their own self management and relied very strongly on the doctor's views and recommendations. CONCLUSIONS: Findings from this study can be used to help health professionals working with Bangladeshi people. There is a need for improved information for Bangladeshi people and much of this information might need to come from health professionals. In addition, there is a need for increased awareness by health professionals of practices used by Bangladeshi people, such as eating bitter gourd (which may enhance the effects of rosiglitazone), and the influence these practices could have on the individual's diabetes management. AD - Choudhury, S M. School of Medicine, Swansea University, Wales, UK. AN - 19538240 AU - Choudhury, S. M. AU - Brophy, S. AU - Williams, R. DA - Jun DB - MEDLINE DO - https://dx.doi.org/10.1111/j.1464-5491.2009.02741.x DP - Ovid Technologies IS - 6 J2 - Diabet Med KW - Adult Aged Bangladesh/eh [Ethnology] *Diabetes Mellitus, Type 2/ep [Epidemiology] Female *Health Knowledge, Attitudes, Practice Humans Male Middle Aged Patient Education as Topic United Kingdom/ep [Epidemiology] United Kingdom/eh [Ethnology] LA - English M3 - Multicenter Study Research Support, Non-U.S. Gov't N1 - Choudhury, S M Brophy, S Williams, R PY - 2009 SN - 1464-5491 SP - 636-40 ST - Understanding and beliefs of diabetes in the UK Bangladeshi population T2 - Diabetic Medicine TI - Understanding and beliefs of diabetes in the UK Bangladeshi population UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=19538240 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med7&rft.genre=article&rft_id=info:doi/10.1111%2Fj.1464-5491.2009.02741.x&rft_id=info:pmid/19538240&rft.issn=0742-3071&rft.volume=26&rft.issue=6&rft.spage=636&rft.pages=636-40&rft.date=2009&rft.jtitle=Diabetic+Medicine&rft.atitle=Understanding+and+beliefs+of+diabetes+in+the+UK+Bangladeshi+population.&rft.aulast=Choudhury VL - 26 ID - 2080 ER - TY - JOUR AB - There is growing evidence that the palliative care needs of certain people, such as those from minority ethnic groups, are not being met. The aim of this study was to investigate whether place of death from cancer differs between ethnic groups. A total of 101,516 patients resident in South East England and who died from lung, colorectal, breast or prostate cancer between 1998 and 2006 were extracted from the Thames Cancer Registry database. Ethnicity data were available for 68,804 patients (68%). The odds ratios (ORs) of death from cancer in a hospice, at home or in hospital were calculated. The results were adjusted for age at death, deprivation, cancer network of residence and time between diagnosis and death. Following adjustment, death in a hospice was significantly less likely for Pakistani patients (OR=0.47 95% CI [0.30-0.74]), Indian patients (0.68 [0.55-0.84]) and Bangladeshi patients (0.33 [0.19-0.56]). Death at home was significantly less likely in Black African patients (0.48 [0.36-0.65]), Black Caribbean patients (0.78 [0.67-0.90]) and Chinese patients (0.46 [0.28-0.76]). Pakistani, Indian, Bangladeshi, Black African, Black Caribbean and Chinese patients were all significantly more likely than White patients to die in hospital. The results were not substantially altered by recoding the unknown ethnicity group to White or using multiple imputation to assign those with a missing ethnicity an ethnic group. Place of death varies between ethnic groups. This may reflect differences in preferences for place of death or barriers to accessing specialist care in different settings. More detailed prospective qualitative studies are urgently required to determine reasons for this variation. AD - Coupland, Victoria H. King's College London, Thames Cancer Registry, London, UK. victoria.coupland@kcl.ac.uk AN - 21248180 AU - Coupland, V. H. AU - Madden, P. AU - Jack, R. H. AU - Moller, H. AU - Davies, E. A. DA - Jun DB - MEDLINE DO - https://dx.doi.org/10.1177/0269216310395986 DP - Ovid Technologies IS - 4 J2 - Palliat Med KW - Age Factors Aged Aged, 80 and over England/ep [Epidemiology] Female Home Care Services/sn [Statistics & Numerical Data] Hospice Care/sn [Statistics & Numerical Data] Hospitals/sn [Statistics & Numerical Data] Humans Male Middle Aged *Neoplasms/eh [Ethnology] Neoplasms/mo [Mortality] *Palliative Care/sn [Statistics & Numerical Data] Patient Preference Registries Residence Characteristics Socioeconomic Factors *Terminal Care/sn [Statistics & Numerical Data] LA - English M3 - Research Support, Non-U.S. Gov't N1 - Coupland, Victoria H Madden, Peter Jack, Ruth H Moller, Henrik Davies, Elizabeth A PY - 2011 SN - 1477-030X SP - 314-22 ST - Does place of death from cancer vary between ethnic groups in South East England? T2 - Palliative Medicine TI - Does place of death from cancer vary between ethnic groups in South East England? UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=21248180 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med8&rft.genre=article&rft_id=info:doi/10.1177%2F0269216310395986&rft_id=info:pmid/21248180&rft.issn=0269-2163&rft.volume=25&rft.issue=4&rft.spage=314&rft.pages=314-22&rft.date=2011&rft.jtitle=Palliative+Medicine&rft.atitle=Does+place+of+death+from+cancer+vary+between+ethnic+groups+in+South+East+England%3F.&rft.aulast=Coupland VL - 25 ID - 2116 ER - TY - JOUR AB - BACKGROUND: Few ethnic minorities access specialist palliative care (SPC) services when caring for a dying relative at home. OBJECTIVE: This project aimed to explore and understand the experiences of the Sikh population of south east England when caring for a dying relative at home without support from SPC. METHODS: Six semi-structured interviews were conducted with carers in Punjabi or English and the transcripts were analysed using interpretative phenomenology. RESULTS: Five super-ordinate themes were identified: factors leading to the caring role, emotional effects of caring on the carer, impact of caring on the wider family, influence of health-care services, and religious and cultural influence. The most common emergent theme was lack of support from health professionals, which emerged from a lack of awareness of services. A sense of duty and hard work was apparent throughout, and appeared to sustain the family. There seemed to be a sense of duty to care for the relative at home. Financial concerns were expressed frequently. The decision to adopt the caring role appeared to be made by the entire family. The Sikh faith seemed to give strength to carers. There appeared to be heightened awareness of what other community members think of carers' actions. CONCLUSIONS: There is a need for health professionals to reach out to this population to increase awareness of and trust in the services that are available to support care at the end of life. However, an unwillingness to accept assistance may persist in some cases. AD - Cowan, Margaret Mary. Advanced Nurse Practitioner, Home Care Team and Day Therapy Unit, Ellenor Lions Hospices, Cold Harbour Road, Gravesend DA11 7HQ, England. AN - 24763326 AU - Cowan, M. M. DA - Apr DB - MEDLINE DP - Ovid Technologies IS - 4 J2 - Int J Palliat Nurs KW - Adult Aged *Attitude to Death/eh [Ethnology] *Caregivers/es [Ethics] *Caregivers/px [Psychology] Cultural Characteristics England/ep [Epidemiology] Female Health Services Needs and Demand/sn [Statistics & Numerical Data] *Home Nursing/px [Psychology] Humans India/eh [Ethnology] Interviews as Topic Male Middle Aged Moral Obligations *Palliative Care/es [Ethics] Palliative Care/og [Organization & Administration] *Palliative Care/px [Psychology] Qualitative Research *Religion and Medicine LA - English M3 - Personal Narrative N1 - Cowan, Margaret Mary PY - 2014 SN - 1357-6321 SP - 179-86 ST - The lived experiences of the Sikh population of South East England when caring for a dying relative at home T2 - International Journal of Palliative Nursing TI - The lived experiences of the Sikh population of South East England when caring for a dying relative at home UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med11&AN=24763326 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med11&rft.genre=article&rft_id=info:doi/10.12968%2Fijpn.2014.20.4.179&rft_id=info:pmid/24763326&rft.issn=1357-6321&rft.volume=20&rft.issue=4&rft.spage=179&rft.pages=179-86&rft.date=2014&rft.jtitle=International+Journal+of+Palliative+Nursing&rft.atitle=The+lived+experiences+of+the+Sikh+population+of+South+East+England+when+caring+for+a+dying+relative+at+home.&rft.aulast=Cowan VL - 20 ID - 2110 ER - TY - JOUR AB - OBJECTIVE: To reflect on recent proposed tobacco control initiatives in the socio-cultural context of the smoking behaviours of UK resident Bangladeshi men. DESIGN: Cross-sectional study using focus groups and one-to-one interviews conducted in English and Sylheti. Eighty-one men, aged 18-64 years, were recruited from the Bangladeshi community of Tower Hamlets, London, during 2002. Participants were purposively selected to reflect their age, place of birth and tobacco-use status. The discussions were tape-recorded and subsequently transcribed. The transcripts were analysed using 'framework' principles. Three of the current themes for tobacco control -- smoke-free workplace environments, access to alternative sources of tobacco, and use and availability of nicotine replacement therapy -- were used to organise the data. RESULTS: Smoking initiation and use was confirmed as linked to gender, age, religion and tradition. Continued smoking was supported by anxieties about harassment in younger respondents, the migration experience of older respondents, and the unskilled employment opportunities available in the restaurant trade. These employment opportunities, whilst providing social support, did not support smoking regulations, in contrast to the practices observed in the general employment market. Levels of knowledge about the health risks of smoking varied by age. Three cheaper alternative tobacco types were readily accessible for use: contraband, roll-ups and traditional chewing tobacco in paan (chewing tobacco mixed with areca nut rolled in a betel leaf). Despite the latter's associations with use by women, younger respondents described the transition to chewing tobacco in paan as a smoking cessation aid instead of nicotine replacement therapy. There was confusion about the purpose, availability and efficacy of nicotine replacement therapy. Respondents reported isolation and marginalisation from current tobacco control initiatives, including much NHS Stop Smoking Service provision. CONCLUSION: The socio-cultural context of the smoking behaviours of this group of Bangladeshi men was linked to a reported isolation and exclusion from current tobacco control initiatives. These initiatives should be inclusive and address the reported needs of this community. The findings have implications for service development. Addressing these findings will help to inform the implementation of relevant public health policy initiatives for tobacco control to meet the needs of this community. AD - Croucher, Ray. Institute of Dentistry, Queen Mary's School of Medicine and Dentistry, Queen Mary University of London, London, UK. r.e.croucher@qmul.ac.uk AN - 17701760 AU - Croucher, R. AU - Choudhury, S. R. DA - Sep DB - MEDLINE DP - Ovid Technologies IS - 4 J2 - Ethn Health KW - Adolescent Adult Bangladesh/eh [Ethnology] *Community Participation Cross-Sectional Studies Emigrants and Immigrants *Health Knowledge, Attitudes, Practice Humans Male Middle Aged Nicotine/tu [Therapeutic Use] Nicotinic Agonists/tu [Therapeutic Use] Qualitative Research Religion Smoking/dt [Drug Therapy] *Smoking/eh [Ethnology] *Smoking/lj [Legislation & Jurisprudence] Smoking Cessation/mt [Methods] Social Support Tobacco Smoke Pollution/lj [Legislation & Jurisprudence] Tobacco, Smokeless United Kingdom/ep [Epidemiology] Workplace/lj [Legislation & Jurisprudence] 0 (Nicotinic Agonists) 0 (Tobacco Smoke Pollution) 6M3C89ZY6R (Nicotine) LA - English M3 - Research Support, Non-U.S. Gov't N1 - Croucher, Ray Choudhury, Shamsur Rahman PY - 2007 SN - 1355-7858 SP - 321-37 ST - Tobacco control policy initiatives and UK resident Bangladeshi male smokers: community-based, qualitative study T2 - Ethnicity & Health TI - Tobacco control policy initiatives and UK resident Bangladeshi male smokers: community-based, qualitative study UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=17701760 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med6&rft.genre=article&rft_id=info:doi/10.1080%2F13557850701300731&rft_id=info:pmid/17701760&rft.issn=1355-7858&rft.volume=12&rft.issue=4&rft.spage=321&rft.pages=321-37&rft.date=2007&rft.jtitle=Ethnicity+%26+Health&rft.atitle=Tobacco+control+policy+initiatives+and+UK+resident+Bangladeshi+male+smokers%3A+community-based%2C+qualitative+study.&rft.aulast=Croucher VL - 12 ID - 2057 ER - TY - JOUR AB - The objective of this study was to establish the prevalence of paan chewing with tobacco by UK-resident Bangladeshi women and the extent to which they manifest nicotine dependence. The cross-sectional study was conducted at two local authority housing estates in Tower Hamlets, London. Participants were 242 Bangladeshi women, selected at random from the current electoral register, who supplied a saliva sample for cotinine and an expired air sample for carbon monoxide analysis. They also participated in a structured interview assessing knowledge, attitudes and behavior with respect to tobacco use. Main outcome measures were data on tobacco use and nicotine dependence, assessed by questionnaire and intake measures. The population prevalence of chewing paan quid with tobacco was 48.5% (95% confidence interval, CI 42.01-54.98%), while 4% (95% CI 2.05-7.41%) smoked cigarettes. Higher mean salivary cotinine scores were associated with greater consumption frequency and use of leaf tobacco in the quid. Above-average nicotine dependence was associated with chewing paan quid with tobacco within 1 h of waking (OR = 4.02, p = 0.03, 95% CI 1.08-14.94) and the use of leaf rather than processed tobacco (OR = 3.91, p = 0.025, 95% CI 1.19-12.81). Smoking prevalence is low, but the prevalence of paan quid with tobacco chewing is high in this sample of Bangladeshi women. Cotinine concentration appears to be a reliable indicator of levels of nicotine dependence among paan quid with tobacco chewers. Questionnaire-derived items can be used to identify those with above-average levels of nicotine dependence. AD - Croucher, Ray. Dental Public Health, The Dental School, Barts and The London Queen Mary's School of Medicine and Dentistry, London, E1 2AD, UK. r.e.croucher@qmul.ac.uk AN - 12028849 AU - Croucher, R. AU - Islam, S. AU - Jarvis, M. AU - Garrett, M. AU - Rahman, R. AU - Shajahan, S. AU - Howells, G. DA - May DB - MEDLINE DP - Ovid Technologies IS - 2 J2 - Nicotine Tob Res KW - Adult Bangladesh/eh [Ethnology] Cotinine/ur [Urine] Cross-Sectional Studies Female Health Knowledge, Attitudes, Practice Humans Middle Aged Prevalence *Tobacco Use Disorder/ep [Epidemiology] *Tobacco Use Disorder/eh [Ethnology] *Tobacco, Smokeless United Kingdom/ep [Epidemiology] K5161X06LL (Cotinine) LA - English M3 - Research Support, Non-U.S. Gov't N1 - Croucher, Ray Islam, Sharif Jarvis, Martin Garrett, Myra Rahman, Rubina Shajahan, Sharmin Howells, Gareth PY - 2002 SN - 1462-2203 SP - 171-6 ST - Tobacco dependence in a UK Bangladeshi female population: a cross-sectional study T2 - Nicotine & Tobacco Research TI - Tobacco dependence in a UK Bangladeshi female population: a cross-sectional study UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12028849 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med4&rft.genre=article&rft_id=info:doi/10.1080%2F14622200210123171&rft_id=info:pmid/12028849&rft.issn=1462-2203&rft.volume=4&rft.issue=2&rft.spage=171&rft.pages=171-6&rft.date=2002&rft.jtitle=Nicotine+%26+Tobacco+Research&rft.atitle=Tobacco+dependence+in+a+UK+Bangladeshi+female+population%3A+a+cross-sectional+study.&rft.aulast=Croucher VL - 4 ID - 2064 ER - TY - JOUR AB - Our objective was to establish the short-term outcomes for successful tobacco cessation of a programme offering UK resident Bangladeshi women chewing paan with tobacco nicotine replacement therapy (NRT) in addition to brief advice and encouragement alone. We used a short-term longitudinal, quasi-experimental study design, in the setting of two local authority housing estates in Tower Hamlets, London. Bangladeshi women volunteers were recruited following presentations to community groups. The volunteers were assigned, after matching for age, number of paan with tobacco chewed daily and medical screening, to receive one of two tobacco cessation interventions (NRT with brief encouragement and advice, and brief advice and encouragement alone). The main outcome measures were changes in tobacco use and nicotine dependence, assessed by questionnaire and intake measures, adverse effects, and withdrawal symptoms. In total, 130 volunteers were recruited. Their mean age was 42.5 years (SD = 11.3). Mean number of paan quid with tobacco chewed daily was 10.7 (SD = 9.3) and the average age of starting to add tobacco to paan was 24 years (SD = 12). Ninety-one percent completed the 4-week trial. We found that 19.5% had stopped tobacco use, of whom 22% had received NRT, and 17% brief advice and encouragement alone. The successful members of the NRT group made a significantly greater reduction in their salivary cotinine scores at final review compared to baseline. Oral pain was reported as a barrier to successful oral tobacco cessation by 62% of the volunteers at final review. We conclude that methods identified as helping tobacco smokers successfully stop smoking can be used with Bangladeshi women chewing paan with tobacco. More research is needed to investigate these short-term outcomes and to explore the particular barriers to successful cessation for this group such as oral pain. AD - Croucher, R. Dental Public Health, Barts and The London, Queen Mary's School of Medicine and Dentistry, Queen Mary (University of London), London E1 2AD, UK. r.e.croucher@mds.qmw.ac.uk AN - 12729180 AU - Croucher, R. AU - Islam, S. AU - Jarvis, M. J. AU - Garrett, M. AU - Rahman, R. AU - Shajahan, S. AU - Howells, G. DA - Apr DB - MEDLINE DP - Ovid Technologies IS - 2 J2 - Health Educ Res KW - Adult Bangladesh/eh [Ethnology] Chi-Square Distribution Cotinine/an [Analysis] England Female Humans Interviews as Topic Longitudinal Studies Middle Aged Pilot Projects Saliva/ch [Chemistry] Statistics, Nonparametric *Tobacco Use Cessation/mt [Methods] *Tobacco, Smokeless Treatment Outcome K5161X06LL (Cotinine) LA - English M3 - Research Support, Non-U.S. Gov't N1 - Croucher, R Islam, S Jarvis, M J Garrett, M Rahman, R Shajahan, S Howells, G PY - 2003 SN - 0268-1153 SP - 216-23 ST - Oral tobacco cessation with UK resident Bangladeshi women: a community pilot investigation T2 - Health Education Research TI - Oral tobacco cessation with UK resident Bangladeshi women: a community pilot investigation UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=12729180 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med5&rft.genre=article&rft_id=info:doi/10.1093%2Fher%2F18.2.216&rft_id=info:pmid/12729180&rft.issn=0268-1153&rft.volume=18&rft.issue=2&rft.spage=216&rft.pages=216-23&rft.date=2003&rft.jtitle=Health+Education+Research&rft.atitle=Oral+tobacco+cessation+with+UK+resident+Bangladeshi+women%3A+a+community+pilot+investigation.&rft.aulast=Croucher VL - 18 ID - 2063 ER - TY - JOUR AB - BACKGROUND: This study reports awareness of the 'Open up to Mouth Cancer' campaign materials and oral cancer knowledge among two UK adult Bangladeshi communities, both at high risk for oral cancer. METHODS: Differences in the outcomes of campaign awareness and knowledge of oral cancer risk factors and early signs were compared between campaign and comparison areas. Home-based interviews were conducted with representative samples from both areas by bilingual interviewers. Data collected included a modified 36-item Humphris Oral Cancer Knowledge Scale and socio-demographic information. The data were collected 4 weeks after the campaign completion and analysed using chi(2)-tests and binary logistic regressions. RESULTS: The response rate was 77%. Both awareness of the campaign materials (29.99% (95% confidence interval (CI) 15.82, 46.99) vs 8.12% (95% CI 6.16, 10.62)) and the mean Humphris Oral Cancer Knowledge Scale scores (13.32 (95% CI 11.06, 15.57) vs 8.27 (95% CI 6.59, 9.94)) were higher in the campaign area. The campaign area sample was significantly more likely to be aware of the materials (odds ratio (OR)=6.03, 95% CI 3.00, 12.1). CONCLUSION: Superior awareness and oral cancer knowledge was identified in the community with access to the campaign materials. Further evaluation to identify long-term campaign impact is required. AD - Croucher, R. Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Institute of Dentistry, 4 Newark Street, London E1 4AT, UK. r.e.croucher@qmul.ac.uk AN - 21863022 AU - Croucher, R. AU - Islam, S. S. AU - Nunn, H. DA - Sep 27 DB - MEDLINE DO - https://dx.doi.org/10.1038/bjc.2011.317 DP - Ovid Technologies IS - 7 J2 - Br J Cancer KW - Adult Bangladesh Cross-Sectional Studies Female *Health Knowledge, Attitudes, Practice Humans Male Middle Aged *Mouth Neoplasms/pc [Prevention & Control] Physicians Prognosis Risk Factors United Kingdom LA - English M3 - Research Support, Non-U.S. Gov't N1 - Croucher, R Islam, S S Nunn, H PY - 2011 SN - 1532-1827 SP - 925-30 ST - Campaign awareness and oral cancer knowledge in UK resident adult Bangladeshi: a cross-sectional study T2 - British Journal of Cancer TI - Campaign awareness and oral cancer knowledge in UK resident adult Bangladeshi: a cross-sectional study UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=21863022 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med8&rft.genre=article&rft_id=info:doi/10.1038%2Fbjc.2011.317&rft_id=info:pmid/21863022&rft.issn=0007-0920&rft.volume=105&rft.issue=7&rft.spage=925&rft.pages=925-30&rft.date=2011&rft.jtitle=British+Journal+of+Cancer&rft.atitle=Campaign+awareness+and+oral+cancer+knowledge+in+UK+resident+adult+Bangladeshi%3A+a+cross-sectional+study.&rft.aulast=Croucher VL - 105 ID - 2095 ER - TY - JOUR AB - OBJECTIVES: The study objectives were to assess the oral health status of a sample of UK resident Bangladeshi women tobacco-in-paan users and its relationship to participant age and number of daily paan, to determine the prevalence of oral pain at baseline and at the one-week postcessation follow-up, and to explore the relationship between oral health status and changes in self-reported oral pain at baseline and at the one-week postcessation follow-up. METHODS: Interviews were conducted in Sylheti using fully structured questionnaires and an oral examination was carried out. A quit date was set and nicotine replacement therapy patches (Nicorette 15 mg, Pfizer) were supplied. Age, number of daily paan, and oral pain characteristics, including intensity, frequency, any provoking factors, and associated symptoms were recorded. Oral mucosal lesions (OMLs) and numbers of teeth decayed, missing, filled, and those with recession, abrasion, loss of attachment (LOA), and tooth wear were charted. RESULTS: Fifty-two women took part. The mean age was 42.8 years and number of daily paan with tobacco was 13. Compared to those aged 18-39 years, those aged 40 years and older had poorer oral health. Older adults were significantly more likely to have higher numbers of teeth with recession, abrasion, and LOA greater than 3.5 mm. They were significantly more likely to have an OML at baseline. The prevalence of self-reported oral pain was 26.9 percent at baseline and 51.9 percent at one-week follow-up. Presence of an OML at baseline was a significant predictor of reports of oral pain at the one-week follow-up. Results of stepwise multiple regression analysis confirmed this finding (OR = 3.66; 95% CI = 1.06, 12.621; P = .04). CONCLUSIONS: Reports of oral pain at follow-up during a tobacco cessation program correlate with the presence of OMLs at baseline. Further investigation of this relationship is needed. Access to appropriate dental care, as an aid to successful tobacco cessation, is indicated. AD - Croucher, Ray. Barts and the London, Queen Mary's School of Medicine and Dentistry, Turner Street, London E12AD, United Kingdom. r.e.croucher@qmul.ac.uk AN - 14682647 AU - Croucher, R. AU - Pau, A. K. AU - Jerreat, M. AU - Begum, S. AU - Marcenes, W. DB - MEDLINE DP - Ovid Technologies IS - 4 J2 - J Public Health Dent KW - Adolescent Adult *Areca Bangladesh/eh [Ethnology] DMF Index *Facial Pain/ep [Epidemiology] Female Humans Logistic Models *Mouth Diseases/ep [Epidemiology] *Mouth Mucosa/pa [Pathology] Oral Health Prevalence Self Disclosure Surveys and Questionnaires *Tobacco Use Cessation *Tobacco, Smokeless *Tooth Diseases/ep [Epidemiology] United Kingdom/ep [Epidemiology] LA - English M3 - Research Support, Non-U.S. Gov't N1 - Croucher, Ray Pau, Allan K H Jerreat, Matt Begum, Shamsia Marcenes, Wagner PY - 2003 SN - 0022-4006 SP - 235-9 ST - Oral health of Bangladeshi women tobacco-with-paan users and self-reported oral pain following tobacco cessation T2 - Journal of Public Health Dentistry TI - Oral health of Bangladeshi women tobacco-with-paan users and self-reported oral pain following tobacco cessation UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14682647 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med5&rft.genre=article&rft_id=info:doi/10.1111%2Fj.1752-7325.2003.tb03505.x&rft_id=info:pmid/14682647&rft.issn=0022-4006&rft.volume=63&rft.issue=4&rft.spage=235&rft.pages=235-9&rft.date=2003&rft.jtitle=Journal+of+Public+Health+Dentistry&rft.atitle=Oral+health+of+Bangladeshi+women+tobacco-with-paan+users+and+self-reported+oral+pain+following+tobacco+cessation.