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Ethnicity and inequalities in health and social care最新文献

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Healthcare injustice in patients with sickle cell disease 镰状细胞病患者的医疗不公
Ethnicity and inequalities in health and social care Pub Date : 2016-05-20 DOI: 10.1108/IJHRH-07-2014-0015
M. Ezenwa, Crystal L. Patil, Kevin Shi, R. Molokie
{"title":"Healthcare injustice in patients with sickle cell disease","authors":"M. Ezenwa, Crystal L. Patil, Kevin Shi, R. Molokie","doi":"10.1108/IJHRH-07-2014-0015","DOIUrl":"https://doi.org/10.1108/IJHRH-07-2014-0015","url":null,"abstract":"Purpose – The purpose of this paper is to detail experiences that sickle cell disease (SCD) patients associate with healthcare justice and injustice in pain control. Design/methodology/approach – A content analysis study of open-ended comments written by 31 participants who completed a 20-item healthcare injustice questionnaire-revised twice: once in reference to experiences with doctors and once in reference to experiences with nurses. Findings – Participants’ mean age was 33±10 years; most were African-Americans and women. Themes showed: the four domains of healthcare justice were represented in patients’ comments; examples of justice and injustice were provided; specific incidents and interactions with healthcare providers were memorable to patients; and setting was a factor important to healthcare experiences because expectations about services vary by setting. Research limitations/implications – Patients were self-selected. Future work will include qualitative interviews and focus groups to uncover m...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"9 1","pages":"109-119"},"PeriodicalIF":0.0,"publicationDate":"2016-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHRH-07-2014-0015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62692645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Belief systems enforcing female genital mutilation in Europe 在欧洲实行女性生殖器切割的信仰体系
Ethnicity and inequalities in health and social care Pub Date : 2016-04-05 DOI: 10.1108/IJHRH-05-2015-0015
Y. Alhassan, H. Barrett, K. Brown, K. Kwah
{"title":"Belief systems enforcing female genital mutilation in Europe","authors":"Y. Alhassan, H. Barrett, K. Brown, K. Kwah","doi":"10.1108/IJHRH-05-2015-0015","DOIUrl":"https://doi.org/10.1108/IJHRH-05-2015-0015","url":null,"abstract":"Purpose – Despite numerous studies on FGM, little is known about belief systems that support FGM in the EU. The purpose of this paper is to explore the dynamic nature of belief systems and enforcement mechanisms that perpetuate FGM among three African migrant communities in the EU. Design/methodology/approach – This paper is based on data collected through community-based participatory action research in three communities: Eritrean and Ethiopian community in Palermo, Italy; Guinea Bissauan community in Lisbon, Portugal; and Senegalese and Gambian community in Banyoles, Spain. A total of 24 FGDs and 70 in-depth narrative interviews were conducted for the research. Findings – The research finds that belief systems supporting the practice of FGM among African migrants in the European diaspora are similar to those in their home countries. Beliefs structured around religion, sexuality, decency, marriage and socialisation are particularly significant in perpetuating FGM in the study migrant communities. These a...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"9 1","pages":"29-40"},"PeriodicalIF":0.0,"publicationDate":"2016-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHRH-05-2015-0015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62692488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 16
Improving health and wellbeing in women's secure services: physical activity, appearance, self-care and body image 改善妇女安全服务部门的健康和福祉:体育活动、外表、自我保健和身体形象
Ethnicity and inequalities in health and social care Pub Date : 2014-11-26 DOI: 10.1108/EIHSC-10-2013-0037
C. Long, F. Mason
{"title":"Improving health and wellbeing in women's secure services: physical activity, appearance, self-care and body image","authors":"C. Long, F. Mason","doi":"10.1108/EIHSC-10-2013-0037","DOIUrl":"https://doi.org/10.1108/EIHSC-10-2013-0037","url":null,"abstract":"Purpose – Lifestyle change to improve physical health is a significant challenge in secure psychiatric hospitals for women. In addition to factors that contribute to an obesogenic environments body image, self-care, self-esteem, and motivational problems compound efforts to increase physical activity and to lose weight. The paper aims to discuss these issues. Design/methodology/approach – Two elements of a comprehensive programme to improve physical health and mental wellbeing are discussed. The first describes the development of a unique role of self-care and body image therapists and an evaluation of the effects of treatment. The second describes initiatives to assess the environmental and therapeutic milieu contingencies that impact on physical activity and to increase engagement in exercise through motivational strategies. Findings – Research within the current settings has resulted in a validation of the role of the self-care and body image therapist. Other evaluations have described the environmenta...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"1 1","pages":"178-186"},"PeriodicalIF":0.0,"publicationDate":"2014-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-10-2013-0037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62150280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Body image and body work among older women: a review 老年妇女的身体形象和身体工作:综述
Ethnicity and inequalities in health and social care Pub Date : 2014-11-26 DOI: 10.1108/EIHSC-11-2013-0042
