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Ethnicity and inequalities in health and social care最新文献

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Pacific peoples, mental health service engagement and suicide prevention in Aotearoa New Zealand 新西兰奥特罗阿的太平洋人民、心理健康服务参与和自杀预防
Ethnicity and inequalities in health and social care Pub Date : 2014-10-30 DOI: 10.1108/EIHSC-10-2013-0023
Jemaima Tiatia-Seath
{"title":"Pacific peoples, mental health service engagement and suicide prevention in Aotearoa New Zealand","authors":"Jemaima Tiatia-Seath","doi":"10.1108/EIHSC-10-2013-0023","DOIUrl":"https://doi.org/10.1108/EIHSC-10-2013-0023","url":null,"abstract":"Purpose – The purpose of this paper is to discuss the engagement of Pacific peoples in mental health services in Aotearoa New Zealand and Pacific strategies for suicide prevention. Design/methodology/approach – This qualitative study involved 22 interviews with Samoans who had made a suicide attempt and/or had suicide ideation, were engaged in a mental health service. Findings – Narratives of mental health services and suicide prevention focused on issues of cultural competency, the importance of family involvement, dichotomous views of western and traditional beliefs around mental illness and the unsuccessful engagement of Pacific youth. Originality/value – This research argues that cultural considerations for Pacific communities are of paramount importance if mental health service engagement and developments towards Pacific suicide prevention strategies are to be effective.","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"6 1","pages":"111-121"},"PeriodicalIF":0.0,"publicationDate":"2014-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-10-2013-0023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149938","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: 24
Psychopathology in severely obese women from a Canadian bariatric setting 加拿大重度肥胖妇女的精神病理学研究
Ethnicity and inequalities in health and social care Pub Date : 2014-10-16 DOI: 10.1108/EIHSC-10-2013-0033
Rachel Strimas, M. Dionne, Stephanie E. Cassin, Susan M Wnuk, M. Taube-Schiff, S. Sockalingam
{"title":"Psychopathology in severely obese women from a Canadian bariatric setting","authors":"Rachel Strimas, M. Dionne, Stephanie E. Cassin, Susan M Wnuk, M. Taube-Schiff, S. Sockalingam","doi":"10.1108/EIHSC-10-2013-0033","DOIUrl":"https://doi.org/10.1108/EIHSC-10-2013-0033","url":null,"abstract":"Purpose – Evidence suggests high rates of psychiatric disorders in bariatric surgery candidates (e.g. Mitchell et al., 2012), although no rigorous studies have examined the prevalence in a Canadian sample. Improved understanding of the prevalence of psychopathology among female patients is an important area of study, as females comprise approximately 80 percent of surgical candidates (Martin et al., 2010; Padwal, 2005). The purpose of this paper is to assess the prevalence of Axis I disorders and associations with quality of life in a Canadian sample of female bariatric surgery candidates. Design/methodology/approach – Female patients (n=257) were assessed using a structured psychodiagnostic interview and completed a health-related quality of life questionnaire. Findings – Results indicated that 57.2 percent of patients met DSM-IV-TR criteria for a lifetime psychiatric disorder and 18.3 percent met criteria for a current psychiatric disorder. Major depressive disorder was the most common lifetime psychiat...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"72-85"},"PeriodicalIF":0.0,"publicationDate":"2014-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-10-2013-0033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62150088","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
The impact of education on weight control beliefs 教育对体重控制信念的影响
Ethnicity and inequalities in health and social care Pub Date : 2014-10-16 DOI: 10.1108/EIHSC-11-2013-0041
Michele Laliberté, D. Balk, Stacey Tweed, Jessica R. Smith, Amrita Ghai
{"title":"The impact of education on weight control beliefs","authors":"Michele Laliberté, D. Balk, Stacey Tweed, Jessica R. Smith, Amrita Ghai","doi":"10.1108/EIHSC-11-2013-0041","DOIUrl":"https://doi.org/10.1108/EIHSC-11-2013-0041","url":null,"abstract":"Purpose – The purpose of this paper is to investigate whether reading a self-help chapter on the body's regulation of weight can change weight control beliefs, and whether such changes in turn predict improvements in body dissatisfaction and self-esteem. Design/methodology/approach – Participants of a mixed racial sample of undergraduate college women (n=154) completed measures of personal weight control beliefs, body dissatisfaction, self-esteem and knowledge before and after they read a self-help education chapter. Findings – Exposure to the education was associated with improvement in knowledge, body dissatisfaction and self-esteem and change in weight control beliefs. Increase in the belief in “striving for a healthy lifestyle with acceptance of one's natural weight” predicted improvement in body dissatisfaction and self-esteem. Research limitations/implications – This paper provides preliminary evidence that realistic information about weight control can impact weight control beliefs, and that this i...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"10 1","pages":"86-95"},"PeriodicalIF":0.0,"publicationDate":"2014-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-11-2013-0041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62150665","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