&rft.aulast=Croucher VL - 63 ID - 2061 ER - TY - JOUR AB - UNLABELLED: The literature on concurrent tobacco (CCT) use, i.e., regularly using both smoked and chewed tobacco, is sparse. OBJECTIVES: This study aims to establish the point prevalence of CCT use in a randomly selected sample of UK-resident Bangladeshi males, compare CCT users with other tobacco users (smokers alone and chewers alone), and model the factors for CCT use and chewing tobacco use alone. METHODS: A cross-sectional bilingual interview survey collecting data on age, marital status, social class, employment status, home ownership and overcrowding, self-assessed health and chronic illness episodes, social capital, nicotine dependence, and oral pain was used. Carbon monoxide readings validated smoked tobacco use. Logistic regressions were used for data analysis. RESULTS: The initial response rate was 59 percent. Sample mean age was 40.7 years. CCT prevalence was estimated at 22 percent, practiced by older respondents of limited educational status. CCT users more likely had only average or poor self-rated health and more likely reported current oral pain compared with tobacco smokers. A wife chewing tobacco distinguished CCT users, as compared with tobacco smokers alone. CONCLUSIONS: In this sample of adult Bangladeshi males, CCT use was prevalent. CCT users more likely had a partner who was also a tobacco chewer, as compared with tobacco smokers. AD - Croucher, Raymond E. Institute of Dentistry, Barts & The London (QMUL), Turner Street, London UK El 2AD. r.e.croucher@qmul.ac.uk AN - 17557678 AU - Croucher, R. E. AU - Islam, S. S. AU - Pau, A. K. DB - MEDLINE DP - Ovid Technologies IS - 2 J2 - J Public Health Dent KW - Adolescent Adult Age Factors Bangladesh/eh [Ethnology] Cross-Sectional Studies Facial Pain/ep [Epidemiology] Humans Logistic Models London/ep [Epidemiology] Male Poverty Areas Prevalence Sampling Studies Socioeconomic Factors *Tobacco Use Disorder/ep [Epidemiology] LA - English M3 - Research Support, Non-U.S. Gov't N1 - Croucher, Raymond E Islam, Syed S Pau, Allan K PY - 2007 SN - 0022-4006 SP - 83-8 ST - Concurrent tobacco use in a random sample of UK-resident Bangladeshi men T2 - Journal of Public Health Dentistry TI - Concurrent tobacco use in a random sample of UK-resident Bangladeshi men UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=17557678 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med6&rft.genre=article&rft_id=info:doi/10.1111%2Fj.1752-7325.2007.00019.x&rft_id=info:pmid/17557678&rft.issn=0022-4006&rft.volume=67&rft.issue=2&rft.spage=83&rft.pages=83-8&rft.date=2007&rft.jtitle=Journal+of+Public+Health+Dentistry&rft.atitle=Concurrent+tobacco+use+in+a+random+sample+of+UK-resident+Bangladeshi+men.&rft.aulast=Croucher VL - 67 ID - 2058 ER - TY - JOUR AB - Advance directives are a way to communicate the kind of care that people desire at the end of life. Recent research shows that ethnic minorities have been found to complete advance directives significantly less often than Caucasians, and no information was available regarding advance directives in the Asian Indian population. To address this shortcoming, this descriptive exploratory design sampled a community sample of 45 Asian Indian Hindus. Being female and having an individualistic decision-making style were significantly positively correlated with advance directive completion. Having strong religious affiliation and a family decision-making style were significantly negatively correlated with advance directive completion. The results of this study provide needed information regarding the Asian Indian population and how Hinduism affects advance directives. AN - 12593266 AU - Doorenbos, A. Z. AU - Nies, M. A. DA - Jan DB - MEDLINE DP - Ovid Technologies IS - 1 J2 - J Transcult Nurs KW - Adult *Advance Directives/eh [Ethnology] Decision Making Female Humans India/ep [Epidemiology] Male Middle Aged LA - English M3 - Research Support, Non-U.S. Gov't N1 - Doorenbos, Ardith Z Nies, Mary A PY - 2003 SN - 1043-6596 SP - 17-24 ST - The use of advance directives in a population of Asian Indian Hindus T2 - Journal of Transcultural Nursing TI - The use of advance directives in a population of Asian Indian Hindus UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=12593266 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med5&rft.genre=article&rft_id=info:doi/10.1177%2F1043659602238346&rft_id=info:pmid/12593266&rft.issn=1043-6596&rft.volume=14&rft.issue=1&rft.spage=17&rft.pages=17-24&rft.date=2003&rft.jtitle=Journal+of+Transcultural+Nursing&rft.atitle=The+use+of+advance+directives+in+a+population+of+Asian+Indian+Hindus.&rft.aulast=Doorenbos VL - 14 ID - 2124 ER - TY - JOUR AD - Ebrahim, Shanil. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, and Joint Centre for Bioethics, University of Toronto, 155 College Street, Suite 754, Toronto, Ontario, Canada. shanil.ebrahim@utoronto.ca AN - 21805953 AU - Ebrahim, S. AU - Bance, S. AU - Bowman, K. W. DB - MEDLINE DP - Ovid Technologies IS - 2 J2 - J Palliat Care KW - Adult *Attitude to Death/eh [Ethnology] *Attitude to Health/eh [Ethnology] *Cultural Competency Family Relations Funeral Rites Humans India/eh [Ethnology] Middle Aged Narration Ontario *Palliative Care *Religion and Medicine Truth Disclosure LA - English N1 - Ebrahim, Shanil Bance, Sheena Bowman, Kerry W PY - 2011 SN - 0825-8597 SP - 170-4 ST - Sikh perspectives towards death and end-of-life care T2 - Journal of Palliative Care TI - Sikh perspectives towards death and end-of-life care UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=21805953 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med8&rft.genre=article&rft_id=info:doi/&rft_id=info:pmid/21805953&rft.issn=0825-8597&rft.volume=27&rft.issue=2&rft.spage=170&rft.pages=170-4&rft.date=2011&rft.jtitle=Journal+of+Palliative+Care&rft.atitle=Sikh+perspectives+towards+death+and+end-of-life+care.&rft.aulast=Ebrahim VL - 27 ID - 2115 ER - TY - JOUR AB - AIM: To present the findings of a study which explored the influence of culture on (type 2) diabetes self-management in Gujarati Muslim men who reside in northwest England. BACKGROUND: This study was informed by an embodied perspective of culture, in which culture is grounded in the body and self. This contrasts with some contemporary health research and policy which adopts an oversimplified perspective, portraying culture as static and deterministic and being responsible for non-adherent self-management behaviours. METHOD: A case-study approach was used, which combined interview and participant observation methods. Data were collected from Gujarati Muslim men about their lived experiences of diabetes self-management. These accounts, along with further narrative data from 'significant other' participants, were analysed over several cycles. RESULTS: Two central concepts guide the results: embodied culture and dynamic culture. These concepts reflect the subjective and contextual nature of culture and are illustrated in the themes 'past experiences and socio-economic factors', 'social and gendered roles' and 'personal choice and contextual factors'. The findings highlight that the complexity of life means that culture never exists in isolation, but is one of the many factors that a man negotiates to inform his diabetes self-management. CONCLUSION: We draw attention to the dissonance between the way culture is presented in some government policy and research, and the way it is understood in an embodied approach. The National Service Framework for Diabetes advocates the provision of individualized culturally appropriate care, and in this paper, we make suggestions as to how an embodied approach can be incorporated within the framework. RELEVANCE TO CLINICAL PRACTICE: Nurses have an integral role in implementing the National Service Framework for Diabetes. This paper contributes to the debate about how nurses can best deliver this framework to a diverse patient population. AD - Fleming, Elizabeth. University of Central Lancashire, Department of Nursing, Preston, Lancashire, UK. efleming@uclan.ac.uk AN - 18298755 AU - Fleming, E. AU - Carter, B. AU - Pettigrew, J. DA - Mar DB - MEDLINE DO - https://dx.doi.org/10.1111/j.1365-2702.2007.02178.x DP - Ovid Technologies IS - 5A J2 - J Clin Nurs KW - Diabetes Mellitus, Type 2 England Humans *Islam Male *Self Care LA - English M3 - Research Support, Non-U.S. Gov't N1 - Fleming, Elizabeth Carter, Bernie Pettigrew, Judith PY - 2008 SN - 0962-1067 SP - 51-9 ST - The influence of culture on diabetes self-management: perspectives of Gujarati Muslim men who reside in northwest England T2 - Journal of Clinical Nursing TI - The influence of culture on diabetes self-management: perspectives of Gujarati Muslim men who reside in northwest England UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=18298755 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med7&rft.genre=article&rft_id=info:doi/10.1111%2Fj.1365-2702.2007.02178.x&rft_id=info:pmid/18298755&rft.issn=0962-1067&rft.volume=17&rft.issue=5&rft.spage=51&rft.pages=51-9&rft.date=2008&rft.jtitle=Journal+of+Clinical+Nursing&rft.atitle=The+influence+of+culture+on+diabetes+self-management%3A+perspectives+of+Gujarati+Muslim+men+who+reside+in+northwest+England.&rft.aulast=Fleming VL - 17 ID - 2082 ER - TY - JOUR AB - In India, 57% of men between 15 and 54 years and 10.8% of women between 15 and 49 years use tobacco. A wide variety of tobacco gets used and the poor and the underprivileged are the dominant victims of tobacco and its adverse consequences. Project MYTRI (Mobilizing Youth for Tobacco-Related Initiatives in India) was a tobacco prevention intervention program, a cluster-randomized trial in 32 Indian schools which aimed to decrease susceptibility to tobacco use among sixth- to ninth-grade students in urban settings in India. This culture-specific intervention, which addressed both smokeless and smoked forms of tobacco, was Indian in content and communication. We qualitatively developed indicators which would help accurately measure the dose of the intervention given, received and reached. A multi-staged process evaluation was done through both subjective and objective measures. Training the teachers critically contributed toward a rigorous implementation and also correlated with the outcomes, as did a higher proportion of students participating in the classroom discussions and better peer-leader-student communication. A sizeable proportion of subjective responses were 'socially desirable', making objective assessment a preferred methodology even for 'dose received'. The peer-led health activism was successful. Teachers' manuals need to be concise. AD - Goenka, Shifalika. Centre for Chronic Disease Control, Delhi, India. shifalika.goenka@iiphd.org AN - 20884731 AU - Goenka, S. AU - Tewari, A. AU - Arora, M. AU - Stigler, M. H. AU - Perry, C. L. AU - Arnold, J. P. AU - Kulathinal, S. AU - Reddy, K. S. DA - Dec DB - MEDLINE DO - https://dx.doi.org/10.1093/her/cyq042 DP - Ovid Technologies IS - 6 J2 - Health Educ Res KW - Adolescent Adult Female *Health Promotion/og [Organization & Administration] Humans India Male Middle Aged *Program Evaluation *Schools *Smoking Prevention Young Adult LA - English M3 - Randomized Controlled Trial Research Support, N.I.H., Extramural N1 - Goenka, Shifalika Tewari, Abha Arora, Monika Stigler, Melissa H Perry, Cheryl L Arnold, J P Saulina Kulathinal, Sangita Reddy, K Srinath PY - 2010 SN - 1465-3648 SP - 917-35 ST - Process evaluation of a tobacco prevention program in Indian schools--methods, results and lessons learnt T2 - Health Education Research TI - Process evaluation of a tobacco prevention program in Indian schools--methods, results and lessons learnt UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=20884731 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med8&rft.genre=article&rft_id=info:doi/10.1093%2Fher%2Fcyq042&rft_id=info:pmid/20884731&rft.issn=0268-1153&rft.volume=25&rft.issue=6&rft.spage=917&rft.pages=917-35&rft.date=2010&rft.jtitle=Health+Education+Research&rft.atitle=Process+evaluation+of+a+tobacco+prevention+program+in+Indian+schools--methods%2C+results+and+lessons+learnt.&rft.aulast=Goenka VL - 25 ID - 2051 ER - TY - JOUR AB - OBJECTIVE: To explore the experience of diabetes in British Bangladeshis, since successful management of diabetes requires attention not just to observable behaviour but to the underlying attitudes and belief systems which drive that behaviour. DESIGN: Qualitative study of subjects' experience of diabetes using narratives, semi-structured interviews, focus groups, and pile sorting exercises. A new qualitative method, the structured vignette, was developed for validating researchers' understanding of primary level culture. SUBJECTS: 40 British Bangladeshi patients with diabetes, and 10 non-Bangladeshi controls, recruited from primary care. RESULT: Several constructs were detected in relation to body image, cause and nature of diabetes, food classification, and knowledge of complications. In some areas, the similarities between Bangladeshi and non-Bangladeshi subjects were as striking as their differences. There was little evidence of a fatalistic or deterministic attitude to prognosis, and most informants seemed highly motivated to alter their diet and comply with treatment. Structural and material barriers to behaviour change were at least as important as "cultural" ones. CONCLUSION: Bangladeshi culture is neither seamless nor static, but some widely held beliefs and behaviours have been identified. Some of these have a potentially beneficial effect on health and should be used as the starting point for culturally sensitive diabetes education. AD - Greenhalgh, T. Department of Primary Care and Population Sciences, University College London Medical School/Royal Free Hospital School of Medicine, Whittington Hospital. p.greenhalgh@ucl.ac.uk AN - 9550958 AU - Greenhalgh, T. AU - Helman, C. AU - Chowdhury, A. M. DA - Mar 28 DB - MEDLINE DP - Ovid Technologies IS - 7136 J2 - Bmj KW - Adult Aged Aged, 80 and over *Attitude to Health Bangladesh/eh [Ethnology] Body Image *Diabetes Mellitus/eh [Ethnology] Diet Exercise Female Health Behavior Humans London/ep [Epidemiology] Male Middle Aged Physician-Patient Relations Self Care Smoking/eh [Ethnology] LA - English M3 - Research Support, Non-U.S. Gov't N1 - Greenhalgh, T Helman, C Chowdhury, A M Comment in (CIN) PY - 1998 SN - 0959-8138 SP - 978-83 ST - Health beliefs and folk models of diabetes in British Bangladeshis: a qualitative study T2 - BMJ TI - Health beliefs and folk models of diabetes in British Bangladeshis: a qualitative study UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9550958 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med4&rft.genre=article&rft_id=info:doi/10.1136%2Fbmj.316.7136.978&rft_id=info:pmid/9550958&rft.issn=0959-8138&rft.volume=316&rft.issue=7136&rft.spage=978&rft.pages=978-83&rft.date=1998&rft.jtitle=BMJ&rft.atitle=Health+beliefs+and+folk+models+of+diabetes+in+British+Bangladeshis%3A+a+qualitative+study.&rft.aulast=Greenhalgh VL - 316 ID - 2086 ER - TY - JOUR AB - South Asians are the third largest Asian group in the US and among the fastest growing racial groups in New Jersey. Tobacco consumption among South Asians is characterized by several smoked and smokeless tobacco products indigenous to the Indian subcontinent. However, there is a paucity of research on tobacco use behaviors among South Asians in the US. The goal of this study was to examine the awareness and use of South Asian tobacco products such as bidis, gutkha, paan, paan masala, and zarda as well as other potentially carcinogenic products such as supari, their context of use, and their cultural significance among South Asians living in the US. Eight focus groups were conducted with South Asian adults living in Central New Jersey. Overall, participants were aware of a wide variety of foreign and American tobacco products with older South Asians identifying a greater variety of indigenous products compared to younger South Asians. Hookah was consistently recognized as popular among the younger generation while products such as paan or paan masala were more commonly identified with elders. Use of tobacco-related products such as paan and supari were described as common at social gatherings or after meals. In addition, light or social users of South Asian tobacco products, including products not consistently defined as tobacco, may not report tobacco use on a survey. Better understanding of the use of these products among South Asians and how some may classify tobacco usage can inform future research and public health interventions in these communities. AD - Hrywna, Mary. School of Public Health Rutgers, The State University of New Jersey, 335 George Street, Suite 2100, New Brunswick, NJ, 08901, USA. mary.hrywna@sph.rutgers.edu. Jane Lewis, M. School of Public Health Rutgers, The State University of New Jersey, 335 George Street, Suite 2100, New Brunswick, NJ, 08901, USA. Mukherjea, Arnab. Health Sciences Program, California State University, East Bay, 25800 Carlos Bee Boulevard, Hayward, CA, 94542, USA. Banerjee, Smita C. Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, New York, NY, 10022, USA. Steinberg, Michael B. Division of General Internal Medicine, Robert Wood Johnson Medical School Rutgers, The State University of New Jersey, Clinical Academic Building (CAB), 125 Paterson Street, Suite 2304, New Brunswick, NJ, 08901, USA. Delnevo, Cristine D. School of Public Health Rutgers, The State University of New Jersey, 335 George Street, Suite 2100, New Brunswick, NJ, 08901, USA. AN - 27256410 AU - Hrywna, M. AU - Jane Lewis, M. AU - Mukherjea, A. AU - Banerjee, S. C. AU - Steinberg, M. B. AU - Delnevo, C. D. DA - Dec DB - MEDLINE DP - Ovid Technologies IS - 6 J2 - J Community Health KW - Adolescent Adult Aged Asia/eh [Ethnology] *Asian Americans *Asians Female Focus Groups *Health Knowledge, Attitudes, Practice/eh [Ethnology] Humans Male Middle Aged New Jersey Risk Factors *Tobacco Products *Tobacco Use/eh [Ethnology] Young Adult LA - English N1 - Hrywna, Mary Jane Lewis, M Mukherjea, Arnab Banerjee, Smita C Steinberg, Michael B Delnevo, Cristine D PY - 2016 SN - 1573-3610 SP - 1122-1129 ST - Awareness and Use of South Asian Tobacco Products Among South Asians in New Jersey T2 - Journal of Community Health TI - Awareness and Use of South Asian Tobacco Products Among South Asians in New Jersey UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med13&AN=27256410 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med13&rft.genre=article&rft_id=info:doi/10.1007%2Fs10900-016-0208-4&rft_id=info:pmid/27256410&rft.issn=0094-5145&rft.volume=41&rft.issue=6&rft.spage=1122&rft.pages=1122-1129&rft.date=2016&rft.jtitle=Journal+of+Community+Health&rft.atitle=Awareness+and+Use+of+South+Asian+Tobacco+Products+Among+South+Asians+in+New+Jersey.&rft.aulast=Hrywna VL - 41 ID - 2090 ER - TY - JOUR AB - BACKGROUND: People of South Asian backgrounds living in the UK have a five-fold increased risk of diabetes and a two-fold increased risk of heart disease when compared to the general population. Physical activity can reduce the risk of premature death from a range of conditions. The aim of the study was to explore the motivating and facilitating factors likely to increase physical activity for South Asian adults and their families, in order to develop successful interventions and services. METHODOLOGY/PRINCIPAL FINDINGS: This was a qualitative study using focus groups and in-depth interviews. Participants were 59 purposively selected Bangladeshi-, Indian- and Pakistani-origin men and women with an additional 10 key informants. The setting was three urban areas of Scotland: Aberdeen, Glasgow and Edinburgh. We undertook a theoretically informed thematic analysis of data. Study participants described engaging in a range of physical activities, particularly football and the gym for men, and walking and swimming for women. The main motivators for taking part in physical activity were external motivators--i.e. undertaking physical activity as a means to an end, which included the opportunities that physical activity provided for social activity and enjoyment. The goals of weight reduction and improving mental and physical health and were also mentioned. Role models were seen as important to inspire and motivate people to undertake activities that they may otherwise lack confidence in. Few people undertook physical activity for its own sake (intrinsic motivation). CONCLUSIONS/SIGNIFICANCE: Attempts at promoting physical activity in people of South Asian origin need to take account of the social context of people's lives and the external motivators that encourage them to engage in physical activity. Undertaking group based physical activity is important and can be facilitated through religious, community, friendship or family networks. Role models may also prove particularly helpful. AD - Jepson, Ruth. Centre for Population Health and Public Health Research, School of Nursing, Midwifery and Health, University of Stirling, Stirling, Scotland. ruth.jepson@stir.ac.uk AN - 23071511 AU - Jepson, R. AU - Harris, F. M. AU - Bowes, A. AU - Robertson, R. AU - Avan, G. AU - Sheikh, A. DB - MEDLINE DO - https://dx.doi.org/10.1371/journal.pone.0045333 DP - Ovid Technologies IS - 10 J2 - PLoS ONE KW - Adult Bangladesh/eh [Ethnology] Cardiovascular Diseases/pc [Prevention & Control] Diabetes Mellitus, Type 2/pc [Prevention & Control] *Exercise Female Focus Groups Humans India/eh [Ethnology] Male *Motivation Pakistan/eh [Ethnology] Qualitative Research Risk Scotland Social Facilitation Social Support LA - English M3 - Research Support, Non-U.S. Gov't N1 - Jepson, Ruth Harris, Fiona M Bowes, Alison Robertson, Roma Avan, Ghizala Sheikh, Aziz PY - 2012 SN - 1932-6203 SP - e45333 ST - Physical activity in South Asians: an in-depth qualitative study to explore motivations and facilitators T2 - PLoS ONE [Electronic Resource] TI - Physical activity in South Asians: an in-depth qualitative study to explore motivations and facilitators UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med9&AN=23071511 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med9&rft.genre=article&rft_id=info:doi/10.1371%2Fjournal.pone.0045333&rft_id=info:pmid/23071511&rft.issn=1932-6203&rft.volume=7&rft.issue=10&rft.spage=e45333&rft.pages=e45333&rft.date=2012&rft.jtitle=PLoS+ONE+%5BElectronic+Resource%5D&rft.atitle=Physical+activity+in+South+Asians%3A+an+in-depth+qualitative+study+to+explore+motivations+and+facilitators.