Catherine Marshall, C. Lengyel, V. Menec
{"title":"Body image and body work among older women: a review","authors":"Catherine Marshall, C. Lengyel, V. Menec","doi":"10.1108/EIHSC-11-2013-0042","DOIUrl":"https://doi.org/10.1108/EIHSC-11-2013-0042","url":null,"abstract":"Purpose – The purpose of this paper is to review the literature on body image and aging among older women. Using existing qualitative research, this paper explores how aging affects body image and how women respond to body image issues as they age. Design/methodology/approach – Multiple databases were used to locate original and review articles on the topics of body image and aging, with a target population of women ages 60 years and older. The findings of the literature search were compiled, summarized and sorted to create themes. Findings – Women struggle with body image issues throughout their lives. Women tend to perceive age-related changes in appearance negatively, as a threat to their identity and social value. This is due, in part, to the sociocultural environment, which pressures women to “fight” aging and maintain an ideal (young and thin) image at all costs. Some women do come to terms with their aging body and report increased self-acceptance with age. However, others turn to various forms of ...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"198-210"},"PeriodicalIF":0.0,"publicationDate":"2014-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-11-2013-0042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62151119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Overcoming weight bias: promoting physical activity and psychosocial health 克服体重偏见:促进身体活动和社会心理健康
Ethnicity and inequalities in health and social care Pub Date : 2014-11-26 DOI: 10.1108/EIHSC-11-2013-0043
P. L. Watkins, V. Ebbeck, S. Levy
{"title":"Overcoming weight bias: promoting physical activity and psychosocial health","authors":"P. L. Watkins, V. Ebbeck, S. Levy","doi":"10.1108/EIHSC-11-2013-0043","DOIUrl":"https://doi.org/10.1108/EIHSC-11-2013-0043","url":null,"abstract":"Purpose – The purpose of this paper is to evaluate Feel WonderFull Fitness (FWF), a program adhering to the Health At Every SizeTM (HAES) paradigm, on larger women's physical activity and psychosocial health. FWF was tailored to overcome barriers based on weight bias. Design/methodology/approach – The study compared “overweight” and “obese” women in FWF to those not currently enrolled in formal exercise programs. Controls were divided into low physical activity (LPA) and moderate physical activity (MPA) conditions based on pretest exercise level. Outcome measures were collected at pretest and three months later at posttest. Findings – FWF participants had the greatest gains in physical activity and demonstrated significantly greater improvements in depression than the LPA group. FWF and the MPA group showed more improved scores on perceived body attractiveness than the LPA group. Scores on an eating disorders measure improved for all groups, but somewhat more so for the FWF group. Improvements occurred in...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"187-197"},"PeriodicalIF":0.0,"publicationDate":"2014-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-11-2013-0043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62151239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Ethnicity, socioeconomic status, and eating disorder symptomatology in Canada: implications for mental health care 加拿大的种族、社会经济地位和饮食失调症状:对精神卫生保健的影响
Ethnicity and inequalities in health and social care Pub Date : 2014-11-26 DOI: 10.1108/EIHSC-10-2013-0038
Jennifer A. Boisvert, W. Harrell
{"title":"Ethnicity, socioeconomic status, and eating disorder symptomatology in Canada: implications for mental health care","authors":"Jennifer A. Boisvert, W. Harrell","doi":"10.1108/EIHSC-10-2013-0038","DOIUrl":"https://doi.org/10.1108/EIHSC-10-2013-0038","url":null,"abstract":"Purpose – There is a gap in the understanding of relationships between socioeconomic status (SES), urban-rural differences, ethnicity and eating disorder symptomatology. This gap has implications for access to treatment and the effectiveness of treatment. The paper aims to discuss these issues. Design/methodology/approach – Data are presented from a major Canadian survey, analyzing the impact of body mass index (BMI), urban-non-urban residency, income, and ethnicity on eating disorder symptomatology. Findings – One of the strongest findings is that high income non-White women expressed less eating disorder symptomatology than lower income non-White women. Research limitations/implications – Future research needs to consider how factors such as urban residency, exposure to Western “thinness” ideals, and income differentials impact non-White women. Practical implications – Effective treatment of ethnic minority women requires an appreciation of complicated effects of “culture clash,” income and BMI on eatin...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"158-177"},"PeriodicalIF":0.0,"publicationDate":"2014-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-10-2013-0038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
The impact of weight on self-acceptance 体重对自我接纳的影响
Ethnicity and inequalities in health and social care Pub Date : 2014-11-26 DOI: 10.1108/EIHSC-10-2014-0025
V. Taylor
{"title":"The impact of weight on self-acceptance","authors":"V. Taylor","doi":"10.1108/EIHSC-10-2014-0025","DOIUrl":"https://doi.org/10.1108/EIHSC-10-2014-0025","url":null,"abstract":"","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62150796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mortality, ethnicity, and education in an occupational cohort 职业队列的死亡率、种族和教育程度