&rft.aulast=Jepson VL - 7 ID - 2078 ER - TY - JOUR AB - The purpose of this study was to examine the determinants of the health behaviour of ethnic groups in relation to alcohol and tobacco use. A cross-sectional questionnaire survey was carried out using network sampling amongst community groups in the South Thames region of the United Kingdom. Self-classified ethnic groups were identified: Black-African; Black-Caribbean; Indian; Pakistani; Bangladeshi and Chinese/Vietnamese. A total of 1113 people were recruited in the study. In all of the ethnic groups, men were more likely than women to smoke tobacco. Chewing of pan and tobacco was common in the South Asian communities and alcohol consumption was high among the Black-Caribbean group. Those factors were predicted by education, employment, gender and being born in the UK. It is important to examine the determinants of such risk behaviours in order to aid appropriate targeting of health promotion interventions, particularly those related to cancer control. AD - Khan, F A. Division of Dental Public Health, School of Dental Nursing, Guy's, King's and St Thomas' School of Dentistry, London, UK. AN - 10801038 AU - Khan, F. A. AU - Robinson, P. G. AU - Warnakulasuriya, K. A. AU - Newton, J. T. AU - Gelbier, S. AU - Gibbons, D. E. DA - May DB - MEDLINE DP - Ovid Technologies IS - 5 J2 - J Oral Pathol Med KW - Adult Aged Alcohol Drinking/ae [Adverse Effects] *Alcohol Drinking/eh [Ethnology] Cross-Sectional Studies England Female Health Education *Health Promotion Health Surveys Humans Life Style Male Middle Aged *Minority Groups Mouth Neoplasms/eh [Ethnology] Mouth Neoplasms/et [Etiology] *Mouth Neoplasms/pc [Prevention & Control] Risk Factors Smoking/ae [Adverse Effects] *Smoking/eh [Ethnology] LA - English N1 - Khan, F A Robinson, P G Warnakulasuriya, K A Newton, J T Gelbier, S Gibbons, D E PY - 2000 SN - 0904-2512 SP - 214-9 ST - Predictors of tobacco and alcohol consumption and their relevance to oral cancer control amongst people from minority ethnic communities in the South Thames health region, England T2 - Journal of Oral Pathology & Medicine TI - Predictors of tobacco and alcohol consumption and their relevance to oral cancer control amongst people from minority ethnic communities in the South Thames health region, England UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10801038 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med4&rft.genre=article&rft_id=info:doi/10.1034%2Fj.1600-0714.2000.290504.x&rft_id=info:pmid/10801038&rft.issn=0904-2512&rft.volume=29&rft.issue=5&rft.spage=214&rft.pages=214-9&rft.date=2000&rft.jtitle=Journal+of+Oral+Pathology+%26+Medicine&rft.atitle=Predictors+of+tobacco+and+alcohol+consumption+and+their+relevance+to+oral+cancer+control+amongst+people+from+minority+ethnic+communities+in+the+South+Thames+health+region%2C+England.&rft.aulast=Khan VL - 29 ID - 2098 ER - TY - JOUR AB - A lack of research on pain management among seriously ill South Asians reveals a critical gap in the knowledge base regarding culturally responsive end-of-life care. This qualitative descriptive study investigated the perspectives of health care providers that have cared for seriously ill older South Asians, on the attitudes of US South Asians toward the management of pain experienced at end of life and the factors that influenced these attitudes. Thematic analysis of interviews and focus group discussions with 57 health care providers indicated that providers perceive South Asian patients and families to be generally reluctant to use medications to treat pain experienced at end of life. Detailed description of patient-related and culturally based reasons for this reluctance is provided along with implications for hospice and palliative care. AD - Khosla, Nidhi. Department of Health Sciences, School of Health Professions, University of Missouri, Columbia, MO, USA khoslan@health.missouri.edu. Washington, Karla T. Department of Family & Community Medicine, School of Medicine, University of Missouri, Columbia, MO, USA. Regunath, Hariharan. Department of Medicine, Division of Infectious Diseases, University of Missouri, Columbia, MO 65212, USA. AN - 26124469 AU - Khosla, N. AU - Washington, K. T. AU - Regunath, H. DA - Nov DB - MEDLINE DP - Ovid Technologies IS - 9 J2 - Am J Hosp Palliat Care KW - Adult Asia, Western/eh [Ethnology] *Asian Americans/px [Psychology] *Clergy/px [Psychology] Cultural Competency Female *Health Knowledge, Attitudes, Practice *Health Personnel/px [Psychology] Humans Interviews as Topic Male Middle Aged *Pain Management/px [Psychology] Palliative Care/mt [Methods] Qualitative Research Terminal Care/mt [Methods] United States LA - English N1 - Khosla, Nidhi Washington, Karla T Regunath, Hariharan PY - 2016 SN - 1938-2715 SP - 849-857 ST - Perspectives of Health Care Providers on US South Asians' Attitudes Toward Pain Management at End of Life T2 - American Journal of Hospice & Palliative Medicine TI - Perspectives of Health Care Providers on US South Asians' Attitudes Toward Pain Management at End of Life UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med13&AN=26124469 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med13&rft.genre=article&rft_id=info:doi/10.1177%2F1049909115593063&rft_id=info:pmid/26124469&rft.issn=1049-9091&rft.volume=33&rft.issue=9&rft.spage=849&rft.pages=849-857&rft.date=2016&rft.jtitle=American+Journal+of+Hospice+%26+Palliative+Medicine&rft.atitle=Perspectives+of+Health+Care+Providers+on+US+South+Asians%27+Attitudes+Toward+Pain+Management+at+End+of+Life.&rft.aulast=Khosla VL - 33 ID - 2108 ER - TY - JOUR AB - BACKGROUND: While effective communication is important in the care of seriously ill patients, little is known about communication challenges faced by healthcare providers serving U.S. patients of South Asian origin, one of the fastest growing demographic groups in the United States. OBJECTIVE: Researchers sought to examine communication challenges faced by healthcare providers serving seriously ill South Asian patients and their families and present strategies recommended by providers for effective communication. DESIGN: Researchers conducted a thematic analysis of qualitative data obtained through focus groups and individual interviews with 57 healthcare providers, including physicians, social workers, nurses, chaplains, and others drawn from different healthcare settings in one Midwestern city. RESULTS: While acknowledging the considerable diversity within the U.S. South Asian community, participants discussed three types of communication challenges they often encounter when serving this population: ensuring effective interpretation, identifying a spokesperson, and challenges posed by different cultural norms. Participants shared strategies to address these challenges such as proactively inquiring about patients' and families' preferences and encouraging early appointment of a spokesperson. CONCLUSIONS: While providers should avoid stereotyping patients, an awareness of common challenges and adoption of recommended strategies to address these challenges may enhance the provision of culturally responsive person-centered services for seriously ill South Asian patients and their families receiving care in the United States. AD - Khosla, Nidhi. 1 Department of Nursing and Health Sciences, California State University, East Bay, Hayward, California. Washington, Karla T. 2 Department of Family and Community Medicine, School of Medicine, University of Missouri, Columbia, Missouri. Shaunfield, Sara. 3 Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Aslakson, Rebecca. 4 Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine, Department of Oncology and Palliative Care Program in the Kimmel Comprehensive Cancer Center, Department of Health, Behavior, and Society, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. AN - 28253067 AU - Khosla, N. AU - Washington, K. T. AU - Shaunfield, S. AU - Aslakson, R. DA - 06 DB - MEDLINE DO - https://dx.doi.org/10.1089/jpm.2016.0167 DP - Ovid Technologies IS - 6 J2 - J Palliat Med KW - Adult Asia/eh [Ethnology] *Communication Barriers Female Focus Groups Humans Interviews as Topic Male Middle Aged *Physician-Patient Relations *Professional-Family Relations Qualitative Research Severity of Illness Index *Terminal Care United States Vulnerable Populations LA - English M3 - Research Support, Non-U.S. Gov't N1 - Khosla, Nidhi Washington, Karla T Shaunfield, Sara Aslakson, Rebecca PY - 2017 SN - 1557-7740 SP - 611-617 ST - Communication Challenges and Strategies of U.S. Health Professionals Caring for Seriously Ill South Asian Patients and Their Families T2 - Journal of Palliative Medicine TI - Communication Challenges and Strategies of U.S. Health Professionals Caring for Seriously Ill South Asian Patients and Their Families UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med14&AN=28253067 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med14&rft.genre=article&rft_id=info:doi/10.1089%2Fjpm.2016.0167&rft_id=info:pmid/28253067&rft.issn=1557-7740&rft.volume=20&rft.issue=6&rft.spage=611&rft.pages=611-617&rft.date=2017&rft.jtitle=Journal+of+Palliative+Medicine&rft.atitle=Communication+Challenges+and+Strategies+of+U.S.+Health+Professionals+Caring+for+Seriously+Ill+South+Asian+Patients+and+Their+Families.&rft.aulast=Khosla VL - 20 ID - 2105 ER - TY - JOUR AB - OBJECTIVES: We explored the role of faith and religious identities in shaping end of life experiences in South Asian Muslims and Sikhs with life-limiting illnesses. DESIGN: Secondary analysis of data from a longitudinal, multi-perspective qualitative study of the experience of life-limiting illness and access to palliative care services among South Asian Sikhs and Muslims in Scotland. Up to three semi-structured interviews were conducted with 25 participants, 15 family members and 20 health care professionals over a period of 18 months. Analysis was informed by Mattingly's theory on hope. RESULTS: Hope emerged as a central construct in the accounts of illness constructed by the participants as they struggled to make sense of and uphold a meaningful life. Clinical encounters and, for some, religious beliefs served as sources of hope for participants. Hope unfolded as an active process that enabled them to live with the personal and in particular the social ramifications of their illness. Changing images of hope were formulated and reflected as illness progressed or treatments failed. These ranged from hoping for cure, prolonged life, the regaining of lost capabilities needed to fulfil social roles, or at times death when suffering and the consequences for the family became too hard to bear. CONCLUSIONS: For those suffering from a life-limiting illness, sustaining hope is a complex challenge. The social character of hope is evident as it focuses on envisioning a life that is worth living, not only for oneself, but most importantly for social relations. Continuity in care at the end of life and a holistic approach is important in order to enable patients to articulate complex and changing notions of hope that at times are silenced within families, and for patients to feel confident in discussing the possible role of religious beliefs in shaping personal notions of hope. AD - Kristiansen, Maria. a Department of Public Health, Danish Research Centre for Migration, Ethnicity and Health, University of Copenhagen, Copenhagen, Denmark. AN - 24266684 AU - Kristiansen, M. AU - Irshad, T. AU - Worth, A. AU - Bhopal, R. AU - Lawton, J. AU - Sheikh, A. DA - Feb DB - MEDLINE DO - https://dx.doi.org/10.1080/13557858.2013.858108 DP - Ovid Technologies IS - 1 J2 - Ethn Health KW - Adult Aged Aged, 80 and over *Asians/eh [Ethnology] Asians/px [Psychology] Attitude of Health Personnel *Attitude to Death/eh [Ethnology] *Family/eh [Ethnology] Family/px [Psychology] Female Hope Humans Interviews as Topic Islam/px [Psychology] Longitudinal Studies Male Middle Aged Qualitative Research *Religion and Medicine Scotland *Terminally Ill/px [Psychology] LA - English M3 - Research Support, Non-U.S. Gov't N1 - Kristiansen, Maria Irshad, Tasneem Worth, Allison Bhopal, Raj Lawton, Julia Sheikh, Aziz PY - 2014 SN - 1465-3419 SP - 1-19 ST - The practice of hope: a longitudinal, multi-perspective qualitative study among South Asian Sikhs and Muslims with life-limiting illness in Scotland T2 - Ethnicity & Health TI - The practice of hope: a longitudinal, multi-perspective qualitative study among South Asian Sikhs and Muslims with life-limiting illness in Scotland UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med11&AN=24266684 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med11&rft.genre=article&rft_id=info:doi/10.1080%2F13557858.2013.858108&rft_id=info:pmid/24266684&rft.issn=1355-7858&rft.volume=19&rft.issue=1&rft.spage=1&rft.pages=1-19&rft.date=2014&rft.jtitle=Ethnicity+%26+Health&rft.atitle=The+practice+of+hope%3A+a+longitudinal%2C+multi-perspective+qualitative+study+among+South+Asian+Sikhs+and+Muslims+with+life-limiting+illness+in+Scotland.&rft.aulast=Kristiansen VL - 19 ID - 2111 ER - TY - JOUR AB - OBJECTIVE: To explore British Pakistani and British Indian patients' perceptions and experiences of taking oral hypoglycaemic agents (OHAs). DESIGN: Observational cross sectional study using in-depth interviews in English or Punjabi. SETTING AND PARTICIPANTS: 32 patients of Pakistani and Indian origin with type 2 diabetes, recruited from primary care and community sources in Edinburgh, Scotland. RESULTS: Respondents reported complex and ambivalent views about OHAs, which reflected their ambivalent attitudes towards Western drugs in general. Respondents considered OHAs to be an important part of the diabetic regimen because they perceived British healthcare professionals to be competent and trustworthy prescribers, and they considered the medicines available in Britain to be superior to those on the Indian subcontinent. Despite this, some respondents made deliberate efforts to reduce their tablet intake without being advised to do so. Reasons for this included perceptions that drugs worked by providing relief of symptoms and concerns that OHAs could be detrimental to health if taken for long periods, in conjunction with other drugs, or without traditional foods. CONCLUSIONS: British Pakistani and Indian patients' perceptions of their OHAs may partly derive from popular ideas about drugs on the Indian subcontinent. Cultural factors need to be understood and taken into consideration to ensure that these patients are given appropriate advice and to avoid unnecessary changes to prescriptions. AD - Lawton, Julia. Research Unit in Health, Behaviour and Change, School of Clinical Sciences and Community Health, University of Edinburgh, Edinburgh EH8 9AG. J.Lawton@ed.ac.uk AN - 15883139 AU - Lawton, J. AU - Ahmad, N. AU - Hallowell, N. AU - Hanna, L. AU - Douglas, M. DA - May 28 DB - MEDLINE DP - Ovid Technologies IS - 7502 J2 - Bmj KW - Adult Aged Attitude to Health/eh [Ethnology] Blood Glucose Self-Monitoring Diabetes Mellitus, Type 2/dt [Drug Therapy] *Diabetes Mellitus, Type 2/eh [Ethnology] Diabetes Mellitus, Type 2/px [Psychology] Diet, Diabetic Female Humans *Hypoglycemic Agents/ad [Administration & Dosage] India/eh [Ethnology] Male Middle Aged Pakistan/eh [Ethnology] Perception Scotland/ep [Epidemiology] 0 (Hypoglycemic Agents) LA - English M3 - Research Support, Non-U.S. Gov't N1 - Lawton, Julia Ahmad, Naureen Hallowell, Nina Hanna, Lisa Douglas, Margaret Comment in (CIN) PY - 2005 SN - 1756-1833 SP - 1247 ST - Perceptions and experiences of taking oral hypoglycaemic agents among people of Pakistani and Indian origin: qualitative study T2 - BMJ TI - Perceptions and experiences of taking oral hypoglycaemic agents among people of Pakistani and Indian origin: qualitative study UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=15883139 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med6&rft.genre=article&rft_id=info:doi/10.1136%2Fbmj.38460.642789.E0&rft_id=info:pmid/15883139&rft.issn=0959-8138&rft.volume=330&rft.issue=7502&rft.spage=1247&rft.pages=1247&rft.date=2005&rft.jtitle=BMJ&rft.atitle=Perceptions+and+experiences+of+taking+oral+hypoglycaemic+agents+among+people+of+Pakistani+and+Indian+origin%3A+qualitative+study.&rft.aulast=Lawton VL - 330 ID - 2084 ER - TY - JOUR AB - OBJECTIVE(S): To look at food and eating practices from the perspectives of Pakistanis and Indians with type 2 diabetes, their perceptions of the barriers and facilitators to dietary change, and the social and cultural factors informing their accounts. METHOD: Qualitative, interview study involving 23 Pakistanis and nine Indians with type 2 diabetes. Respondents were interviewed in their first language (Punjabi or English) by a bilingual researcher. Data collection and analysis took place concurrently with issues identified in early interviews being used to inform areas of investigation in later ones. RESULTS: Despite considerable diversity in the dietary advice received, respondents offered similar accounts of their food and eating practices following diagnosis. Most had continued to consume South Asian foods, especially in the evenings, despite their perceived concerns that these foods could be 'dangerous' and detrimental to their diabetes control. Respondents described such foods as 'strength-giving', and highlighted a cultural expectation to participate in acts of commensality with family/community members. Male respondents often reported limited input into food preparation. Many respondents attempted to balance the perceived risks of eating South Asian foodstuffs against those of alienating themselves from their culture and community by eating such foods in smaller amounts. This strategy could lead to a lack of satiation and is not recommended in current dietary guidelines. CONCLUSIONS: Perceptions that South Asian foodstuffs necessarily comprise 'risky' options need to be tackled amongst patients and possibly their healthcare providers. To enable Indians and Pakistanis to manage their diabetes and identity simultaneously, guidelines should promote changes which work with their current food practices and preferences; specifically through lower fat recipes for commonly consumed dishes. Information and advice should be targeted at those responsible for food preparation, not just the person with diabetes. Community initiatives, emphasising the importance of healthy eating, are also needed. AD - Lawton, Julia. Community Health Sciences, University of Edinburgh, Medical School, Edinburgh, UK. J.Lawton@ed.ac.uk AN - 18701991 AU - Lawton, J. AU - Ahmad, N. AU - Hanna, L. AU - Douglas, M. AU - Bains, H. AU - Hallowell, N. DA - Sep DB - MEDLINE DO - https://dx.doi.org/10.1080/13557850701882910 DP - Ovid Technologies IS - 4 J2 - Ethn Health KW - Adult Aged *Diabetes Mellitus, Type 2/dh [Diet Therapy] *Diabetes Mellitus, Type 2/eh [Ethnology] Diabetes Mellitus, Type 2/px [Psychology] Diet, Diabetic/eh [Ethnology] *Feeding Behavior/eh [Ethnology] Female *Health Knowledge, Attitudes, Practice Humans India/eh [Ethnology] Male Middle Aged Pakistan/eh [Ethnology] Patient Compliance/eh [Ethnology] Scotland/ep [Epidemiology] LA - English M3 - Research Support, Non-U.S. Gov't N1 - Lawton, Julia Ahmad, Naureen Hanna, Lisa Douglas, Margaret Bains, Harpreet Hallowell, Nina PY - 2008 SN - 1355-7858 SP - 305-19 ST - 'We should change ourselves, but we can't': accounts of food and eating practices amongst British Pakistanis and Indians with type 2 diabetes T2 - Ethnicity & Health TI - 'We should change ourselves, but we can't': accounts of food and eating practices amongst British Pakistanis and Indians with type 2 diabetes UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=18701991 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med7&rft.genre=article&rft_id=info:doi/10.1080%2F13557850701882910&rft_id=info:pmid/18701991&rft.issn=1355-7858&rft.volume=13&rft.issue=4&rft.spage=305&rft.pages=305-19&rft.date=2008&rft.jtitle=Ethnicity+%26+Health&rft.atitle=%27We+should+change+ourselves%2C+but+we+can%27t%27%3A+accounts+of+food+and+eating+practices+amongst+British+Pakistanis+and+Indians+with+type+2+diabetes.&rft.aulast=Lawton VL - 13 ID - 2081 ER - TY - JOUR AB - Type 2 diabetes is at least 4 times more common among British South Asians than in the general population. South Asians also have a higher risk of diabetic complications, a situation which has been linked to low levels of physical activity observed amongst this group. Little is known about the factors and considerations which prohibit and/or facilitate physical activity amongst South Asians. This qualitative study explored Pakistani (n = 23) and Indian (n = 9) patients' perceptions and experiences of undertaking physical activity as part of their diabetes care. Although respondents reported an awareness of the need to undertake physical activity, few had put this lifestyle advice into practice. For many, practical considerations, such as lack of time, were interwoven with cultural norms and social expectations. Whilst respondents reported health problems which could make physical activity difficult, these were reinforced by their perceptions and understandings of their diabetes, and its impact upon their future health. Education may play a role in physical activity promotion; however, health promoters may need to work with, rather than against, cultural norms and individual perceptions. We recommend a realistic and culturally sensitive approach, which identifies and capitalizes on the kinds of activities patients already do in their everyday lives. AD - Lawton, J. Research Unit in Health, Behaviour Change, University of Edinburgh, Edinburgh EH8 9AG, UK. J.Lawton@ed.ac.uk AN - 15955792 AU - Lawton, J. AU - Ahmad, N. AU - Hanna, L. AU - Douglas, M. AU - Hallowell, N. DA - Feb DB - MEDLINE DP - Ovid Technologies IS - 1 J2 - Health Educ Res KW - Adult Aged *Diabetes Mellitus, Type 2/eh [Ethnology] *Exercise Female Humans India/eh [Ethnology] Interviews as Topic Male Middle Aged *Motivation Pakistan/eh [Ethnology] United Kingdom LA - English M3 - Research Support, Non-U.S. Gov't N1 - Lawton, J Ahmad, N Hanna, L Douglas, M Hallowell, N PY - 2006 SN - 0268-1153 SP - 43-54 ST - 'I can't do any serious exercise': barriers to physical activity amongst people of Pakistani and Indian origin with Type 2 diabetes T2 - Health Education Research TI - 'I can't do any serious exercise': barriers to physical activity amongst people of Pakistani and Indian origin with Type 2 diabetes UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=15955792 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med6&rft.genre=article&rft_id=info:doi/10.1093%2Fher%2Fcyh042&rft_id=info:pmid/15955792&rft.issn=0268-1153&rft.volume=21&rft.issue=1&rft.spage=43&rft.pages=43-54&rft.date=2006&rft.jtitle=Health+Education+Research&rft.atitle=%27I+can%27t+do+any+serious+exercise%27%3A+barriers+to+physical+activity+amongst+people+of+Pakistani+and+Indian+origin+with+Type+2+diabetes.&rft.aulast=Lawton VL - 21 ID - 2083 ER - TY - JOUR AB - BACKGROUND: The carcinogenicity of chewing tobacco is well established. It is predominantly used by the South Asian community in England. Little is known about the accessibility of the products available for use in England. METHODS: Wards with high proportions or numbers of residents from the South Asian community were identified using 2001 Census data. Within each ward product purchasers identified retail outlets and purchased chewing tobacco products from them. RESULTS: Chewing tobacco products were found in a broad variety of premises in all but one ward, and were easily accessible. Ninety-eight products were identified and purchased with a mean price of pound1.82. Of the ninety four pre-packaged products purchased only 15% (95% CI: 8%, 22%) complied with legal health warning requirements. CONCLUSION: The study indicates the need to improve compliance with legal controls and enforcement to protect the South Asian community from health risks associated with chewing tobacco products. AD - Longman, J M. UK Centre for Tobacco Control Studies, University of Nottingham, Nottingham, UK. AN - 20484160 AU - Longman, J. M. AU - Pritchard, C. AU - McNeill, A. AU - Csikar, J. AU - Croucher, R. E. DA - Sep DB - MEDLINE DO - https://dx.doi.org/10.1093/pubmed/fdq035 DP - Ovid Technologies IS - 3 J2 - J Public Health (Oxf) KW - Asia/eh [Ethnology] Censuses *Commerce England Female Humans Male Observation Product Packaging/lj [Legislation & Jurisprudence] Tobacco, Smokeless/ec [Economics] *Tobacco, Smokeless/sd [Supply & Distribution] LA - English M3 - Research Support, Non-U.S. Gov't N1 - Longman, J M Pritchard, C McNeill, A Csikar, J Croucher, R E PY - 2010 SN - 1741-3850 SP - 372-8 ST - Accessibility of chewing tobacco products in England T2 - Journal of Public Health TI - Accessibility of chewing tobacco products in England UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=20484160 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med8&rft.genre=article&rft_id=info:doi/10.1093%2Fpubmed%2Ffdq035&rft_id=info:pmid/20484160&rft.issn=1741-3842&rft.volume=32&rft.issue=3&rft.spage=372&rft.pages=372-8&rft.date=2010&rft.jtitle=Journal+of+Public+Health&rft.atitle=Accessibility+of+chewing+tobacco+products+in+England.&rft.aulast=Longman VL - 32 ID - 2052 ER - TY - JOUR AB - Aim. To report on a study which developed a knowledge of the experiences of South Asian people with diabetes in the UK in relation to socio-cultural and dietary practices, religion and ageing influences on the perception and understanding of risks. Background. South Asian people have enhanced vulnerability to poor health as a result of diabetes. Risk perception and management is culturally mediated, yet imperative to the behaviour adjustments required for diabetes management. Method. A grounded theory study with data collected by focus group with ethnic health development workers and individual interviews with 20 older people with diabetes. Where necessary, interpreters were involved in data collection. Findings. A number of issues influence the perception of risk among South Asian older people with diabetes: beliefs about its cause, perceived severity and its visibility, food and its social function, religion and beliefs about external control over their life span and diabetes management. People weighed up the risks in making decisions about issues such as dietary management and the emphasis placed on diabetes as a pathology. Conclusion . Good risk communication will maintain the current trend of improving patient's choice and self-management in health care, and there is a need for this to be sensitive to the particular issues faced by South Asians with diabetes in the UK. AD - Macaden, Leah. Professor in Medical and Surgical Nursing, College of Nursing, Christian Medical College, Vellore, India, and PhD student, Northumbria University, Newcastle upon Tyne, UKProfessor and Associate Dean (Research), Community, Health and Education Studies Research Centre, Northumbria University, Newcastle upon Tyne, UK. AN - 20925747 AU - Macaden, L. AU - Clarke, C. L. DA - Sep DB - MEDLINE DO - https://dx.doi.org/10.1111/j.1748-3743.2006.00026.x DP - Ovid Technologies IS - 3 J2 - Int J Older People Nurs LA - English N1 - Macaden, Leah Clarke, Charlotte L PY - 2006 SN - 1748-3735 SP - 177-81 ST - Risk perception among older South Asian people in the UK with type 2 diabetes T2 - International Journal of Older People Nursing TI - Risk perception among older South Asian people in the UK with type 2 diabetes UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=pmnm2&AN=20925747 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:pmnm2&rft.genre=article&rft_id=info:doi/10.1111%2Fj.1748-3743.2006.00026.x&rft_id=info:pmid/20925747&rft.issn=1748-3735&rft.volume=1&rft.issue=3&rft.spage=177&rft.pages=177-81&rft.date=2006&rft.jtitle=International+Journal+of+Older+People+Nursing&rft.atitle=Risk+perception+among+older+South+Asian+people+in+the+UK+with+type+2+diabetes.&rft.aulast=Macaden VL - 1 ID - 2079 ER - TY - JOUR AB - AIMS AND OBJECTIVES: To explore the effects of type 2 diabetes on British-Pakistani women's identity and its relationship with self-management. BACKGROUND: Type 2 diabetes is more prevalent and has worse outcomes among some ethnic minority groups. This may be due to poorer self-management and an inadequate match of health services to patient needs. The influence that type 2 diabetes has on British-Pakistani women's identity and subsequent self-management has received limited attention. DESIGN: An explorative qualitative study. METHODS: Face-to-face semi-structured English and Urdu language interviews were conducted with a purposively selected heterogeneous sample of 15 British-Pakistani women with type 2 diabetes. Transcripts were analysed thematically. RESULTS: Four themes emerged: Perceived change in self emphasised how British-Pakistani women underwent a conscious adaptation of identity following diagnosis; Familiarity with ill health reflected women's adjustment to their changed identity over time; Diagnosis improves social support enabled women to accept changes within themselves and Supporting family is a barrier to self-management demonstrated how family roles were an aspect of women's identities that was resilient to change. The over-arching theme Role re-alignment enables successful self-management encapsulated how self-management was a continuous process where achievements needed to be sustained. Inter-generational differences were also noted: first generation women talked about challenges associated with ageing and co-morbidities; second generation women talked about familial and work roles competing with self-management. CONCLUSIONS: The complex nature of British-Pakistani women's self-identification requires consideration when planning and delivering healthcare. RELEVANCE TO CLINICAL PRACTICE: Culturally competent practice should recognise how generational status influences self-identity and diabetes self-management in ethnically diverse women. Health professionals should remain mindful of effective self-management occurring alongside, and being influenced by, other aspects of life. AD - Majeed-Ariss, Rabiya. School of Psychological Sciences, University of Manchester, Manchester, UK. Jackson, Cath. School of Healthcare, University of Leeds, Leeds, UK. Jackson, Cath. York Trials Unit, Alcuin Research Centre, University of York, York, UK. Knapp, Peter. Department of Health Sciences, University of York, UK. Cheater, Francine M. School of Health Sciences, Faculty of Medicine & Health Sciences, University of East Anglia, Norwich Research Park, UK. AN - 26099049 AU - Majeed-Ariss, R. AU - Jackson, C. AU - Knapp, P. AU - Cheater, F. M. DA - Sep DB - MEDLINE DO - https://dx.doi.org/10.1111/jocn.12865 DP - Ovid Technologies IS - 17-18 J2 - J Clin Nurs KW - Adult Aged Diabetes Mellitus, Type 2/eh [Ethnology] Diabetes Mellitus, Type 2/nu [Nursing] *Diabetes Mellitus, Type 2/px [Psychology] *Emigrants and Immigrants England Female Humans Interviews as Topic Middle Aged Pakistan/eh [Ethnology] *Self Care *Social Support Women's Health LA - English M3 - Research Support, Non-U.S. Gov't N1 - Majeed-Ariss, Rabiya Jackson, Cath Knapp, Peter Cheater, Francine M PY - 2015 SN - 1365-2702 SP - 2571-80 ST - British-Pakistani women's perspectives of diabetes self-management: the role of identity T2 - Journal of Clinical Nursing TI - British-Pakistani women's perspectives of diabetes self-management: the role of identity UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med12&AN=26099049 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med12&rft.genre=article&rft_id=info:doi/10.1111%2Fjocn.12865&rft_id=info:pmid/26099049&rft.issn=0962-1067&rft.volume=24&rft.issue=17-18&rft.spage=2571&rft.pages=2571-80&rft.date=2015&rft.jtitle=Journal+of+Clinical+Nursing&rft.atitle=British-Pakistani+women%27s+perspectives+of+diabetes+self-management%3A+the+role+of+identity.&rft.aulast=Majeed-Ariss VL - 24 ID - 2077 ER - TY - JOUR AB - OBJECTIVES: First, to evaluate awareness of oral cancer amongst the young South-Asian community in London and identify any aspects of knowledge about oral cancer that are lacking; and, second, to determine whether demographic factors or health-related behaviours are associated with knowledge of oral cancer. RESEARCH DESIGN: Cross-sectional questionnaire survey. PARTICIPANTS: South Asians aged 18-44 years attending community centres or places of worship in London. MAIN OUTCOME MEASURES: Oral cancer awareness; health-related behaviours. RESULTS: Respondents (n = 201) were mainly male (61%), Indian (77%) and Hindu (35%). Over half (58%; n = 113) had one or more negative health-related behaviours and only 18% had attended a dentist in the previous two years. Chewing paan with betel nut (OR = 4.08, 95% CI = 1.58-10.59, p < 0.01), and time since last visit to a dentist (OR = 4.90, 95% CI = 2.13-11.28, p < 0.01) were independently associated with respondents level of knowledge of mouth cancer; the former positively and the latter negatively. CONCLUSIONS: The results suggest that young adults in the South Asian Community are exposed to a number of risk factors for oral cancer yet have poor knowledge of the implications of these health-related behaviours, and ways in which oral cancer can be detected earlier. The survey highlighted specific issues for action. AN - 27149776 AU - Merchant, R. AU - Gallagher, J. E. AU - Scott, S. E. DA - Mar DB - MEDLINE DP - Ovid Technologies IS - 1 J2 - Community Dent Health KW - Adolescent Adult Alcohol Drinking/px [Psychology] Areca Asia, Southeastern/eh [Ethnology] *Asians/px [Psychology] *Attitude to Health Cross-Sectional Studies Dental Care/sn [Statistics & Numerical Data] Educational Status Female Health Behavior *Health Knowledge, Attitudes, Practice Hinduism/px [Psychology] Humans India/eh [Ethnology] London Male *Minority Groups/px [Psychology] *Mouth Neoplasms/px [Psychology] Sex Factors Tobacco Use/px [Psychology] Young Adult LA - English N1 - Merchant, R Gallagher, J E Scott, S E PY - 2016 SN - 0265-539X SP - 60-4 ST - Oral cancer awareness in young South-Asian communities in London T2 - Community Dental Health TI - Oral cancer awareness in young South-Asian communities in London UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med13&AN=27149776 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med13&rft.genre=article&rft_id=info:doi/&rft_id=info:pmid/27149776&rft.issn=0265-539X&rft.volume=33&rft.issue=1&rft.spage=60&rft.pages=60-4&rft.date=2016&rft.jtitle=Community+Dental+Health&rft.atitle=Oral+cancer+awareness+in+young+South-Asian+communities+in+London.&rft.aulast=Merchant VL - 33 ID - 2091 ER - TY - JOUR AB - CONTEXT: This paper describes the follow-up interventions and results of the work place tobacco cessation study. AIMS: To assess the tobacco quit rates among employees, through self report history, and validate it with rapid urine cotinine test; compare post-intervention KAP regarding tobacco consumption with the pre-intervention responses and assess the tobacco consumption pattern among contract employees and provide assistance to encourage quitting. SETTINGS AND DESIGN: This is a cohort study implemented in a chemical industry in rural Maharashtra, India. MATERIALS AND METHODS: All employees (104) were interviewed and screened for oral neoplasia. Active intervention in the form of awareness lectures, focus group discussions and if needed, pharmacotherapy was offered. Medical staff from the industrial medical unit and from a local referral hospital was trained. Awareness programs were arranged for the family members and contract employees. STATISTICAL ANALYSIS USED: Non-parametric statistical techniques and kappa. RESULTS: Forty eight per cent employees consumed tobacco. The tobacco quit rates increased with each follow-up intervention session and reached 40% at the end of one year. There was 96% agreement between self report tobacco history and results of rapid urine cotinine test. The post-intervention KAP showed considerable improvement over the pre-intervention KAP. 56% of contract employees used tobacco and 55% among them had oral pre-cancerous lesions. CONCLUSIONS: A positive atmosphere towards tobacco quitting and positive peer pressure assisting each other in tobacco cessation was remarkably noted on the entire industrial campus. A comprehensive model workplace tobacco cessation program has been established, which can be replicated elsewhere. AD - Mishra, Gauravi A. Department of Preventive Oncology, 3 Floor, Service Block, Tata Memorial Hospital, E. Borges Marg, Parel, Mumbai - 400 012, Maharashtra, India. AN - 20442834 AU - Mishra, G. A. AU - Majmudar, P. V. AU - Gupta, S. D. AU - Rane, P. S. AU - Uplap, P. A. AU - Shastri, S. S. DA - Dec DB - MEDLINE DO - https://dx.doi.org/10.4103/0019-5278.58919 DP - Ovid Technologies IS - 3 J2 - Indian j LA - English N1 - Mishra, Gauravi A Majmudar, Parishi V Gupta, Subhadra D Rane, Pallavi S Uplap, Pallavi A Shastri, Surendra S PY - 2009 SN - 1998-3670 SP - 146-53 ST - Workplace tobacco cessation program in India: A success story T2 - The Indian Journal of Occupational & Environmental Medicine TI - Workplace tobacco cessation program in India: A success story UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=pmnm2&AN=20442834 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:pmnm2&rft.genre=article&rft_id=info:doi/10.4103%2F0019-5278.58919&rft_id=info:pmid/20442834&rft.issn=0973-2284&rft.volume=13&rft.issue=3&rft.spage=146&rft.pages=146-53&rft.date=2009&rft.jtitle=The+Indian+Journal+of+Occupational+%26+Environmental+Medicine&rft.atitle=Workplace+tobacco+cessation+program+in+India%3A+A+success+story.&rft.aulast=Mishra VL - 13 ID - 2048 ER - TY - JOUR AB - BACKGROUND: Tobacco use is highly prevalent and culturally accepted in rural Maharashtra, India. AIMS: To study the knowledge, attitude, and practices (KAP) regarding tobacco consumption, identify reasons for initiation and continuation of tobacco use, identify prevalence of tobacco consumption and its relation with different precancerous lesions, provide professional help for quitting tobacco, and develop local manpower for tobacco cessation activities. SETTINGS , DESIGN, METHODS AND MATERIAL: The present study was conducted for one year in a chemical industrial unit in Ratnagiri district. All employees (104) were interviewed and screened for oral neoplasia. Their socio-demographic features, habits, awareness levels etc. were recorded. Active intervention in the form of awareness lectures, focus group discussions, one-to-one counseling and, if needed, pharmacotherapy was offered to the tobacco users. RESULTS: All employees actively participated in the program. Overall, 48.08% of the employees were found to use tobacco, among which the smokeless forms were predominant. Peer pressure and pleasure were the main reasons for initiation of tobacco consumption, and the belief that, though injurious, it would not harm them, avoiding physical discomfort on quitting and relieving stress were important factors for continuation of the habit. Employees had poor knowledge regarding the ill-effects of tobacco. 40% of tobacco users had oral precancerous lesions, which were predominant in employees consuming smokeless forms of tobacco. CONCLUSIONS: Identifying reasons for initiation and continuation of tobacco consumption along with baseline assessment of knowledge, attitudes, and practices regarding tobacco use, are important in formulating strategies for a comprehensive workplace tobacco cessation program. AD - Mishra, Gauravi A. Department of Preventive Oncology, Tata Memorial Hospital, India. AN - 20386628 AU - Mishra, G. A. AU - Shastri, S. S. AU - Uplap, P. A. AU - Majmudar, P. V. AU - Rane, P. S. AU - Gupta, S. D. DA - Aug DB - MEDLINE DO - https://dx.doi.org/10.4103/0019-5278.55129 DP - Ovid Technologies IS - 2 J2 - Indian j LA - English N1 - Mishra, Gauravi A Shastri, Surendra S Uplap, Pallavi A Majmudar, Parishi V Rane, Pallavi S Gupta, Subhadra D PY - 2009 SN - 1998-3670 SP - 97-103 ST - Establishing a model workplace tobacco cessation program in India T2 - The Indian Journal of Occupational & Environmental Medicine TI - Establishing a model workplace tobacco cessation program in India UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=pmnm2&AN=20386628 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:pmnm2&rft.genre=article&rft_id=info:doi/10.4103%2F0019-5278.55129&rft_id=info:pmid/20386628&rft.issn=0973-2284&rft.volume=13&rft.issue=2&rft.spage=97&rft.pages=97-103&rft.date=2009&rft.jtitle=The+Indian+Journal+of+Occupational+%26+Environmental+Medicine&rft.atitle=Establishing+a+model+workplace+tobacco+cessation+program+in+India.&rft.aulast=Mishra VL - 13 ID - 2049 ER - TY - JOUR AB - BACKGROUND: Asian Indians (AIs) in the United States exhibit disproportionate burdens of oral cancer and cardiovascular disease, which are potentially linked to smokeless tobacco. However, little is known about the use of cultural smokeless tobacco (CST) products in this population. METHODS: California Asian Indian Tobacco Use Survey data from 2004 (n = 1618) were used to investigate CST prevalence among California's AIs. CST products included paan, paan masala, and gutka. A multivariable logistic regression was conducted to examine factors (socioeconomic status, acculturation measures, and religious affiliation) associated with current CST use versus never use. RESULTS: The current CST prevalence was 13.0% (14.0% for men and 11.8% for women). In contrast, the prevalence of current cigarette use was 5.5% (8.7% for men and 1.9% for women), and the prevalence was lower for cultural smoked tobacco (0.1% for bidis and 0.5% for hookahs). Factors associated with CST use included the following: being male, being 50 years old or older, being an immigrant, speaking an AI language at home, having a higher level of education (adjusted odds ratio [AOR] for high school/some college, 2.6; 95% confidence interval [CI], 1.1-6.5; AOR for college degree or higher, 4.0; 95% CI, 1.7-9.5), having a higher income (AOR for $75,000-$100,000, 2.5; 95% CI, 1.3-4.7; AOR for >=$100,000, 2.6; 95% CI, 1.4-5.0), identifying as non-Sikh (AOR for Hinduism, 10.0; 95% CI, 6.0-16.5; AOR for other faiths, 10.2; 95% CI, 5.9-17.7), and disagreeing that spiritual beliefs are the foundation of life (AOR, 2.1; 95% CI, 1.2-3.5). CONCLUSIONS: The current CST prevalence is relatively high among California's AIs in comparison with the prevalence of smoking, with narrower differences between sexes. The association with a higher socioeconomic status is contrary to typical cigarette smoking patterns. Acculturation and religious affiliation are important factors associated with current use. Health care providers and policymakers should consider such determinants for targeted interventions. Cancer 2018;124:1607-13. © 2018 American Cancer Society. AD - Mukherjea, Arnab. Health Sciences Program, College of Science, California State University East Bay, Hayward, California. Modayil, Mary V. Primary Health Care, Alberta Health Services, Edmonton, Alberta, Canada. Tong, Elisa K. Division of General Internal Medicine; University of California Davis, Sacramento, California. AN - 29578599 AU - Mukherjea, A. AU - Modayil, M. V. AU - Tong, E. K. DA - 04 01 DB - MEDLINE DO - https://dx.doi.org/10.1002/cncr.31102 DP - Ovid Technologies J2 - Cancer KW - Adolescent Adult Asian Americans/px [Psychology] *Asian Americans/sn [Statistics & Numerical Data] California/ep [Epidemiology] Female Follow-Up Studies *Health Behavior Humans Male Middle Aged Prognosis *Smokers/px [Psychology] *Smoking/eh [Ethnology] Surveys and Questionnaires *Tobacco Use Disorder/ep [Epidemiology] Tobacco Use Disorder/px [Psychology] *Tobacco, Smokeless/sn [Statistics & Numerical Data] Young Adult LA - English M3 - Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S. N1 - Mukherjea, Arnab Modayil, Mary V Tong, Elisa K PY - 2018 SN - 1097-0142 SP - 1607-1613 ST - Moving toward a true depiction of tobacco behavior among Asian Indians in California: Prevalence and factors associated with cultural smokeless tobacco product use T2 - Cancer TI - Moving toward a true depiction of tobacco behavior among Asian Indians in California: Prevalence and factors associated with cultural smokeless tobacco product use UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med15&AN=29578599 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med15&rft.genre=article&rft_id=info:doi/10.1002%2Fcncr.31102&rft_id=info:pmid/29578599&rft.issn=0008-543X&rft.volume=124&rft.issue=7&rft.spage=1607&rft.pages=1607-1613&rft.date=2018&rft.jtitle=Cancer&rft.atitle=Moving+toward+a+true+depiction+of+tobacco+behavior+among+Asian+Indians+in+California%3A+Prevalence+and+factors+associated+with+cultural+smokeless+tobacco+product+use.&rft.aulast=Mukherjea VL - 124 Suppl 7 ID - 2088 ER - TY - JOUR AB - AIM: To assess dentists' awareness and provision of areca cessation counselling to patients in general dental practices in Harrow (North London) in 2007. METHODS: In this cross-sectional study, questionnaires with specific questions and a space for free comments were sent to all 150 general dentists in the Primary Care Trust NHS Harrow area on 1st June 2007. The questionnaires had been piloted and the study was given ethical approval by Harrow Research Ethics Committee. Completed questionnaires were assessed to determine dentists' provision of areca cessation counselling to dental patients. Free comments were assessed for content and meaning. RESULTS: A response rate of 57% (83/150 dentists) was obtained. Dentists were nearly twice as likely to neglect to provide patients with areca cessation counselling (32.5%) than to neglect to provide tobacco cessation counselling (16.9%). Dentists' comments revealed a lack of awareness and the materials and support needed to counsel patients in areca cessation. CONCLUSIONS: The majority of dentists who took part in this study require increased training, support and materials to facilitate awareness of areca nut use in the community and cessation counselling for patients. AD - Nathan, Kathryn A. Gentle Dental, Harrow, UK. kathynathan@mac.com AN - 20067690 AU - Nathan, K. A. DA - Jan DB - MEDLINE DO - https://dx.doi.org/10.1308/135576110790307609 DP - Ovid Technologies IS - 1 J2 - Prim Dent care KW - Adult *Areca *Counseling Cross-Sectional Studies Female Humans London Male Middle Aged *Practice Patterns, Dentists'/sn [Statistics & Numerical Data] *Substance-Related Disorders/pc [Prevention & Control] Surveys and Questionnaires Young Adult LA - English N1 - Nathan, Kathryn A PY - 2010 SN - 1355-7610 SP - 38-42 ST - Areca cessation and dentists in Harrow (North London) T2 - Primary Dental Care TI - Areca cessation and dentists in Harrow (North London) UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=20067690 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med8&rft.genre=article&rft_id=info:doi/10.1308%2F135576110790307609&rft_id=info:pmid/20067690&rft.issn=1355-7610&rft.volume=17&rft.issue=1&rft.spage=38&rft.pages=38-42&rft.date=2010&rft.jtitle=Primary+Dental+Care&rft.atitle=Areca+cessation+and+dentists+in+Harrow+%28North+London%29.&rft.aulast=Nathan VL - 17 ID - 2053 ER - TY - JOUR AN - 12747361 AU - Notta, H. DA - Apr DB - MEDLINE DP - Ovid Technologies IS - 4 J2 - Int J Palliat Nurs KW - *Ethnicity Humans *Minority Groups *Palliative Care/st [Standards] *Quality of Health Care United Kingdom LA - English M3 - Letter Comment N1 - Notta, Hardev Comment on (CON) PY - 2003 SN - 1357-6321 SP - 178 ST - Communication in the development of culturally competent palliative care services in the UK T2 - International Journal of Palliative Nursing TI - Communication in the development of culturally competent palliative care services in the UK UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=12747361 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med5&rft.genre=article&rft_id=info:doi/10.12968%2Fijpn.2003.9.4.11503&rft_id=info:pmid/12747361&rft.issn=1357-6321&rft.volume=9&rft.issue=4&rft.spage=178&rft.pages=178&rft.date=2003&rft.jtitle=International+Journal+of+Palliative+Nursing&rft.atitle=Communication+in+the+development+of+culturally+competent+palliative+care+services+in+the+UK.