Ethnicity and inequalities in health and social care Pub Date : 2014-10-30 DOI: 10.1108/EIHSC-11-2013-0050
S. Jonas, G. Grieco, R. Norman, S. Grumet, I. Kedan
{"title":"Mortality, ethnicity, and education in an occupational cohort","authors":"S. Jonas, G. Grieco, R. Norman, S. Grumet, I. Kedan","doi":"10.1108/EIHSC-11-2013-0050","DOIUrl":"https://doi.org/10.1108/EIHSC-11-2013-0050","url":null,"abstract":"Purpose – The purpose of this paper is to investigate the relationship between occupational degree requirement and mortality between ethnic groups in a cohort of urban workers. Design/methodology/approach – The study included 118,606 health-insured full-time workers from the New York City Health and Hospitals Corporation (HHC). Mortality rates (MR) and mortality rate ratios (MRR) were calculated for major ethnic categories. Estimates were adjusted for age, sex, and occupational degree requirement. Findings – Prior to adjustment for degree requirement, mortality rates (MRs) by ethnic groups in the Health and Hospitals Corporation were in line with national estimates: highest for blacks, followed by whites, Hispanics, and Asian/Pacific Islander (APIs). After adjustment, the MR for blacks became comparable to whites (mortality rate ratio (MRR)=1.02). The low-Hispanic MR did not change; the Hispanic advantage persisted (MRR=0.66), as did the API advantage (MRR=0.50). Research limitations/implications – Higher...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"137-145"},"PeriodicalIF":0.0,"publicationDate":"2014-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-11-2013-0050","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62151271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychological health and discrimination experience among graduate students: findings from the Stress Coping Obstruction Prevention & Education (SCOPE) Study 研究生心理健康与歧视经历:来自压力应对、障碍预防与教育(SCOPE)研究的结果
Ethnicity and inequalities in health and social care Pub Date : 2014-10-30 DOI: 10.1108/EIHSC-11-2013-0049
L. Wilkinson, Jelani Kerr, T. Smith, Muhammad Salaam, Minnjuan W. Flournoy, Jametta S Magwood, E. Williams, S. Glover
{"title":"Psychological health and discrimination experience among graduate students: findings from the Stress Coping Obstruction Prevention & Education (SCOPE) Study","authors":"L. Wilkinson, Jelani Kerr, T. Smith, Muhammad Salaam, Minnjuan W. Flournoy, Jametta S Magwood, E. Williams, S. Glover","doi":"10.1108/EIHSC-11-2013-0049","DOIUrl":"https://doi.org/10.1108/EIHSC-11-2013-0049","url":null,"abstract":"Purpose – African-Americans historically report greater exposure to discrimination and also experience unfavorable outcomes associated with physical health, poverty concentration, residential segregation, and poorer education. The effects of discrimination are particularly harmful on mental health as discriminatory experiences contribute significantly to diminished mental health status and psychological distress. African-Americans pursuing graduate education may experience additional stressors, increasing the risk for poorer mental health. The purpose of this paper is to examine the association of psychological health and discrimination experiences among black and white graduate students at a southeastern university. Design/methodology/approach – Participants were 505 graduate students at a predominantly white southeastern institution. Researchers collected data via self-administered online and paper questionnaires during the spring 2010 semester. Graduate students were asked questions pertaining to indiv...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"122-136"},"PeriodicalIF":0.0,"publicationDate":"2014-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-11-2013-0049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62151078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Promoting mental health of immigrant seniors in community 促进社区移民老年人的心理健康
Ethnicity and inequalities in health and social care Pub Date : 2014-10-30 DOI: 10.1108/EIHSC-11-2013-0048
S. Koehn, P. Jarvis, S. Sandhra, S. Bains, Madeleine Addison
{"title":"Promoting mental health of immigrant seniors in community","authors":"S. Koehn, P. Jarvis, S. Sandhra, S. Bains, Madeleine Addison","doi":"10.1108/EIHSC-11-2013-0048","DOIUrl":"https://doi.org/10.1108/EIHSC-11-2013-0048","url":null,"abstract":"Purpose – The purpose of this paper is to explore if and how community organizations providing services to late-in-life Punjabi immigrants in British Columbia, Canada, offer services with the potential to promote their mental health or well-being. The authors also wanted to know how Punjabi seniors perceived available services and if they supported their mental well-being. Design/methodology/approach – To guide the research, the authors used the VicHealth Framework, which identifies three overarching social and economic determinants of mental health: social inclusion (SI), freedom from violence and discrimination, and access to economic resources and participation. This mixed methods study combines descriptive survey and qualitative focus group data with input from Punjabi seniors and community service providers. Findings – All three mental health determinants were identified as important by service providers and seniors, with SI as the most important. Family dynamics (shaped by migration and sponsorship ...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"146-156"},"PeriodicalIF":0.0,"publicationDate":"2014-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-11-2013-0048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62150972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
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