&rft.aulast=Notta VL - 9 ID - 2123 ER - TY - JOUR AB - This article investigates the challenges faced by those trying to develop 'culturally competent' palliative care for South Asian cancer patients in Luton, UK. It discusses the findings of a phenomenological study of service providers' attitudes to and experiences of caring for South Asian patients. Ten semi-structured in-depth interviews were carried out with a range of staff who work in home and community-based palliative care settings, including nurses, community liaison personnel and representatives of non-statutory organisations. The authors begin by considering how these service providers construct ideas of cultural difference and how these relate to philosophies of palliative care. They then examine attempts to deal with cultural diversity in everyday practice, focusing in particular on the social context of care in the home. The paper considers the ways in which staff attempt to incorporate the cultural needs of patients, family, kin and community. Rather than criticising current working practices, the authors highlight the complexity of delivering culturally competent services from the perspective of those working directly with patients. In doing so, they contribute to ongoing debates about the development of anti-discriminatory practice in health and social care. AD - Owens, Alastair. Department of Geography, Queen Mary, University of London, London, UK. a.j.owens@qmul.ac.uk AN - 15373820 AU - Owens, A. AU - Randhawa, G. DA - Sep DB - MEDLINE DP - Ovid Technologies IS - 5 J2 - Health Soc Care Community KW - *Asians/px [Psychology] Communication Barriers *Cultural Characteristics Cultural Diversity *Delivery of Health Care/mt [Methods] Discrimination, Psychological England Humans Neoplasms/eh [Ethnology] *Palliative Care/mt [Methods] *Palliative Care/px [Psychology] LA - English M3 - Research Support, Non-U.S. Gov't N1 - Owens, Alastair Randhawa, Gurch PY - 2004 SN - 0966-0410 SP - 414-21 ST - 'It's different from my culture; they're very different': Providing community-based, 'culturally competent' palliative care for South Asian people in the UK T2 - Health & Social Care in the Community TI - 'It's different from my culture; they're very different': Providing community-based, 'culturally competent' palliative care for South Asian people in the UK UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15373820 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med5&rft.genre=article&rft_id=info:doi/10.1111%2Fj.1365-2524.2004.00511.x&rft_id=info:pmid/15373820&rft.issn=0966-0410&rft.volume=12&rft.issue=5&rft.spage=414&rft.pages=414-21&rft.date=2004&rft.jtitle=Health+%26+Social+Care+in+the+Community&rft.atitle=%27It%27s+different+from+my+culture%3B+they%27re+very+different%27%3A+Providing+community-based%2C+%27culturally+competent%27+palliative+care+for+South+Asian+people+in+the+UK.&rft.aulast=Owens VL - 12 ID - 2121 ER - TY - JOUR AB - Aim: To determine whether barriers to diabetes awareness and self-help differ in South Asian participants of different demographic characteristics (age, gender, and literacy) with type 2 diabetes living in the United Kingdom. AD - Pardhan, Shahina. Vision & Eye Research Unit (VERU), School of Medicine, Anglia Ruskin University, Cambridge, UK. Nakafero, Georgina. Vision & Eye Research Unit (VERU), School of Medicine, Anglia Ruskin University, Cambridge, UK. Raman, Rajiv. Shri Bhagwan Mahavir Vitreoretinal services, Sankara Nethralaya, Chennai, India. Sapkota, Raju. Vision & Eye Research Unit (VERU), School of Medicine, Anglia Ruskin University, Cambridge, UK. AN - 29578353 AU - Pardhan, S. AU - Nakafero, G. AU - Raman, R. AU - Sapkota, R. DA - 08 DB - MEDLINE DO - https://dx.doi.org/10.1080/13557858.2018.1455809 DP - Ovid Technologies IS - 6 J2 - Ethn Health KW - Age Factors *Asians *Awareness Communication Barriers *Demography *Diabetes Mellitus, Type 2/th [Therapy] Diet Female Focus Groups Health Services Accessibility Humans Literacy Male Middle Aged Motivation *Self Care Sex Factors United Kingdom LA - English M3 - Research Support, Non-U.S. Gov't N1 - Pardhan, Shahina Nakafero, Georgina Raman, Rajiv Sapkota, Raju PY - 2020 SN - 1465-3419 SP - 843-861 ST - Barriers to diabetes awareness and self-help are influenced by people's demographics: perspectives of South Asians with type 2 diabetes T2 - Ethnicity & Health TI - Barriers to diabetes awareness and self-help are influenced by people's demographics: perspectives of South Asians with type 2 diabetes UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med17&AN=29578353 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med17&rft.genre=article&rft_id=info:doi/10.1080%2F13557858.2018.1455809&rft_id=info:pmid/29578353&rft.issn=1355-7858&rft.volume=25&rft.issue=6&rft.spage=843&rft.pages=843-861&rft.date=2020&rft.jtitle=Ethnicity+%26+Health&rft.atitle=Barriers+to+diabetes+awareness+and+self-help+are+influenced+by+people%27s+demographics%3A+perspectives+of+South+Asians+with+type+2+diabetes.&rft.aulast=Pardhan VL - 25 ID - 2074 ER - TY - JOUR AB - Aim To explore the influence of health beliefs and behaviours on diabetes management in British Indians, as successful management of diabetes is dependent on underlying cultural beliefs and behaviours. BACKGROUND: British South Asians are six times more likely to suffer from type II diabetes than those in the general population. Yet, little research has been carried out into beliefs about diabetes among the British Indian population. METHOD: The study used semi-structured interviews, a structured vignette and a pile-sorting exercise. In all, 10 British Indians were interviewed at a General Practice in North West London. Findings Those interviewed were informed about their diabetes but had difficulties in adapting their diet. Themes identified included causal beliefs of diabetes, use of alternative therapies, moderation of food, adaption of exercise regimes and sources of information. All were aware of avoiding certain foods yet some still continued to consume these items. Participants expressed the need for culturally sensitive forums to help manage their diabetes. AD - Patel, Vishal. 1iBSc Medical Student,University College London (UCL),London,England. Iliffe, Steve. 2Professor of Primary Care for Older People,University College London (UCL),London,England. AN - 27481323 AU - Patel, V. AU - Iliffe, S. DA - 01 DB - MEDLINE DP - Ovid Technologies IS - 1 J2 - Prim Health Care Res Dev KW - Adult Aged Aged, 80 and over Complementary Therapies Culturally Competent Care/mt [Methods] *Culturally Competent Care/st [Standards] *Diabetes Mellitus, Type 2/eh [Ethnology] Diabetes Mellitus, Type 2/th [Therapy] *Diet, Diabetic/st [Standards] Exercise Feeding Behavior/eh [Ethnology] Female *Health Knowledge, Attitudes, Practice/eh [Ethnology] Humans India/eh [Ethnology] Interviews as Topic London/ep [Epidemiology] Male Middle Aged Needs Assessment Qualitative Research Self Care/mt [Methods] Self Care/st [Standards] LA - English N1 - Patel, Vishal Iliffe, Steve PY - 2017 SN - 1477-1128 SP - 97-103 ST - An exploratory study into the health beliefs and behaviours of British Indians with type II diabetes T2 - Primary Health Care Research & Development TI - An exploratory study into the health beliefs and behaviours of British Indians with type II diabetes UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med14&AN=27481323 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med14&rft.genre=article&rft_id=info:doi/10.1017%2FS1463423616000232&rft_id=info:pmid/27481323&rft.issn=1463-4236&rft.volume=18&rft.issue=1&rft.spage=97&rft.pages=97-103&rft.date=2017&rft.jtitle=Primary+Health+Care+Research+%26+Development&rft.atitle=An+exploratory+study+into+the+health+beliefs+and+behaviours+of+British+Indians+with+type+II+diabetes.&rft.aulast=Patel VL - 18 ID - 2075 ER - TY - JOUR AB - This study reports the experience of oral pain and psychological distress following tobacco cessation in Bangladeshi women. A cross-sectional survey was carried out in which telephone interviews were conducted in the Sylheti language by two female Bangladeshi researchers using structured questionnaires. Study participants were 58 Bangladeshi women, aged 22-60 years, who had recently given up chewing paan-with-tobacco. The General Health Questionnaire (GHQ-12) was used to measure psychological distress. A questionnaire on pain description, location, duration, onset, and intensity also was administered. Logistic regression analysis was carried out to explore the relationships between psychological distress and age, chewing characteristics, and the oral pain experience. The response rate was 100%. Of the sample, 22% reported having pain for 2 days and 28% for at least 1 week, 65% reported that the pain started by itself, 69% reported the intensity as mild or discomforting, and 52% experienced psychological distress. Significant predictors for high psychological distress were number of daily paan (odds ratio, OR=1.13), current tooth problem (OR=4.60), pounding pain (OR=6.50), pain onset (OR=3.21), and pain intensity (OR=5.57). The prevalence of oral pain reported for Bangladeshi women following an attempt at chewing tobacco cessation is high. Characteristics of this outcome suggest the pain is of dental origin. These characteristics are correlated to psychological distress. The success of chewing tobacco cessation initiatives in the population may be influenced by oral pain and psychological distress. Further research is needed to explore the etiological factors associated with oral pain in this group of tobacco users. AD - Pau, A K H. Centre for Adult Oral Health, Barts and The London, Queen Mary's School of Medicine and Dentistry, London, England. a.k.pau@qmul.ac.uk AN - 12791538 AU - Pau, A. K. AU - Croucher, R. AU - Marcenes, W. AU - Rahman, R. AU - Shajahan, S. DA - Jun DB - MEDLINE DP - Ovid Technologies IS - 3 J2 - Nicotine Tob Res KW - Adult Bangladesh/eh [Ethnology] Cross-Sectional Studies Female Health Surveys Humans Middle Aged Mouth Diseases *Pain/et [Etiology] *Stress, Psychological *Tobacco Use Cessation/eh [Ethnology] *Tobacco, Smokeless LA - English N1 - Pau, A K H Croucher, R Marcenes, W Rahman, R Shajahan, S PY - 2003 SN - 1462-2203 SP - 419-23 ST - Tobacco cessation, oral pain, and psychological distress in Bangladeshi women T2 - Nicotine & Tobacco Research TI - Tobacco cessation, oral pain, and psychological distress in Bangladeshi women UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=12791538 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med5&rft.genre=article&rft_id=info:doi/&rft_id=info:pmid/12791538&rft.issn=1462-2203&rft.volume=5&rft.issue=3&rft.spage=419&rft.pages=419-23&rft.date=2003&rft.jtitle=Nicotine+%26+Tobacco+Research&rft.atitle=Tobacco+cessation%2C+oral+pain%2C+and+psychological+distress+in+Bangladeshi+women.&rft.aulast=Pau VL - 5 ID - 2062 ER - TY - JOUR AB - AIM: To assess the use of dental services, barriers to uptake of dental care and attitudes to regular dental examinations and the prevalence of tobacco and paan chewing habits in a group of Bangladeshi medical care users. DESIGN: Multi-centre cross-sectional study. SETTING: Four general medical practices' waiting areas in Tower Hamlets. SUBJECTS: Bangladeshi adults aged 40 years and over. INTERVENTION: An interview schedule. MAIN OUTCOME MEASURES: The prevalence of tobacco smoking and paan chewing with or without the addition of tobacco. The use of dental services, barriers to the use of dental services and attitudes to regular dental examinations. RESULTS: Results were obtained from 158 subjects (response rate 85%). 25% of the whole sample had never visited a dentist. These were significantly (P < 0.05) more likely to be women, who also thought regular check-ups were of little value. In their use of health services 73% experienced language difficulties. 33% of the sample were tobacco smokers. Paan was chewed by 78% of the sample with significantly (P < 0.05) more females than males adding tobacco to their quid and chewing more frequently than males. CONCLUSION: There are considerable barriers to be overcome if dental practices are to be the site for oral cancer screening and oral health promotion in this population. There are sex differences in reported behaviour and attitudes about use of dental services and in tobacco and paan use in this Bangladeshi sample. Further research is needed to establish why this ethnic minority attend general medical practices but not general dental practices. AD - Pearson, N. Tower Hamlets Healthcare NHS Trust, St Leonard's Primary Care Centre, London. AN - 10379085 AU - Pearson, N. AU - Croucher, R. AU - Marcenes, W. AU - O'Farrell, M. DA - May 22 DB - MEDLINE DP - Ovid Technologies IS - 10 J2 - Br Dent J KW - Adult Aged Areca/ae [Adverse Effects] Bangladesh/eh [Ethnology] Communication Barriers Cross-Sectional Studies *Dental Care/px [Psychology] Dental Care/sn [Statistics & Numerical Data] *Dental Health Services/sn [Statistics & Numerical Data] Female Humans Male Middle Aged *Mouth Neoplasms/di [Diagnosis] Mouth Neoplasms/eh [Ethnology] Mouth Neoplasms/et [Etiology] *Patient Acceptance of Health Care/eh [Ethnology] Patient Acceptance of Health Care/px [Psychology] Plants, Medicinal Plants, Toxic Sex Factors Smoking/ae [Adverse Effects] Tobacco, Smokeless/ae [Adverse Effects] United Kingdom/ep [Epidemiology] LA - English M3 - Multicenter Study N1 - Pearson, N Croucher, R Marcenes, W O'Farrell, M PY - 1999 SN - 0007-0610 SP - 517-21 ST - Dental service use and the implications for oral cancer screening in a sample of Bangladeshi adult medical care users living in Tower Hamlets, UK T2 - British Dental Journal TI - Dental service use and the implications for oral cancer screening in a sample of Bangladeshi adult medical care users living in Tower Hamlets, UK UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10379085 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med4&rft.genre=article&rft_id=info:doi/10.1038%2Fsj.bdj.4800156&rft_id=info:pmid/10379085&rft.issn=0007-0610&rft.volume=186&rft.issue=10&rft.spage=517&rft.pages=517-21&rft.date=1999&rft.jtitle=British+Dental+Journal&rft.atitle=Dental+service+use+and+the+implications+for+oral+cancer+screening+in+a+sample+of+Bangladeshi+adult+medical+care+users+living+in+Tower+Hamlets%2C+UK.&rft.aulast=Pearson VL - 186 ID - 2067 ER - TY - JOUR AB - Mobilising Youth for Tobacco-Related Initiatives in India (Project MYTRI) is a randomized community trial to prevent tobacco use among students in Grades 6 through 9 in 32 private and government schools in Delhi and Chennai, India (N=12,484). The project is a partnership between researchers and practitioners in the United States and India. This article describes the steps that were carried out to ensure that prior effective programs are appropriate and applicable to India. These steps involve (a) developing a conceptual behavioral intervention model, (b) ensuring the appropriateness of the model for urban India, (c) developing intervention strategies that modify factors in the model, (d) implementing the MYTRI program with more than 5,000 students, and (e) evaluating the process and outcomes of the intervention. Data to date suggest that this process has been successful, including high participation rates, teacher perceptions of appropriateness, and agreements for further implementation. AD - Perry, Cheryl L. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA. AN - 16861597 AU - Perry, C. L. AU - Stigler, M. H. AU - Arora, M. AU - Reddy, K. S. DA - Oct DB - MEDLINE DP - Ovid Technologies IS - 4 J2 - Health Promot Pract KW - Adolescent Adolescent Behavior/px [Psychology] *Behavior Therapy Child Child Behavior/px [Psychology] Community Participation *Community-Based Participatory Research/mt [Methods] Cooperative Behavior *Health Promotion/og [Organization & Administration] Humans Infant Program Development Program Evaluation *School Health Services/og [Organization & Administration] Smoking/ae [Adverse Effects] Smoking/px [Psychology] *Smoking Prevention *Students/px [Psychology] Teaching Tobacco Use Disorder/co [Complications] *Tobacco Use Disorder/pc [Prevention & Control] Tobacco Use Disorder/px [Psychology] United States LA - English M3 - Randomized Controlled Trial Research Support, N.I.H., Extramural N1 - Perry, Cheryl L Stigler, Melissa H Arora, Monika Reddy, K Srinath PY - 2008 SN - 1524-8399 SP - 378-86 ST - Prevention in translation: tobacco use prevention in India T2 - Health Promotion Practice TI - Prevention in translation: tobacco use prevention in India UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=16861597 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med7&rft.genre=article&rft_id=info:doi/10.1177%2F1524839906289222&rft_id=info:pmid/16861597&rft.issn=1524-8399&rft.volume=9&rft.issue=4&rft.spage=378&rft.pages=378-86&rft.date=2008&rft.jtitle=Health+Promotion+Practice&rft.atitle=Prevention+in+translation%3A+tobacco+use+prevention+in+India.&rft.aulast=Perry VL - 9 ID - 2056 ER - TY - JOUR AB - OBJECTIVES: We assessed the effectiveness of a 2-year multicomponent, school-based intervention designed to reduce tobacco use rates among adolescents in an urban area of India. METHODS: Students from 32 schools in Delhi and Chennai, India, were recruited and randomly assigned to an intervention or control group. Baseline, intermediate, and outcome data were collected from 2 cohorts of 6th- and 8th-grade students in 2004; 14,063 students took part in the study and completed a survey in 2004, 2005, or 2006. The intervention consisted of behavioral classroom curricula, school posters, a parental involvement component, and peer-led activism. The main outcome measures were self-reported use of cigarettes, bidis (small hand-rolled, often flavored, cigarettes), and chewing tobacco and future intentions to smoke or use chewing tobacco. RESULTS: Findings showed that students in the intervention group were significantly less likely than were students in the control group to exhibit increases in cigarette smoking or bidi smoking over the 2-year study period. They were also less likely to intend to smoke or chew tobacco in the future. CONCLUSIONS: School-based programs similar to the intervention examined here should be considered as part of a multistrategy approach to reducing tobacco use among young people in India. AD - Perry, Cheryl L. University of Texas School of Public Health, Austin Regional Campus, 313 E 12th St, Suite 220, Austin, TX 78701, USA. cheryl.l.perry@uth.tmc.edu AN - 19299670 AU - Perry, C. L. AU - Stigler, M. H. AU - Arora, M. AU - Reddy, K. S. DA - May DB - MEDLINE DO - https://dx.doi.org/10.2105/AJPH.2008.145433 DP - Ovid Technologies IS - 5 J2 - Am J Public Health KW - Adolescent Age Factors Female *Health Promotion/sn [Statistics & Numerical Data] Humans India/ep [Epidemiology] Male Program Development Program Evaluation Regression Analysis Surveys and Questionnaires *Tobacco Use Disorder/ep [Epidemiology] Tobacco Use Disorder/pc [Prevention & Control] LA - English M3 - Clinical Trial Randomized Controlled Trial Research Support, N.I.H., Extramural N1 - Perry, Cheryl L Stigler, Melissa H Arora, Monika Reddy, K Srinath PY - 2009 SN - 1541-0048 SP - 899-906 ST - Preventing tobacco use among young people in India: Project MYTRI T2 - American Journal of Public Health TI - Preventing tobacco use among young people in India: Project MYTRI UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=19299670 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med7&rft.genre=article&rft_id=info:doi/10.2105%2FAJPH.2008.145433&rft_id=info:pmid/19299670&rft.issn=0090-0036&rft.volume=99&rft.issue=5&rft.spage=899&rft.pages=899-906&rft.date=2009&rft.jtitle=American+Journal+of+Public+Health&rft.atitle=Preventing+tobacco+use+among+young+people+in+India%3A+Project+MYTRI.&rft.aulast=Perry VL - 99 ID - 2054 ER - TY - JOUR AB - OBJECTIVE: Betel quid chewing (BQC) is an important oral cancer risk factor widespread in the Indian subcontinent. This usage also is common among migrants from this region. As the number of immigrants from South-East Asia is dramatically increasing in Italy, this survey was aimed at investigating BQC prevalence among immigrants from the Indian subcontinent. SUBJECTS AND METHODS: First-generation adult male immigrants coming from Pakistan, India, Sri Lanka, and Bangladesh, living in Rome, were consecutively selected. They were interviewed using a validated questionnaire. Descriptive statistics were performed, and factors associated to regular BQC were investigated through regression analysis. RESULTS: A total of 211 subjects (mean age, 33.8 years) living in Rome for 11 years, on average, participated in the study. BQC prevalence was 37.9% with few differences between Pakistani, Sri Lankans, and Indians. Prevalence among Bangladeshi was 7.3%. 69% of the consumers chewed BQ at least twice daily, 90% chewed BQ with tobacco; 30.3% subjects were smokers and chewers. Chewing parents, smoking, health illiteracy were associated with BQC. Most chewers believed that BQ helps to relieve stress. CONCLUSIONS: The number of oral cancers in Italy is expected to increase because of BQC dissemination. Therefore, specific awareness campaigns directed to residents of South-East Asian origin are needed. AD - Petti, S. Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy. Warnakulasuriya, S. King's College London and WHO collaborating Centre for Oral Cancer, London, UK. AN - 29480602 AU - Petti, S. AU - Warnakulasuriya, S. DA - Mar DB - MEDLINE DO - https://dx.doi.org/10.1111/odi.12768 DP - Ovid Technologies IS - 1-2 J2 - Oral Dis KW - Adult *Areca Bangladesh/eh [Ethnology] *Emigrants and Immigrants/sn [Statistics & Numerical Data] Health Knowledge, Attitudes, Practice Health Literacy History, 21st Century Humans India/eh [Ethnology] Male Mastication Middle Aged Pakistan/eh [Ethnology] Rome/ep [Epidemiology] *Smoking/ep [Epidemiology] Sri Lanka/eh [Ethnology] *Substance-Related Disorders/ep [Epidemiology] Tobacco Use/ep [Epidemiology] Young Adult LA - English M3 - Historical Article N1 - Petti, S Warnakulasuriya, S PY - 2018 SN - 1601-0825 SP - 44-48 ST - Betel quid chewing among adult male immigrants from the Indian subcontinent to Italy T2 - Oral Diseases TI - Betel quid chewing among adult male immigrants from the Indian subcontinent to Italy UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med15&AN=29480602 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med15&rft.genre=article&rft_id=info:doi/10.1111%2Fodi.12768&rft_id=info:pmid/29480602&rft.issn=1354-523X&rft.volume=24&rft.issue=1-2&rft.spage=44&rft.pages=44-48&rft.date=2018&rft.jtitle=Oral+Diseases&rft.atitle=Betel+quid+chewing+among+adult+male+immigrants+from+the+Indian+subcontinent+to+Italy.&rft.aulast=Petti VL - 24 ID - 2089 ER - TY - JOUR AB - OBJECTIVES: Ascertain level and predictors of betel quid (pan) chewing in Bangladeshi adolescents. DESIGN: Cross sectional questionnaire study. SETTING: Bangladeshi cultural centres in East London. SAMPLE: Consecutive adolescents attending 4 randomly selected centres. METHOD: Self-completed questionnaire. RESULTS: 204 (70%) of 290 teenagers invited to participate did so. Fifty-eight (28%) chewed pan; 30 (51%) of whom chewed on most days. The median age of first chewing was 9 years. Only 7 (2%) added tobacco to their quids. Pan chewers tended to come from lower socio-economic status families, liked the taste of pan and were less inclined to think that it adversely affected their appearance or that it could cause cancer. CONCLUSIONS: The prevalence of pan chewing was lower than that found among adults reported in earlier studies in the UK. This reduction in the level of pan chewing could be attributed to acculturation. Few teenagers knew about the association between pan chewing and cancer but the widespread concern about the effect of pan chewing on the appearance of their mouth suggests this is a useful health promotion message within common risk/health factor approach. AD - Prabhu, N T. Division of Dental Public Health and Oral Health Services Research, Guy's, King's, St. Thomas School of Dentistry, London, UK. AN - 11309868 AU - Prabhu, N. T. AU - Warnakulasuriya, K. AU - Gelbier, S. AU - Robinson, P. G. DA - Jan DB - MEDLINE DP - Ovid Technologies IS - 1 J2 - Int J Paediatr Dent KW - Adolescent *Adolescent Behavior Analysis of Variance *Areca Bangladesh/eh [Ethnology] Child Cross-Sectional Studies Esthetics, Dental Female Health Knowledge, Attitudes, Practice Humans Logistic Models London/ep [Epidemiology] Male *Plants, Medicinal Prevalence *Substance-Related Disorders/ep [Epidemiology] Substance-Related Disorders/px [Psychology] Surveys and Questionnaires LA - English M3 - Multicenter Study N1 - Prabhu, N T Warnakulasuriya, K Gelbier, S Robinson, P G PY - 2001 SN - 0960-7439 SP - 18-24 ST - Betel quid chewing among Bangladeshi adolescents living in east London T2 - International Journal of Paediatric Dentistry TI - Betel quid chewing among Bangladeshi adolescents living in east London UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11309868 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med4&rft.genre=article&rft_id=info:doi/10.1046%2Fj.1365-263x.2001.00235.x&rft_id=info:pmid/11309868&rft.issn=0960-7439&rft.volume=11&rft.issue=1&rft.spage=18&rft.pages=18-24&rft.date=2001&rft.jtitle=International+Journal+of+Paediatric+Dentistry&rft.atitle=Betel+quid+chewing+among+Bangladeshi+adolescents+living+in+east+London.&rft.aulast=Prabhu VL - 11 ID - 2065 ER - TY - JOUR AB - BACKGROUND: The prevalence of type 2 diabetes (T2D) is greater in South Asian populations and health outcomes are poorer compared with other ethnic groups. British South Asians are up to six times more likely to have T2D than the general population, to develop the condition at a younger age, and to experience diabetes-related complications. Interventions to support people in managing their condition can potentially reduce debilitating complications. Evidence to support the use of digital devices in T2D management, including mobile phones, has shown positive impacts on glycemic control. There is increasing recognition that health interventions that are culturally adapted to the needs of specific groups are more likely to be relevant and acceptable, but evidence to support the effectiveness of adapted interventions is limited and inconclusive. OBJECTIVE: This formative study aimed to explore the perceptions and views of British South Asian patients with T2D on mobile health SMS text messaging to support medication adherence, aimed at the general UK population. METHODS: Eight exploratory focus groups were conducted in Leicester, the United Kingdom, between September 2017 and March 2018. A diverse sample of 67 adults took part. RESULTS: British South Asian people with T2D who use digital devices, including mobile phones, felt that short messages to support medication adherence would be acceptable and relevant, but they also wanted messages that would support other aspects of self-management too. Participants were particularly interested in content that met their information needs, including information about South Asian foods, commonly used herbs and spices, natural and herbal approaches used in the United Kingdom and in South Asia, and religious fasting. Short messages delivered in English were perceived to be acceptable, often because family members could translate for those unable to read or understand the messages. Suggestions to support patients unable to understand short messages in English included having them available in different formats, and disseminated in face-to-face groups for those who did not use digital devices. CONCLUSIONS: Exploring the views of British South Asian patients about SMS text messaging aimed at the general UK population is important in maximizing the potential of such an intervention. For such a digital system to meet the needs of UK South Asian populations, it may also have to include culturally relevant messages sent to those who opt to receive them. It is equally important to consider how to disseminate message content to patients who do not use digital devices to help reduce health inequalities. AD - Prinjha, Suman. Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom. Ricci-Cabello, Ignacio. Balearic Islands Health Services, Primary Care Research Unit of Mallorca, Palma de Mallorca, Illes Balears, Spain. Ricci-Cabello, Ignacio. Health Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, Illes Balears, Spain. Ricci-Cabello, Ignacio. Ciber de Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain. Newhouse, Nikki. Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom. Farmer, Andrew. Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom. AN - 32310150 AU - Prinjha, S. AU - Ricci-Cabello, I. AU - Newhouse, N. AU - Farmer, A. DA - 04 20 DB - MEDLINE DO - https://dx.doi.org/10.2196/15789 DP - Ovid Technologies IS - 4 J2 - JMIR Mhealth Uhealth KW - Adult Asians Diabetes Mellitus, Type 2/dt [Drug Therapy] *Diabetes Mellitus, Type 2 Ethnicity Humans Medication Adherence *Telemedicine *Text Messaging United Kingdom LA - English M3 - Research Support, Non-U.S. Gov't N1 - Prinjha, Suman Ricci-Cabello, Ignacio Newhouse, Nikki Farmer, Andrew PY - 2020 SN - 2291-5222 SP - e15789 ST - British South Asian Patients' Perspectives on the Relevance and Acceptability of Mobile Health Text Messaging to Support Medication Adherence for Type 2 Diabetes: Qualitative Study T2 - JMIR MHealth and UHealth TI - British South Asian Patients' Perspectives on the Relevance and Acceptability of Mobile Health Text Messaging to Support Medication Adherence for Type 2 Diabetes: Qualitative Study UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med17&AN=32310150 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med17&rft.genre=article&rft_id=info:doi/10.2196%2F15789&rft_id=info:pmid/32310150&rft.issn=2291-5222&rft.volume=8&rft.issue=4&rft.spage=e15789&rft.pages=e15789&rft.date=2020&rft.jtitle=JMIR+MHealth+and+UHealth&rft.atitle=British+South+Asian+Patients%27+Perspectives+on+the+Relevance+and+Acceptability+of+Mobile+Health+Text+Messaging+to+Support+Medication+Adherence+for+Type+2+Diabetes%3A+Qualitative+Study.&rft.aulast=Prinjha VL - 8 ID - 2073 ER - TY - JOUR AB - PURPOSE: To identify barriers to and facilitators of older South Asian Indian-Americans' (SAIAs') engagement in behaviors associated with advance care planning (ACP). METHODS: Using a descriptive qualitative design guided by the transcultural nursing assessment model, data were collected in focus groups of community-dwelling older SAIA participants, SAIA family caregivers, and SAIA physicians. A directed approach using predetermined coding categories derived from the Transcultural Nursing Assessment model and aided by NVivo 10 software (Melbourne, Australia) facilitated the qualitative data analysis. RESULTS: Eleven focus groups with 36 older SAIAs (61% female, 83% 70+ years old), 10 SAIA family caregivers, and 4 SAIA physicians indicated prior lack of awareness of ACP, good health status, lack of access to linguistically and health literacy-tailored materials, healthcare provider hesitation to initiate discussions on ACP, trust in healthcare providers' or oldest sons' decision making, busy family caregiver work routines, and cultural assumptions about filial piety and after-death rituals as major barriers to engaging in ACP. Introducing ACP using personal anecdotes in a neutral, group-based community setting and incentivizing ACP discussions by including long-term care planning were suggested as facilitators to engage in ACP. CLINICAL RELEVANCE: The study's findings will guide development of culturally sensitive interventions to raise awareness about ACP among SAIAs and encourage SAIA older adults to engage in ACP. AD - Radhakrishnan, Kavita. Epsilon Theta, Assistant Professor, School of Nursing, University of Texas - Austin, Austin, TX, USA. Saxena, Shubhada. Director, South Asian Indian Volunteer Association, Austin, TX, USA. Jillapalli, Regina. Doctoral Student, School of Nursing, University of Texas - Austin, Austin, TX, USA. Jang, Yuri. Associate Professor, School of Social Work, University of Texas - Austin, Austin, TX, USA. Kim, Miyong. Epsilon Theta, La Quinta Centennial Endowed Professor, School of Nursing, University of Texas - Austin, Austin, TX, USA. AN - 28388828 AU - Radhakrishnan, K. AU - Saxena, S. AU - Jillapalli, R. AU - Jang, Y. AU - Kim, M. DA - 05 DB - MEDLINE DO - https://dx.doi.org/10.1111/jnu.12293 DP - Ovid Technologies IS - 3 J2 - J Nurs Scholarsh KW - *Advance Care Planning Aged *Asian Americans/px [Psychology] Asian Americans/sn [Statistics & Numerical Data] Female Focus Groups *Health Services Accessibility Humans Male United States LA - English N1 - Radhakrishnan, Kavita Saxena, Shubhada Jillapalli, Regina Jang, Yuri Kim, Miyong PY - 2017 SN - 1547-5069 SP - 294-302 ST - Barriers to and Facilitators of South Asian Indian-Americans' Engagement in Advanced Care Planning Behaviors T2 - Journal of Nursing Scholarship TI - Barriers to and Facilitators of South Asian Indian-Americans' Engagement in Advanced Care Planning Behaviors UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med14&AN=28388828 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med14&rft.genre=article&rft_id=info:doi/10.1111%2Fjnu.12293&rft_id=info:pmid/28388828&rft.issn=1527-6546&rft.volume=49&rft.issue=3&rft.spage=294&rft.pages=294-302&rft.date=2017&rft.jtitle=Journal+of+Nursing+Scholarship&rft.atitle=Barriers+to+and+Facilitators+of+South+Asian+Indian-Americans%27+Engagement+in+Advanced+Care+Planning+Behaviors.&rft.aulast=Radhakrishnan VL - 49 ID - 2102 ER - TY - JOUR AB - Recent research has suggested that there is limited awareness of and information about cancer and cancer services among South Asian communities. This study explores the meanings of cancer and perceptions of cancer services among South Asians living in Luton. Six single-sex focus groups were conducted among the three main South Asian groups in Luton: (1) Punjabi-speaking Muslims originating from Pakistan (Pakistani Punjabi); (2) Sylheti-speaking Muslims originating from Bangladesh (Bangladeshi Sylheti); and (3) Punjabi-speaking Sikhs originating from the Indian Punjab (Indian Punjabi). Overall, it was found that the information relating to cancer for South Asian communities was limited. Participants in the study expressed a keen desire for this information to be made available via their community social networks. This lack of information resulted in low levels of awareness about cancer and related issues. Cancer was often perceived as an incurable disease, a reflection of the fact that access to appropriate services had been experienced at a relatively late stage of the illness. Informed education, therefore, is clearly essential to influence how people manage cancer and access cancer services. This paper describes the challenges that service providers and users face in ensuring effective and informed awareness. AD - Randhawa, G. Institute for Health Services Research, University of Luton, St Nicholas House, 15-17 George Street, Luton LU1 2AF, UK. gurch.randhawa@luton.ac.uk AN - 15162147 AU - Randhawa, G. AU - Owens, A. DA - Jul 05 DB - MEDLINE DP - Ovid Technologies IS - 1 J2 - Br J Cancer KW - Adolescent Adult Asia, Southeastern/eh [Ethnology] *Attitude to Health Communication Delivery of Health Care England Female Focus Groups Health Care Surveys *Health Services Accessibility Humans *Information Services Male Middle Aged *Neoplasms/eh [Ethnology] *Neoplasms/th [Therapy] Perception Prognosis Social Support LA - English M3 - Research Support, Non-U.S. Gov't N1 - Randhawa, G Owens, A PY - 2004 SN - 0007-0920 SP - 62-8 ST - The meanings of cancer and perceptions of cancer services among South Asians in Luton, UK T2 - British Journal of Cancer TI - The meanings of cancer and perceptions of cancer services among South Asians in Luton, UK UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15162147 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med5&rft.genre=article&rft_id=info:doi/10.1038%2Fsj.bjc.6601892&rft_id=info:pmid/15162147&rft.issn=0007-0920&rft.volume=91&rft.issue=1&rft.spage=62&rft.pages=62-8&rft.date=2004&rft.jtitle=British+Journal+of+Cancer&rft.atitle=The+meanings+of+cancer+and+perceptions+of+cancer+services+among+South+Asians+in+Luton%2C+UK.&rft.aulast=Randhawa VL - 91 ID - 2120 ER - TY - JOUR AB - Research suggests that many minority ethnic patients who receive palliative care in the UK are satisfied with the service they are given. However, various studies have revealed that minority ethnic groups' experiences of care are far from perfect. The most significant problem for these patients centres on communication. This article presents some results from an exploratory study, commissioned by Luton Health Action Zone, to explore the role of communication in delivering effective palliative care services to South Asians living in Luton. Overall, it was found that the services provided are, in most cases, valued and seen as being effective. However, as the service providers who were interviewed readily recognized, there were areas where improvements could be made. The main issues were found to be the need to inform South Asian populations of the availability of palliative care services and the need to improve communication between patients and service providers. This article describes the communication problems that service providers and users face. It also identifies possible policy improvements aimed at developing the 'cultural competency' of services. AD - Randhawa, Gurch. Institute for Health Services Research, University of Luton, UK. AN - 12560794 AU - Randhawa, G. AU - Owens, A. AU - Fitches, R. AU - Khan, Z. DA - Jan DB - MEDLINE DP - Ovid Technologies IS - 1 J2 - Int J Palliat Nurs KW - Adolescent Adult Asia, Southeastern/eh [Ethnology] Attitude of Health Personnel/eh [Ethnology] Attitude to Death/eh [Ethnology] *Attitude to Health/eh [Ethnology] *Clinical Competence/st [Standards] *Communication Barriers *Cultural Diversity *Ethnicity/px [Psychology] Female Health Services Research Humans Male Middle Aged *Minority Groups/px [Psychology] Needs Assessment Neoplasms/eh [Ethnology] Nursing Methodology Research *Palliative Care/px [Psychology] *Palliative Care/st [Standards] Surveys and Questionnaires *Terminally Ill/px [Psychology] United Kingdom LA - English M3 - Research Support, Non-U.S. Gov't N1 - Randhawa, Gurch Owens, Alastair Fitches, Rah Khan, Zafar Comment in (CIN) PY - 2003 SN - 1357-6321 SP - 24-31 ST - Communication in the development of culturally competent palliative care services in the UK: a case study T2 - International Journal of Palliative Nursing TI - Communication in the development of culturally competent palliative care services in the UK: a case study UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=12560794 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med5&rft.genre=article&rft_id=info:doi/10.12968%2Fijpn.2003.9.1.11042&rft_id=info:pmid/12560794&rft.issn=1357-6321&rft.volume=9&rft.issue=1&rft.spage=24&rft.pages=24-31&rft.date=2003&rft.jtitle=International+Journal+of+Palliative+Nursing&rft.atitle=Communication+in+the+development+of+culturally+competent+palliative+care+services+in+the+UK%3A+a+case+study.&rft.aulast=Randhawa VL - 9 ID - 2125 ER - TY - JOUR AB - BACKGROUND: The way that health care systems in developing countries like India care for dying patients, has an impact on the expectations of such care for those who migrate to other countries faces. At the end of life, cultural issues may impact on the quality of life remaining and for that reason, it is important that particular cultural practices are understood. This paper describes a study that investigated the cultural issues of access to palliative care services for Indian migrants in Australia. PURPOSE OF THE STUDY: To investigate the experiences of the family members of terminally ill Indian migrants in Victoria, Australia. OBJECTIVE OF THE STUDY: To explore the issues related to accessing palliative care services for Indian migrants; to identify the effectiveness of palliative care in supporting the patient and family and to recommend strategies for improving this care. MATERIALS AND METHODS: A qualitative descriptive design was utilized. Up to 6 family members were selected for in-depth interviews in understanding cultural issues related to the palliative care services for a family member. RESULTS: ANALYSIS OF THE INTERVIEWS REVEALED THAT FAMILIES OF INDIAN PATIENTS EXPERIENCE DIFFICULTIES WHILST RECEIVING PALLIATIVE CARE SERVICES, WHICH FELL INTO THREE MAIN CATEGORIES: Indian support systems, cultural issues, and caring experiences. Although each of these issues had a direct influence on the experience of terminal care that their family member received, cultural issues and support systems also influenced the caring experiences. CONCLUSION: Despite the successful implementation of palliative care services across Australia, there are still problems in accessing and receiving the services among minority and disadvantaged groups like various cultural groups. AD - Shanmugasundaram, Sujatha. School of Nursing and Midwifery, Monash University, Peninsula Campus, Frankston, Victoria, Australia - 3199. AN - 20606861 AU - Shanmugasundaram, S. AU - O'Connor, M. DA - Jan DB - MEDLINE DO - https://dx.doi.org/10.4103/0973-1075.53589 DP - Ovid Technologies IS - 1 J2 - Indian J LA - English N1 - Shanmugasundaram, Sujatha O'Connor, Margaret PY - 2009 SN - 1998-3735 SP - 76-83 ST - Palliative care services for Indian migrants in australia: experiences of the family of terminally ill patients T2 - Indian Journal of Palliative Care TI - Palliative care services for Indian migrants in australia: experiences of the family of terminally ill patients UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=pmnm2&AN=20606861 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:pmnm2&rft.genre=article&rft_id=info:doi/10.4103%2F0973-1075.53589&rft_id=info:pmid/20606861&rft.issn=0973-1075&rft.volume=15&rft.issue=1&rft.spage=76&rft.pages=76-83&rft.date=2009&rft.jtitle=Indian+Journal+of+Palliative+Care&rft.atitle=Palliative+care+services+for+Indian+migrants+in+australia%3A+experiences+of+the+family+of+terminally+ill+patients.&rft.aulast=Shanmugasundaram VL - 15 ID - 2114 ER - TY - JOUR AB - BACKGROUND: Although end-of-life care preferences vary across racial/ethnic groups, little is known about how cultural values affect end-of-life care preferences among South Asian immigrants and their offspring in the US. OBJECTIVE: To examine the perspectives of first- and second-generation South Asians living in the US regarding end-of-life care. DESIGN: Focus group study. Discussions explored participant preferences and experiences with family members facing the end of life. PARTICIPANTS: Twelve first-generation and 11 second-generation self-identified Asian Indians living in the mid-Atlantic region. APPROACH: Content analysis of focus group transcripts. RESULTS: First-generation participants ranged in age from 41 to 76 years and were evenly split by gender. Second-generation participants ranged in age from 23 to 36 years and included seven women and four men. All participants were highly educated, and two thirds were either studying or working in a health care field. All but two subjects were Hindu. Several themes emerged that highlighted cultural differences and challenges for this population in the context of end-of-life care: attitudes toward death and suffering; family duty; and preferences for information disclosure and decision making. Participants described cultural challenges due to the evolution of traditional roles, lack of explicit discussion between patients and family members about preferences and care expectations, and a tension between wanting to meet traditional expectations and the challenges in doing so given US social realities. CONCLUSIONS: Traditional cultural values, such as duty to family, greatly influenced end-of-life care preferences and retained importance across generations. Clinicians caring for Asian Indian patients at the end of life may be better able to assess care preferences after exploring the complex interplay between traditional expectations and specific social realities for each patient. Particular attention should be given to attitudes toward death and suffering, family duty, and preferences for information disclosure and decision making. AD - Sharma, Rashmi K. Division of Hospital Medicine, Northwestern University, 211 E. Ontario St., 07-734, Chicago, IL 60611, USA. rasharma@nmh.org AN - 21948206 AU - Sharma, R. K. AU - Khosla, N. AU - Tulsky, J. A. AU - Carrese, J. A. DA - Mar DB - MEDLINE DO - https://dx.doi.org/10.1007/s11606-011-1890-7 DP - Ovid Technologies IS - 3 J2 - J Gen Intern Med KW - Adult *Advance Directives/eh [Ethnology] Aged Asia, Western/eh [Ethnology] *Attitude to Death Cross-Cultural Comparison Decision Making *Emigrants and Immigrants Family Female Focus Groups Humans Male Mid-Atlantic Region/ep [Epidemiology] Middle Aged *Terminal Care/st [Standards] Young Adult LA - English M3 - Comparative Study Research Support, Non-U.S. Gov't N1 - Sharma, Rashmi K Khosla, Nidhi Tulsky, James A Carrese, Joseph A PY - 2012 SN - 1525-1497 SP - 311-7 ST - Traditional expectations versus US realities: first- and second-generation Asian Indian perspectives on end-of-life care T2 - Journal of General Internal Medicine TI - Traditional expectations versus US realities: first- and second-generation Asian Indian perspectives on end-of-life care UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med9&AN=21948206 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med9&rft.genre=article&rft_id=info:doi/10.1007%2Fs11606-011-1890-7&rft_id=info:pmid/21948206&rft.issn=0884-8734&rft.volume=27&rft.issue=3&rft.spage=311&rft.pages=311-7&rft.date=2012&rft.jtitle=Journal+of+General+Internal+Medicine&rft.atitle=Traditional+expectations+versus+US+realities%3A+first-+and+second-generation+Asian+Indian+perspectives+on+end-of-life+care.&rft.aulast=Sharma VL - 27 ID - 2113 ER - TY - JOUR AB - BACKGROUND: South Asian communities in the UK are thought to be a high-risk group for oral cancer, primarily because of betel-quid (pan) chewing habits. However there has been little research on the communities' perception of oral cancer. AIM: This investigation was undertaken to assess the knowledge, attitudes and beliefs of South Asian adults (n = 367) regarding the risk factors and signs for oral cancer. DESIGN AND SETTING: The information was obtained by means of a self-administered questionnaire and structured interviews at six Asian community centres and three general medical practices in north west London. PARTICIPANTS: Subjects ranged in age from 16 to 80 years and came from diverse socio-economic and cultural backgrounds. RESULTS: Tobacco use was the only risk factor correctly identified by most adults (82%). A significant difference (P < 0.001) was seen in betel-quid chewing habit among the age groups with 42.2% of adults in the 50-80 year age group practising this habit as compared to only 5.3% in the 16-29 year age group. Another finding was that the traditional method of betel-quid chewing is being replaced with readily available processed areca nut and tobacco products. CONCLUSIONS: There is extensive misinformation and a general lack of awareness about the risk factors and signs of oral cancer among the South Asian communities irrespective of age, gender, South Asian subgroup and social class. It is clear that betel-quid chewing is a common habit among the population and especially in the elderly population. It is recommended that health promotion advice be targeted to this population and their carers. AD - Shetty, K V. Department of Oral and Maxillofacial Medicine and Pathology/WHO Collaborating Centre for Oral Cancer and Precancer, Guy's School of Medicine, Dentistry and Biomedical Sciences, GKT Dental Institute, London, UK. AN - 10665176 AU - Shetty, K. V. AU - Johnson, N. W. DA - Dec DB - MEDLINE DP - Ovid Technologies IS - 4 J2 - Community Dent Health KW - Adolescent Adult Aged *Areca Asia, Southeastern/eh [Ethnology] Chi-Square Distribution Dental Health Services/sn [Statistics & Numerical Data] Ethnicity/sn [Statistics & Numerical Data] Female *Habits Health Education *Health Knowledge, Attitudes, Practice Humans Interviews as Topic London/ep [Epidemiology] Male Middle Aged Mouth Neoplasms/di [Diagnosis] Mouth Neoplasms/ep [Epidemiology] *Mouth Neoplasms/et [Etiology] *Plants, Medicinal Risk Factors Social Class Surveys and Questionnaires LA - English N1 - Shetty, K V Johnson, N W PY - 1999 SN - 0265-539X SP - 227-31 ST - Knowledge, attitudes and beliefs of adult South Asians living in London regarding risk factors and signs for oral cancer T2 - Community Dental Health TI - Knowledge, attitudes and beliefs of adult South Asians living in London regarding risk factors and signs for oral cancer UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10665176 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med4&rft.genre=article&rft_id=info:doi/&rft_id=info:pmid/10665176&rft.issn=0265-539X&rft.volume=16&rft.issue=4&rft.spage=227&rft.pages=227-31&rft.date=1999&rft.jtitle=Community+Dental+Health&rft.atitle=Knowledge%2C+attitudes+and+beliefs+of+adult+South+Asians+living+in+London+regarding+risk+factors+and+signs+for+oral+cancer.&rft.aulast=Shetty VL - 16 ID - 2099 ER - TY - JOUR AB - Betel nut (BN) is a psychoactive oral carcinogen that is commonly used among Asian communities. This study aims to investigate BN usage patterns and the effectiveness of a visually guided educational initiative in a high-risk refugee population. All adult patients presenting to a private practice clinic, free community clinic, or health fair in the refugee community of Clarkston, Georgia during days when survey staff were present were approached for the study. Participants were first categorized into a familiar and unfamiliar cohort depending on participant-reported familiarity with BN. Depending on familiarity, subjects were then administered a pre-intervention test surveying health awareness for BN and usage patterns where relevant; subsequently, a visually guided educational brochure was reviewed, and a post-intervention test was administered. Results were statistically analyzed (STATA 12). Forty-eight participants were surveyed for the familiar cohort and 25 for the unfamiliar cohort. Among the familiar cohort, South and Southeast Asians comprised 91% of participants. On frequency of use, 42.8% reported social, 28.6% reported usage during celebrations only, and 28.6% reported daily. The most common reasons for use were for taste (40.9%), enjoyment (38.6%), and addiction (25%). Among the familiar cohort, 75% believed BN was harmful for health compared to 8% among the unfamiliar (p < 0.0001). In the familiar cohort, 52.3% believed BN alone could cause cancer compared to 4% among the unfamiliar (p < 0.0001). Following the educational intervention, 100% of participants believed BN mastication is harmful in both cohorts (p < 0.01), while 87.5% of participants in both cohorts recognized that BN alone could cause cancer (p < 0.0007). This study illustrates gaps in understanding regarding oral cancer and the health consequences of chronic BN mastication, as well as the efficacy of a visually guided educational brochure to improve participant knowledge among a high-risk refugee population. AD - Shi, Lucy L. Ohio State University, Columbus, OH, USA. Bradford, Ella. The Westminster Schools, Atlanta, GA, USA. Depalo, Danielle E. Ohio State University, Columbus, OH, USA. Depalo, Danielle E. Department of Otolaryngology-Head & Neck Surgery, Emory University School of Medicine, 550 Peachtree St NE, Ste 1135, Atlanta, GA, 30308, USA. Chen, Amy Y. Department of Otolaryngology-Head & Neck Surgery, Emory University School of Medicine, 550 Peachtree St NE, Ste 1135, Atlanta, GA, 30308, USA. achen@emory.edu. AN - 29164494 AU - Shi, L. L. AU - Bradford, E. AU - Depalo, D. E. AU - Chen, A. Y. DA - 04 DB - MEDLINE DO - https://dx.doi.org/10.1007/s13187-017-1303-7 DP - Ovid Technologies IS - 2 J2 - J Cancer Educ KW - Adult *Areca/ae [Adverse Effects] Asia/eh [Ethnology] Cohort Studies Female Georgia *Health Education *Health Knowledge, Attitudes, Practice Humans Male Mastication *Mouth Neoplasms/et [Etiology] Pamphlets *Refugees Risk Factors LA - English M3 - Research Support, Non-U.S. Gov't N1 - Shi, Lucy L Bradford, Ella Depalo, Danielle E Chen, Amy Y PY - 2019 SN - 1543-0154 SP - 309-314 ST - Betel Quid Use and Oral Cancer in a High-Risk Refugee Community in the USA: The Effectiveness of an Awareness Initiative T2 - Journal of Cancer Education TI - Betel Quid Use and Oral Cancer in a High-Risk Refugee Community in the USA: The Effectiveness of an Awareness Initiative UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med16&AN=29164494 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med16&rft.genre=article&rft_id=info:doi/10.1007%2Fs13187-017-1303-7&rft_id=info:pmid/29164494&rft.issn=0885-8195&rft.volume=34&rft.issue=2&rft.spage=309&rft.pages=309-314&rft.date=2019&rft.jtitle=Journal+of+Cancer+Education&rft.atitle=Betel+Quid+Use+and+Oral+Cancer+in+a+High-Risk+Refugee+Community+in+the+USA%3A+The+Effectiveness+of+an+Awareness+Initiative.&rft.aulast=Shi VL - 34 ID - 2087 ER - TY - JOUR AB - OBJECTIVES: To determine any differences in oral cancer risk factor awareness and behaviour among first and second generation Gujarati muslims and to investigate the impact of a community-based health education programme on oral cancer risk factor awareness. DESIGN: Respondents completed a confidential, bilingual questionnaire in English and Gujarati regarding alcohol, tobacco, paan, sopari, paan masala and gutka use before and after a community-based health education programme on oral cancer risk factors. SETTING: Community Health Fair. Indian Muslim Welfare Association, Batley, West Yorkshire. SUBJECTS: Ninety-six male and female Gujarati muslims aged 16 to 81 years. MAIN OUTCOME MEASURES: Quantitative results on oral cancer risk factor awareness before and after a health education programme. Quantitative figures obtained from the questionnaire with regards to alcohol, tobacco, paan, sopari, paan masala and gutka usage. RESULTS: There were very low levels of alcohol consumption among Gujarati muslims. First generation Gujarati males consumed significantly more tobacco than second generation Gujarati males, difference in proportion 0.30 (0.03 to 0.56, p = 0.03). There was complete absence of paan use among Gujarati females. First generation Gujarati males consumed significantly higher amounts of sopari compared with their male counterparts in the second generation (p = 0.003). There were very low rates of paan masala use. Only first generation Gujarati males consumed gutka. Significantly more first generation males and females correctly identified all oral cancer risk factors after the health education intervention compared with baseline (difference 0.40, 95% CI 0.23 to 0.57, p = <0.001). Significantly more second generation males and females correctly identified all oral cancer risk factors after the health education intervention compared with baseline (difference 0.45, 95% CI 0.28 to 0.61, p = <0.001). CONCLUSION: Our study demonstrated significant differences in oral cancer risk factor awareness and practices among first and second generation Gujarati muslims and that a local community-based health education programme was effective in raising awareness. AD - Siddique, I. Department of Oral and Maxillofacial Surgery, Pinderfields Hospital, Aberford Road, Wakefield, West Yorkshire, WF1 4DG, UK. ibrazsiddique@doctors.org.uk AN - 23969680 AU - Siddique, I. AU - Mitchell, D. A. DA - Aug DB - MEDLINE DO - https://dx.doi.org/10.1038/sj.bdj.2013.829 DP - Ovid Technologies IS - 4 J2 - Br Dent J KW - Adolescent Adult Aged Aged, 80 and over Alcohol Drinking Areca England Female Health Behavior *Health Education, Dental/mt [Methods] *Health Fairs *Health Knowledge, Attitudes, Practice Humans India/eh [Ethnology] Intergenerational Relations *Islam Male Middle Aged *Mouth Neoplasms/et [Etiology] Risk Factors Sex Factors Tobacco Use Young Adult LA - English N1 - Siddique, I Mitchell, D A PY - 2013 SN - 1476-5373 SP - E7 ST - The impact of a community-based health education programme on oral cancer risk factor awareness among a Gujarati community T2 - British Dental Journal TI - The impact of a community-based health education programme on oral cancer risk factor awareness among a Gujarati community UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med10&AN=23969680 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med10&rft.genre=article&rft_id=info:doi/10.1038%2Fsj.bdj.2013.829&rft_id=info:pmid/23969680&rft.issn=0007-0610&rft.volume=215&rft.issue=4&rft.spage=E7&rft.pages=E7&rft.date=2013&rft.jtitle=British+Dental+Journal&rft.atitle=The+impact+of+a+community-based+health+education+programme+on+oral+cancer+risk+factor+awareness+among+a+Gujarati+community.&rft.aulast=Siddique VL - 215 ID - 2092 ER - TY - JOUR AB - Optimal palliative care cannot be realized unless nurses have a full understanding of what the patient's family is experiencing. There is a gap in nursing knowledge related to informal care and ethnic minorities. The aim of this retrospective qualitative exploratory study was to investigate the experiences of Bangladeshi informal carers living in the UK, associated with caring for a dying relative. Semi-structured interviews using an interpreter were carried out and patient notes were examined. Four categories emerged from the data: caring, support, communication, and home and family. In addition to the demands and stresses caused by their relative's symptoms and the knowledge that they were dying, the Bangladeshi carers experienced communication barriers, isolation and anxieties regarding visas and housing--yet all were uncomplaining about their situation. Palliative care nurses working with Bangladeshi families need to be aware of the additional stresses that these families may experience and be able to offer strategies to enable them to cope with them. AD - Somerville, J. St Joseph's Hospice, London, UK. AN - 12148975 AU - Somerville, J. DA - May DB - MEDLINE DP - Ovid Technologies IS - 5 J2 - Int J Palliat Nurs KW - Bangladesh/eh [Ethnology] Bereavement *Caregivers/px [Psychology] Communication Barriers *Culture Female Humans Male *Palliative Care *Professional-Family Relations Retrospective Studies Social Support United Kingdom LA - English N1 - Somerville, J PY - 2001 SN - 1357-6321 SP - 240-7 ST - Palliative care: the experience of informal carers within the Bangladeshi community T2 - International Journal of Palliative Nursing TI - Palliative care: the experience of informal carers within the Bangladeshi community UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12148975 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med4&rft.genre=article&rft_id=info:doi/10.12968%2Fijpn.2001.7.5.15893&rft_id=info:pmid/12148975&rft.issn=1357-6321&rft.volume=7&rft.issue=5&rft.spage=240&rft.pages=240-7&rft.date=2001&rft.jtitle=International+Journal+of+Palliative+Nursing&rft.atitle=Palliative+care%3A+the+experience+of+informal+carers+within+the+Bangladeshi+community.&rft.aulast=Somerville VL - 7 ID - 2126 ER - TY - JOUR AB - OBJECTIVE: To investigate why urban Indian 6th graders may be using more tobacco than urban Indian 8th graders. DESIGN: Cross-sectional survey of students conducted in the summer of 2004, as the baseline evaluation tool for a group-randomised tobacco prevention intervention trial (Project MYTRI). Mixed-effects regression models were used to (1) examine the relationship between 15 psychosocial risk factors and current use of any tobacco, by grade; and (2) examine differences in psychosocial risk factors, by grade. SETTING: Thirty-two private (high socioeconomic status (SES)) and government (low-mid SES) schools in two large cities in India (Delhi and Chennai). SUBJECTS: Students in the 6th and 8th grade in these schools (n = 11642). Among these, 50.6% resided in Delhi (v Chennai), 61.4% attended a government school (v a private school), 52.9% were enrolled in 6th grade (v 8th), and 54.9% were male (v female). MAIN OUTCOME MEASURE: Current (past 30 day) use of any tobacco, including chewing tobacco (for example, gutkha), bidis, or cigarettes. RESULT: Almost all psychosocial factors were significantly related to tobacco use, for students in both grades. Some of the strongest correlates included social susceptibility to and social norms about use. Exposure to tobacco advertising was a strong correlate of tobacco use for 6th graders, but not for 8th graders. Sixth graders scored lower than 8th graders on almost all factors, indicating higher risk. CONCLUSIONS: The "risk profile" of 6th graders suggests they would be vulnerable to use and to begin using tobacco, as well as to outside influences that may encourage use. AD - Stigler, M H. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA. stigler@epi.umn.edu AN - 16723678 AU - Stigler, M. H. AU - Perry, C. L. AU - Arora, M. AU - Reddy, K. S. DA - Jun DB - MEDLINE DP - Ovid Technologies J2 - Tob Control KW - Adolescent Advertising Age Factors *Developing Countries Female Health Knowledge, Attitudes, Practice Health Surveys Humans India Male Peer Group Risk-Taking Sex Factors *Smoking/px [Psychology] Smoking/td [Trends] Social Identification *Urban Population LA - English M3 - Research Support, N.I.H., Extramural N1 - Stigler, M H Perry, C L Arora, M Reddy, K S PY - 2006 SN - 1468-3318 SP - i54-60 ST - Why are urban Indian 6th graders using more tobacco than 8th graders? Findings from Project MYTRI T2 - Tobacco Control TI - Why are urban Indian 6th graders using more tobacco than 8th graders? Findings from Project MYTRI UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=16723678 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med6&rft.genre=article&rft_id=info:doi/10.1136%2Ftc.2005.014480&rft_id=info:pmid/16723678&rft.issn=0964-4563&rft.volume=15&rft.issue=1&rft.spage=i54&rft.pages=i54-60&rft.date=2006&rft.jtitle=Tobacco+Control&rft.atitle=Why+are+urban+Indian+6th+graders+using+more+tobacco+than+8th+graders%3F+Findings+from+Project+MYTRI.&rft.aulast=Stigler VL - 15 Suppl 1 ID - 2060 ER - TY - JOUR AB - The purpose of this article is to present the intermediate results for Project MYTRI, a school-based, multiple component intervention designed to prevent and reduce many forms of tobacco use (chewing tobacco, cigarettes, and bidis) among youth in India. The intervention is based on effective models in the United States "translated" for use in this context. The intervention targets two cohorts of students who were in the 6th and 8th grade when the study started. Thirty-two schools in Delhi (north India) and Chennai (south India) were randomized to receive the intervention (n = 16) or serve as a delayed intervention control (n = 16). Students in these schools were surveyed before the intervention began and at an intermediate point, 1 year into this 2-year intervention (n = 8,369). A test of the changes in risk factors for tobacco use between the baseline and intermediate surveys revealed that, compared with the control, students in the intervention condition (a) had better knowledge about the health effects of tobacco (P < 0.01); (b) believed that there were more negative social consequences to using tobacco (P = 0.04); (c) had fewer reasons to use tobacco (P < 0.01); (d) had more reasons not to use tobacco (P = 0.03); (e) were less socially susceptible to chewing (P = 0.04) and smoking (P = 0.03) tobacco; (f) perceived fewer peers and adults around them smoked (P < 0.01) or chewed (P < 0.01) tobacco; (g) felt that tobacco use was not acceptable, especially among their peers (P < 0.01); (h) were more confident in their ability to advocate for tobacco control (P = 0.03); (i) were more knowledgeable about tobacco control policies (P < 0.01); and (j) supported these policies, too (P = 0.04). Fewer students in the intervention condition reported having intentions to smoke tobacco in the next year (P = 0.02) or chew tobacco when they reached college (P < 0.01). No changes in actual tobacco use were observed at this stage of the study. AD - Stigler, Melissa H. Michael & Susan Dell Center for Advancement of Healthy Living, University of Texas School of Public Health, Austin Campus, Austin, TX 78701, USA. Melissa.H.Stigler@uth.tmc.edu AN - 17548662 AU - Stigler, M. H. AU - Perry, C. L. AU - Arora, M. AU - Shrivastav, R. AU - Mathur, C. AU - Reddy, K. S. DA - Jun DB - MEDLINE DP - Ovid Technologies IS - 6 J2 - Cancer Epidemiol Biomarkers Prev KW - Adolescent Adolescent Behavior *Health Education/mt [Methods] *Health Promotion/mt [Methods] Humans India Primary Prevention/mt [Methods] Risk Factors *School Health Services *Smoking Prevention Students *Tobacco Use Cessation/px [Psychology] Tobacco, Smokeless LA - English M3 - Clinical Trial Multicenter Study Randomized Controlled Trial Research Support, N.I.H., Extramural N1 - Stigler, Melissa H Perry, Cheryl L Arora, Monika Shrivastav, Radhika Mathur, Charu Reddy, K Srinath PY - 2007 SN - 1055-9965 SP - 1050-6 ST - Intermediate outcomes from Project MYTRI: mobilizing youth for tobacco-related initiatives in India T2 - Cancer Epidemiology, Biomarkers & Prevention TI - Intermediate outcomes from Project MYTRI: mobilizing youth for tobacco-related initiatives in India UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=17548662 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med6&rft.genre=article&rft_id=info:doi/10.1158%2F1055-9965.EPI-06-0929&rft_id=info:pmid/17548662&rft.issn=1055-9965&rft.volume=16&rft.issue=6&rft.spage=1050&rft.pages=1050-6&rft.date=2007&rft.jtitle=Cancer+Epidemiology%2C+Biomarkers+%26+Prevention&rft.atitle=Intermediate+outcomes+from+Project+MYTRI%3A+mobilizing+youth+for+tobacco-related+initiatives+in+India.&rft.aulast=Stigler VL - 16 ID - 2059 ER - TY - JOUR AB - This article presents the results of a mediation analysis of Project MYTRI (Mobilizing Youth for Tobacco Related Initiatives in India), a randomized, controlled trial of a multiple-component, school-based tobacco prevention program for sixth- to ninth-graders (n = 14,085) in Delhi and Chennai, India. A mediation analysis identifies how an intervention achieves its effects. In MYTRI, changes in students' (a) knowledge about the negative health effects of tobacco, (b) beliefs about its social consequences, (c) reasons to use tobacco, (d) reasons not to use tobacco, (e) advocacy skills self-efficacy, and (f) normative beliefs about tobacco use were significantly associated with reductions in students' intentions to use tobacco and tobacco use behaviors. In contrast, changes in students' perceptions of the prevalence of smoking and chewing tobacco were significantly related to increases in students' intentions to use and use of tobacco. Implications for intervention design are considered. AD - Stigler, Melissa Harrell. Michael & Susan Dell Center for Healthy Living, Austin, TX 78701, USA. melissa.h.stigler@uth.tmc.edu AN - 21411716 AU - Stigler, M. H. AU - Perry, C. L. AU - Smolenski, D. AU - Arora, M. AU - Reddy, K. S. DA - Jun DB - MEDLINE DO - https://dx.doi.org/10.1177/1090198110372330 DP - Ovid Technologies IS - 3 J2 - Health Educ Behav KW - Adolescent Data Collection Data Interpretation, Statistical Female *Health Knowledge, Attitudes, Practice Humans India Intention Male *School Health Services *Self Efficacy *Tobacco Use Disorder/pc [Prevention & Control] LA - English M3 - Randomized Controlled Trial Research Support, N.I.H., Extramural N1 - Stigler, Melissa Harrell Perry, Cheryl L Smolenski, Derek Arora, Monika Reddy, K Srinath PY - 2011 SN - 1552-6127 SP - 231-40 ST - A mediation analysis of a tobacco prevention program for adolescents in India: how did project MYTRI work? T2 - Health Education & Behavior TI - A mediation analysis of a tobacco prevention program for adolescents in India: how did project MYTRI work? UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=21411716 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med8&rft.genre=article&rft_id=info:doi/10.1177%2F1090198110372330&rft_id=info:pmid/21411716&rft.issn=1090-1981&rft.volume=38&rft.issue=3&rft.spage=231&rft.pages=231-40&rft.date=2011&rft.jtitle=Health+Education+%26+Behavior&rft.atitle=A+mediation+analysis+of+a+tobacco+prevention+program+for+adolescents+in+India%3A+how+did+project+MYTRI+work%3F.&rft.aulast=Stigler VL - 38 ID - 2050 ER - TY - JOUR AB - The high prevalence of oral cancer in South Asia has been linked to tobacco use particularly in conjunction with chewing betel quid or 'pan'. However, it is not known whether and to what extent these habits are practised by Asian people in the United Kingdom. Home based interviews using semi-structured questionnaires were undertaken among 296 first generation Bangladeshi women resident in inner-city Leeds and Bradford, West Yorkshire. 'Pan' was reportedly chewed by 282 (95 per cent) of the women, of whom 174 (62 per cent) added tobacco in leaf form, and 75 (27 per cent) as a component of zarda. Those who consumed more 'pans' daily were significantly older, less literate, had a lower educational attainment, and were more likely to believe that chewing betel quid was beneficial. Cigarette smoking was practised by 9 per cent, this group being older and having lived in the UK longer. Burnt tobacco leaves were used as an oral hygiene aid by 20 per cent. Over half (58 per cent) of the sample had never visited a dentist, the majority deeming it unnecessary. The use of tobacco and 'pan' imply an increased risk for oral cancer and precancer. Since 'pan' chewing is a traditional custom, health promotion within these communities would require a sensitive approach. Health personnel likely to be consulted by Asian groups who chew 'pan' should be aware of the danger to oral health posed by this practice. AD - Summers, R M. Division of Child Dental Health, University of Leeds, UK. AN - 8193977 AU - Summers, R. M. AU - Williams, S. A. AU - Curzon, M. E. DA - Mar DB - MEDLINE DP - Ovid Technologies IS - 1 J2 - Community Dent Health KW - Adult Aged *Areca Bangladesh/eh [Ethnology] England *Ethnicity/sn [Statistics & Numerical Data] Female *Habits Health Services Needs and Demand Humans Middle Aged *Plants, Medicinal *Plants, Toxic Socioeconomic Factors *Tobacco, Smokeless *Women/px [Psychology] LA - English M3 - Research Support, Non-U.S. Gov't N1 - Summers, R M Williams, S A Curzon, M E PY - 1994 SN - 0265-539X SP - 12-6 ST - The use of tobacco and betel quid ('pan') among Bangladeshi women in West Yorkshire T2 - Community Dental Health TI - The use of tobacco and betel quid ('pan') among Bangladeshi women in West Yorkshire UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8193977 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med3&rft.genre=article&rft_id=info:doi/&rft_id=info:pmid/8193977&rft.issn=0265-539X&rft.volume=11&rft.issue=1&rft.spage=12&rft.pages=12-6&rft.date=1994&rft.jtitle=Community+Dental+Health&rft.atitle=The+use+of+tobacco+and+betel+quid+%28%27pan%27%29+among+Bangladeshi+women+in+West+Yorkshire.&rft.aulast=Summers VL - 11 ID - 2071 ER - TY - JOUR AB - BACKGROUND: South Asians constitute the single largest ethnic minority group in the United Kingdom, yet little is known about their perspectives on, and experiences of, end-of-life care. AIM: To explore beliefs, attitudes and expectations expressed by older South Asians living in East London about dying at home. DESIGN: A qualitative study using focus groups and semi-structured interviews. Data were analysed using a constructivist grounded theory approach. SETTING/PARTICIPANTS: Five focus groups and 29 in-depth semi-structured interviews were conducted with a total of 55 older adults (24 men and 31 women) aged between 52 and 78 years. Participants from six South Asian ethnic groups were recruited via 11 local community organisations. RESULTS: Two key themes were identified. The theme of 'reconsidering the homeland' draws on the notion of 'diaspora' to help understand why for many participants, the physical place of death was perceived as less important than the opportunity to carry out cultural and religious practices surrounding death. The second theme 'home as a haven' describes participants' accounts of how their home is a place in which it is possible to perform various cultural and religious rituals. Cultural and religious practices were often seen as essential to achieving a peaceful death and honouring religious and filial duties. CONCLUSIONS: Older people of South Asian ethnicity living in East London perceive home as more than a physical location for dying relatives. They make efforts to adhere, and also adapt, to important social and cultural values relating to death and dying as part of the wider challenge of living in an emigrant society. AD - Venkatasalu, Munikumar R. 1Department of Healthcare Practice, Faculty of Health & Social Sciences, University of Bedfordshire, Aylesbury, UK. AN - 24107578 AU - Venkatasalu, M. R. AU - Seymour, J. E. AU - Arthur, A. DA - Mar DB - MEDLINE DO - https://dx.doi.org/10.1177/0269216313506765 DP - Ovid Technologies IS - 3 J2 - Palliat Med KW - Aged *Asians/px [Psychology] *Attitude to Death Female Focus Groups *Home Care Services Humans India/eh [Ethnology] Male Middle Aged Qualitative Research Surveys and Questionnaires *Terminal Care/px [Psychology] United Kingdom LA - English M3 - Research Support, Non-U.S. Gov't N1 - Venkatasalu, Munikumar R Seymour, Jane E Arthur, Antony PY - 2014 SN - 1477-030X SP - 264-72 ST - Dying at home: a qualitative study of the perspectives of older South Asians living in the United Kingdom T2 - Palliative Medicine TI - Dying at home: a qualitative study of the perspectives of older South Asians living in the United Kingdom UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med11&AN=24107578 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med11&rft.genre=article&rft_id=info:doi/10.1177%2F0269216313506765&rft_id=info:pmid/24107578&rft.issn=0269-2163&rft.volume=28&rft.issue=3&rft.spage=264&rft.pages=264-72&rft.date=2014&rft.jtitle=Palliative+Medicine&rft.atitle=Dying+at+home%3A+a+qualitative+study+of+the+perspectives+of+older+South+Asians+living+in+the+United+Kingdom.&rft.aulast=Venkatasalu VL - 28 ID - 2112 ER - TY - JOUR AB - OBJECTIVES: To determine use of alcohol, tobacco and paan among males from the various Asian communities in Leicester; and assess their knowledge and attitudes towards oral cancer risk factors and prevention. Also, to determine any differences regarding habits and attitudes between first and second generation Asians. DESIGN: Volunteers completed a confidential, bilingual questionnaire regarding alcohol, tobacco and paan use and also knowledge about oral cancer risk factors and preventive measures. SETTING: Participants were recruited from sources that included GPs' surgeries, sixth form colleges and places of worship. SUBJECTS: Asian males, i.e. those of Indian, Pakistani, Bangladeshi or Sri Lankan origin; over the age of 16 years and resident in Leicester. MAIN OUTCOME MEASURES: Quantitative figures were obtained from the questionnaires as to the frequency of alcohol, tobacco and paan use and responses regarding oral cancer knowledge, risk factors and preventive measures. RESULTS: The principal Asian community groups in Leicester were Hindu, Sikh, Muslim and Jain. Significant differences were found in males from these groups with regards to habits and oral cancer awareness. Muslim males use tobacco and paan more than the other groups but avoid alcohol. Sikh males drink more alcohol (especially spirits) than the other groups but their use of tobacco and paan is low. Habits of Hindu and Jain males are variable. However, approximately 10% of both 1st and 2nd generation Hindu males combine all three habits of alcohol, tobacco and paan; and are thus considered to be at high risk of developing oral cancer. Seven percent of 1st generation Hindu males were found to chew paans containing tobacco which are strongly associated with oral cancer. More 2nd generation Jains drank alcohol than the 1st generation, and a greater proportion of Hindu, Sikh and Jain 2nd generation males drink spirits than their older counterparts. Knowledge of oral cancer risk factors and preventive measures were variable, the lowest level of knowledge being among the 1st generation Sikh group. Few volunteers realised the risk of alcohol drinking in the aetiology of oral cancer. CONCLUSION: The 'Asian' community in Leicester is not homogeneous, but consists of distinct community groups; each with their own cultural beliefs, habits and attitudes. Knowledge of these differences can be used to provide appropriate health education programmes suitably targeted to reduce the use of the known risk factors for oral cancer. AD - Vora, A R. School of Clinical Dentistry, University of Sheffield. AN - 10953402 AU - Vora, A. R. AU - Yeoman, C. M. AU - Hayter, J. P. DA - Apr 22 DB - MEDLINE DP - Ovid Technologies IS - 8 J2 - Br Dent J KW - Adolescent Adult Aged Aged, 80 and over Alcohol Drinking/ae [Adverse Effects] *Alcohol Drinking/eh [Ethnology] Alcohol Drinking/px [Psychology] *Areca/ae [Adverse Effects] Bangladesh/eh [Ethnology] Chi-Square Distribution Cohort Effect England/ep [Epidemiology] Ethnicity Health Knowledge, Attitudes, Practice Humans India/eh [Ethnology] Male Middle Aged *Mouth Neoplasms/ep [Epidemiology] Mouth Neoplasms/et [Etiology] Mouth Neoplasms/px [Psychology] Pakistan/eh [Ethnology] *Plants, Medicinal Religion Risk Factors Sri Lanka/eh [Ethnology] Substance-Related Disorders/co [Complications] Substance-Related Disorders/eh [Ethnology] Substance-Related Disorders/px [Psychology] Surveys and Questionnaires Tobacco Use Disorder/co [Complications] *Tobacco Use Disorder/eh [Ethnology] Tobacco Use Disorder/px [Psychology] LA - English M3 - Comparative Study N1 - Vora, A R Yeoman, C M Hayter, J P PY - 2000 SN - 0007-0610 SP - 444-51 ST - Alcohol, tobacco and paan use and understanding of oral cancer risk among Asian males in Leicester T2 - British Dental Journal TI - Alcohol, tobacco and paan use and understanding of oral cancer risk among Asian males in Leicester UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10953402 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med4&rft.genre=article&rft_id=info:doi/10.1038%2Fsj.bdj.4800506&rft_id=info:pmid/10953402&rft.issn=0007-0610&rft.volume=188&rft.issue=8&rft.spage=444&rft.pages=444-51&rft.date=2000&rft.jtitle=British+Dental+Journal&rft.atitle=Alcohol%2C+tobacco+and+paan+use+and+understanding+of+oral+cancer+risk+among+Asian+males+in+Leicester.&rft.aulast=Vora VL - 188 ID - 2066 ER - TY - JOUR AB - In the present study, we explored family caregivers' experiences in providing end-of-life care for terminally ill South Asian immigrants. We employed qualitative methods and. in-depth interviews were conducted with seven family caregivers living in Nova Scotia, Canada. Interview data were validated, coded and organized for themes. Three major themes identified in the data illustrated (a) how South Asian caregivers experienced clashes between biomedical and ethno-cultural realms of care that led to cultural insensitivity, (b) how family members acted as mediators, and (c) how communication issues that challenged cultural sensitivity were handled. Findings provide directions for culturally sensitive end-of-life care planning. AD - Weerasinghe, Swarna. a Community Health and Epidemiology, Dalhousie University, Centre for Clinical Research, Halifax, Nova Scotia, Canada. Maddalena, Victor. b Faculty of Medicine, Division of Community Health and Humanities, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada. AN - 27362293 AU - Weerasinghe, S. AU - Maddalena, V. DA - Nov-Dec DB - MEDLINE DP - Ovid Technologies IS - 7 J2 - Soc KW - Asia/eh [Ethnology] *Caregivers Communication *Cultural Competency Culture *Emigrants and Immigrants *Family/eh [Ethnology] Female Humans Male *Negotiating Nova Scotia *Terminal Care LA - English N1 - Weerasinghe, Swarna Maddalena, Victor PY - 2016 SN - 1937-190X SP - 665-677 ST - Negotiation, Mediation and Communication between Cultures: End-of-Life Care for South Asian Immigrants in Canada from the Perspective of Family Caregivers T2 - Social Work in Public Health TI - Negotiation, Mediation and Communication between Cultures: End-of-Life Care for South Asian Immigrants in Canada from the Perspective of Family Caregivers UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med13&AN=27362293 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med13&rft.genre=article&rft_id=info:doi/10.1080%2F19371918.2015.1137521&rft_id=info:pmid/27362293&rft.issn=1937-190X&rft.volume=31&rft.issue=7&rft.spage=665&rft.pages=665-677&rft.date=2016&rft.jtitle=Social+Work+in+Public+Health&rft.atitle=Negotiation%2C+Mediation+and+Communication+between+Cultures%3A+End-of-Life+Care+for+South+Asian+Immigrants+in+Canada+from+the+Perspective+of+Family+Caregivers.&rft.aulast=Weerasinghe VL - 31 ID - 2107 ER - TY - JOUR AB - BACKGROUND: Variation in provision of palliative care in kidney services and practitioner concerns to provide equitable access led to the development of this study which focussed on the perspectives of South Asian patients and their care providers. As people with a South Asian background experience a higher risk of Type 2 Diabetes (T2DM) and end stage kidney failure (ESKF) compared to the majority population but wait longer for a transplant, there is a need for end of life care to be accessible for this group of patients. Furthermore because non English speakers and people at end of life are often excluded from research there is a dearth of research evidence with which to inform service improvement. This paper aims to explore issues relating to the process of recruitment of patients for a research project which contribute to our understanding of access to end of life care for ethnic minority patients in the kidney setting. METHODS: The study employed an action research methodology with interviews and focus groups to capture and reflect on the process of engaging with South Asian patients about end of life care. Researchers and kidney care clinicians on four NHS sites in the UK recruited South Asian patients with ESKF who were requiring end of life care to take part in individual interviews; and other clinicians who provided care to South Asian kidney patients at end of life to take part in focus groups exploring end of life care issues. In action research planning, action and evaluation are interlinked and data were analysed with emergent themes fed back to care providers through the research cycle. Reflections on the process of patient recruitment generated focus group discussions about access which were analysed thematically and reported here. RESULTS: Sixteen patients were recruited to interview and 45 different care providers took part in 14 focus groups across the sites. The process of recruiting patients to interview and subsequent focus group data highlighted some of the key issues concerning access to end of life care. These were: the identification of patients approaching end of life; and their awareness of end of life care; language barriers and informal carers' roles in mediating communication; and contrasting cultures in end of life kidney care. CONCLUSIONS: Reflection on the process of recruitment in this action research study provided insight into the complex scenario of end of life in kidney care. Some of the emerging issues such as the difficulty identifying patients are likely to be common across all patient groups, whilst others concerning language barriers and third party communication are more specific to ethnic minorities. A focus on South Asian ethnicity contributes to better understanding of patient perspectives and generic concepts as well as access to end of life kidney care for this group of patients in the UK. Action research was a useful methodology for achieving this and for informing future research to include informal carers and other ethnic groups. AD - Wilkinson, Emma. Institute for Health Research, University of Bedfordshire, Luton, UK. Randhawa, Gurch. Institute for Health Research, University of Bedfordshire, Luton, UK. Gurch.randhawa@beds.ac.uk. Brown, Edwina. Imperial College Healthcare NHS Trust, London, UK. Da Silva Gane, Maria. East and North Herts NHS Trust, Stevenage, UK. Stoves, John. Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK. Warwick, Graham. University Hospitals of Leicester NHS Trust, Leicester, UK. Akhtar, Tahira. Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK. Magee, Regina. Imperial College Healthcare NHS Trust, London, UK. Sharman, Sue. University Hospitals of Leicester NHS Trust, Leicester, UK. Farrington, Ken. Imperial College Healthcare NHS Trust, London, UK. AN - 27401732 AU - Wilkinson, E. AU - Randhawa, G. AU - Brown, E. AU - Da Silva Gane, M. AU - Stoves, J. AU - Warwick, G. AU - Akhtar, T. AU - Magee, R. AU - Sharman, S. AU - Farrington, K. DA - Jul 11 DB - MEDLINE DO - https://dx.doi.org/10.1186/s12904-016-0128-1 DP - Ovid Technologies J2 - BMC Palliat Care KW - Aged, 80 and over Asia, Western/eh [Ethnology] Awareness Ethnicity Female Focus Groups Health Services Accessibility/og [Organization & Administration] *Health Services Accessibility/st [Standards] Humans Kidney Failure, Chronic/eh [Ethnology] *Kidney Failure, Chronic/th [Therapy] Male Needs Assessment Patient Selection Terminal Care/og [Organization & Administration] *Terminal Care/st [Standards] United Kingdom LA - English N1 - Wilkinson, Emma Randhawa, Gurch Brown, Edwina Da Silva Gane, Maria Stoves, John Warwick, Graham Akhtar, Tahira Magee, Regina Sharman, Sue Farrington, Ken PY - 2016 SN - 1472-684X SP - 57 ST - Exploring access to end of life care for ethnic minorities with end stage kidney disease through recruitment in action research T2 - BMC Palliative Care TI - Exploring access to end of life care for ethnic minorities with end stage kidney disease through recruitment in action research UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med13&AN=27401732 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med13&rft.genre=article&rft_id=info:doi/10.1186%2Fs12904-016-0128-1&rft_id=info:pmid/27401732&rft.issn=1472-684X&rft.volume=15&rft.issue=1&rft.spage=57&rft.pages=57&rft.date=2016&rft.jtitle=BMC+Palliative+Care&rft.atitle=Exploring+access+to+end+of+life+care+for+ethnic+minorities+with+end+stage+kidney+disease+through+recruitment+in+action+research.&rft.aulast=Wilkinson VL - 15 ID - 2106 ER - TY - JOUR AB - South Asian people have a higher risk of developing kidney disease, are disproportionately represented in the patient population requiring renal replacement therapy and wait longer to receive a kidney transplant, compared with white Europeans. As a result, there is a demand for end-of-life care, which meets the needs of this group of patients. Providing end-of-life care to patients from different cultures is a challenge for renal services as there can be barriers to communication in the form of language, delegated decision-making within families and reluctance to discuss death. To explore end-of-life care for South Asians with kidney disease, 16 interviews with patients and 14 focus groups with care providers were conducted at four research sites in the UK with large South Asian populations. Using an action research design the data were analysed thematically and fed back to inform the research in a cyclical manner. If patients are not fully aware of their condition or of what end-of-life care is, it is less likely that they will be able to be involved in decision-making about their care and this is compounded where there are communication barriers. Variations in care provider awareness and experience of providing end-of-life care to South Asian patients, in turn, contributes to lack of patient awareness of end-of-life care. Communication as care at the end of life should be explored further. Researching the South Asian patient experience of end of life highlights many relevant and generalisable issues. AD - Wilkinson, Emma. Institute for Health Research and Institute of Diabetes for Older People, University of Bedfordshire, Luton, UK. AN - 25185489 AU - Wilkinson, E. AU - Randhawa, G. AU - Brown, E. A. AU - Da Silva Gane, M. AU - Stoves, J. AU - Warwick, G. AU - Akhtar, T. AU - Magee, R. AU - Sharman, S. AU - Farrington, K. DA - Sep DB - MEDLINE DO - https://dx.doi.org/10.1111/jorc.12084 DP - Ovid Technologies J2 - J KW - Aged Aged, 80 and over *Asians *Communication Barriers *Cultural Competency *Cultural Diversity *Emigrants and Immigrants Female Focus Groups Health Literacy *Health Services Research Humans Interview, Psychological *Kidney Failure, Chronic/eh [Ethnology] *Kidney Failure, Chronic/nu [Nursing] Male Middle Aged *Minority Groups Renal Dialysis/nu [Nursing] *Terminal Care/mt [Methods] United Kingdom LA - English M3 - Research Support, Non-U.S. Gov't N1 - Wilkinson, Emma Randhawa, Gurch Brown, Edwina A Da Silva Gane, Maria Stoves, John Warwick, Graham Akhtar, Tahira Magee, Regina Sharman, Sue Farrington, Ken PY - 2014 SN - 1755-6686 SP - 23-9 ST - Communication as care at end of life: an emerging issue from an exploratory action research study of renal end-of-life care for ethnic minorities in the UK T2 - Journal of Renal Care TI - Communication as care at end of life: an emerging issue from an exploratory action research study of renal end-of-life care for ethnic minorities in the UK UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med11&AN=25185489 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med11&rft.genre=article&rft_id=info:doi/10.1111%2Fjorc.12084&rft_id=info:pmid/25185489&rft.issn=1755-6678&rft.volume=40&rft.issue=1&rft.spage=23&rft.pages=23-9&rft.date=2014&rft.jtitle=Journal+of+Renal+Care&rft.atitle=Communication+as+care+at+end+of+life%3A+an+emerging+issue+from+an+exploratory+action+research+study+of+renal+end-of-life+care+for+ethnic+minorities+in+the+UK.&rft.aulast=Wilkinson VL - 40 Suppl 1 ID - 2109 ER - TY - JOUR AB - The reduction of inequalities in access to quality care has been a central tenet of UK health policy. Ethnic minorities may experience additional inequalities because of language and other cultural barriers. This article reports interviewer reflections of conducting interviews with South Asian kidney patients about their experiences of end-of-life care. It explores themes which emerged from the analysis of a focus group held with eight bilingual research interviewers. The relevance of these themes to understanding inequalities and access to end-of-life care is discussed; together with the potential for the research process to contribute to service improvement. AD - Wilkinson, Emma. Senior Research Fellow, at the University of Bedfordshire, UK. Waqar, Muhammad. Assistant Research Advisor, at the University of Bedfordshire, UK. Gill, Balbir. Visiting Research Interviewer, at the University of Bedfordshire, UK. Hoque, Pina. Visiting Research Interviewer, at the University of Bedfordshire, UK. Jetha, Champa. Visiting Research Interviewer, at the University of Bedfordshire, UK. Bola, Kulwinder Kaur. Visiting Research Interviewer, at the University of Bedfordshire, UK. Mahmood, Riffat. Visiting Research Interviewer, at the University of Bedfordshire, UK. Mahmood, Sultan. Visiting Research Interviewer, at the University of Bedfordshire, UK. Saujani, Rita. Visiting Research Interviewer, at the University of Bedfordshire, UK. Randhawa, Gurch. Professor of Diversity in Public Health, at the University of Bedfordshire, UK. AN - 28345473 AU - Wilkinson, E. AU - Waqar, M. AU - Gill, B. AU - Hoque, P. AU - Jetha, C. AU - Bola, K. K. AU - Mahmood, R. AU - Mahmood, S. AU - Saujani, R. AU - Randhawa, G. DA - Mar 16 DB - MEDLINE DO - https://dx.doi.org/10.12968/ijpn.2017.23.3.120 DP - Ovid Technologies IS - 3 J2 - Int J Palliat Nurs KW - Asia, Western/eh [Ethnology] Asians *Attitude of Health Personnel *Communication Barriers *Cultural Competency Ethics, Research *Ethnicity Focus Groups Humans *Kidney Failure, Chronic Minority Groups Research *Research Personnel *Terminal Care United Kingdom Whites LA - English N1 - Wilkinson, Emma Waqar, Muhammad Gill, Balbir Hoque, Pina Jetha, Champa Bola, Kulwinder Kaur Mahmood, Riffat Mahmood, Sultan Saujani, Rita Randhawa, Gurch PY - 2017 SN - 1357-6321 SP - 120-128 ST - Exploring end-of-life care for South Asian kidney patients: interviewer reflections T2 - International Journal of Palliative Nursing TI - Exploring end-of-life care for South Asian kidney patients: interviewer reflections UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med14&AN=28345473 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med14&rft.genre=article&rft_id=info:doi/10.12968%2Fijpn.2017.23.3.120&rft_id=info:pmid/28345473&rft.issn=1357-6321&rft.volume=23&rft.issue=3&rft.spage=120&rft.pages=120-128&rft.date=2017&rft.jtitle=International+Journal+of+Palliative+Nursing&rft.atitle=Exploring+end-of-life+care+for+South+Asian+kidney+patients%3A+interviewer+reflections.&rft.aulast=Wilkinson VL - 23 ID - 2103 ER - TY - JOUR AB - OBJECTIVES: To examine the care experiences of South Asian Sikh and Muslim patients in Scotland with life limiting illness and their families and to understand the reasons for any difficulties with access to services and how these might be overcome. DESIGN: Prospective, longitudinal, qualitative design using in-depth interviews. SETTING: Central Scotland. PARTICIPANTS: 25 purposively selected South Asian Sikh and Muslim patients, 18 family carers, and 20 key health professionals. RESULTS: 92 interviews took place. Most services struggled to deliver responsive, culturally appropriate care. Barriers to accessing effective end of life care included resource constrained services; institutional and, occasionally, personal racial and religious discrimination; limited awareness and understanding among South Asian people of the role of hospices; and difficulty discussing death. The most vulnerable patients, including recent migrants and those with poor English language skills, with no family advocate, and dying of non-malignant diseases were at particularly high risk of inadequate care. CONCLUSIONS: Despite a robust Scottish diversity policy, services for South Asian Sikh and Muslim patients with life limiting illness were wanting in many key areas. Active case management of the most vulnerable patients and carers, and "real time" support, from where professionals can obtain advice specific to an individual patient and family, are the approaches most likely to instigate noticeable improvements in access to high quality end of life care. Improving access to palliative care for all, particularly those with non-malignant illnesses, as well as focusing on the specific needs of ethnic minority groups, is required. AD - Worth, Allison. Primary Palliative Care Research Group, Centre for Population Health Sciences, University of Edinburgh, Edinburgh EH8 9DX. AN - 19190015 AU - Worth, A. AU - Irshad, T. AU - Bhopal, R. AU - Brown, D. AU - Lawton, J. AU - Grant, E. AU - Murray, S. AU - Kendall, M. AU - Adam, J. AU - Gardee, R. AU - Sheikh, A. DA - Feb 03 DB - MEDLINE DO - https://dx.doi.org/10.1136/bmj.b183 DP - Ovid Technologies J2 - Bmj KW - Adaptation, Psychological Adult Aged Asia, Western/eh [Ethnology] Attitude of Health Personnel Caregivers/sn [Statistics & Numerical Data] Critical Illness/ep [Epidemiology] *Critical Illness/th [Therapy] Culture Delivery of Health Care/st [Standards] Female *Health Services Accessibility/sn [Statistics & Numerical Data] Humans Islam Male Middle Aged Palliative Care/sn [Statistics & Numerical Data] Prospective Studies Scotland/ep [Epidemiology] Sikkim/eh [Ethnology] *Terminal Care/sn [Statistics & Numerical Data] Terminally Ill/sn [Statistics & Numerical Data] *Vulnerable Populations/eh [Ethnology] LA - English M3 - Research Support, Non-U.S. Gov't N1 - Worth, Allison Irshad, Tasneem Bhopal, Raj Brown, Duncan Lawton, Julia Grant, Elizabeth Murray, Scott Kendall, Marilyn Adam, James Gardee, Rafik Sheikh, Aziz Comment in (CIN) 338/feb03_1/b183 PY - 2009 SN - 1756-1833 SP - b183 ST - Vulnerability and access to care for South Asian Sikh and Muslim patients with life limiting illness in Scotland: prospective longitudinal qualitative study T2 - BMJ TI - Vulnerability and access to care for South Asian Sikh and Muslim patients with life limiting illness in Scotland: prospective longitudinal qualitative study UR - https://proxy.queensu.ca/login?url=http://ovidsp.ovid.com?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=19190015 https://ocul-qu.primo.exlibrisgroup.com/openurl/01OCUL_QU/01OCUL_QU:QU_DEFAULT?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:med7&rft.genre=article&rft_id=info:doi/10.1136%2Fbmj.b183&rft_id=info:pmid/19190015&rft.issn=0959-8138&rft.volume=338&rft.issue=03&rft.spage=b183&rft.pages=b183&rft.date=2009&rft.jtitle=BMJ&rft.atitle=Vulnerability+and+access+to+care+for+South+Asian+Sikh+and+Muslim+patients+with+life+limiting+illness+in+Scotland%3A+prospective+longitudinal+qualitative+study.&rft.aulast=Worth VL - 338 ID - 2118 ER -