Gynetic organisms: pro-anorexic techno bodies 磁性生物:支持厌食症的技术体
Ethnicity and inequalities in health and social care Pub Date : 2014-10-16 DOI: 10.1108/EIHSC-10-2013-0040
G. Connor, L. Coombes
{"title":"Gynetic organisms: pro-anorexic techno bodies","authors":"G. Connor, L. Coombes","doi":"10.1108/EIHSC-10-2013-0040","DOIUrl":"https://doi.org/10.1108/EIHSC-10-2013-0040","url":null,"abstract":"Purpose – The purpose of this paper is to analyse pro-anorexia from a discursive, metaphorical standpoint in order to enable an understanding of how pro-anorexia functions as political resistance through technological bodies. Design/methodology/approach – Techno-metaphor is used to reveal how pro-anorexic communities online function through technology. Findings – Six techno-metaphors work to construct pro-anorexic cyborg embodiment through technology. This pro-anorexic cyborg embodiment offers relief from the tensions of patriarchal femininity and provides control over troublesome embodiment. Technology enables women experiencing anorexia to resist the dominant interpretations of their lived experience that subjugate them. Originality/value – This research offers an understanding of pro-anorexia as resistance to intolerable femininity and reconstructed female bodies through technology. By exploiting technological political space, pro-anorexics are claiming positions and forms of embodiment previously off-...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"62-71"},"PeriodicalIF":0.0,"publicationDate":"2014-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-10-2013-0040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62150460","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 concerns in obese women seeking bariatric surgery 寻求减肥手术的肥胖女性的身体形象问题
Ethnicity and inequalities in health and social care Pub Date : 2014-10-16 DOI: 10.1108/EIHSC-11-2013-0044
Amrita Ghai, I. Milosevic, Michele Laliberté, V. Taylor, R. McCabe
{"title":"Body image concerns in obese women seeking bariatric surgery","authors":"Amrita Ghai, I. Milosevic, Michele Laliberté, V. Taylor, R. McCabe","doi":"10.1108/EIHSC-11-2013-0044","DOIUrl":"https://doi.org/10.1108/EIHSC-11-2013-0044","url":null,"abstract":"Purpose – The purpose of this paper is to assess multidimensional body image concerns in a sample of obese women seeking bariatric surgery at an outpatient hospital clinic in Hamilton, Ontario, Canada. Design/methodology/approach – A sample of obese adult women seeking bariatric surgery at an outpatient medical clinic in Hamilton, Ontario, Canada (n=148) completed various self-report measures of body image concerns, including body image dysphoria, body image quality of life, body image investment, and appearance satisfaction. Participant scores were compared to normative data. Correlations between body image concern measures and body mass index (BMI) were examined. Findings – Participants endorsed more body image dysphoria, more negative body image quality of life, and less appearance satisfaction than normative samples. BMI was not correlated with body image concern scores. Practical implications – Interventions aimed at reducing body image disturbance in obese women should target multiple components of ...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"96-107"},"PeriodicalIF":0.0,"publicationDate":"2014-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-11-2013-0044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62150863","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: 11
The prevalence of suicide attempts among community-dwelling US Chinese older adults – findings from the PINE study 美国华人社区老年人自杀企图的患病率——来自PINE研究的发现
Ethnicity and inequalities in health and social care Pub Date : 2014-07-25 DOI: 10.1108/EIHSC-10-2013-0030
XinQi Dong, Ruijia Chen, E. Chang, M. Simon
{"title":"The prevalence of suicide attempts among community-dwelling US Chinese older adults – findings from the PINE study","authors":"XinQi Dong, Ruijia Chen, E. Chang, M. Simon","doi":"10.1108/EIHSC-10-2013-0030","DOIUrl":"https://doi.org/10.1108/EIHSC-10-2013-0030","url":null,"abstract":"Purpose – The purpose of this paper is to examine the prevalence of suicide attempts and explore the suicide methods among community-dwelling Chinese older adults. Design/methodology/approach – Data were drawn from the Population Study of Chinese Elderly in Chicago (PINE) study, a population-based epidemiological study of Chinese older adults aged 60 years and above in the greater Chicago area. Guided by the community-based participatory research (CBPR) approach, the study enrolled 3,159 community-dwelling Chinese older adults from 2011 to 2013. Findings – The lifetime prevalence of suicide attempts is 791 per 100,000 and the past 12-month prevalence of suicide attempts is 285 per 100,000. Medication overdose is the most common suicide method both in the group of lifetime suicide attempts and 12-month suicide attempts. Lower income is positively correlated with lifetime suicide attempts and 12-month suicide attempts. Living with fewer household members is positively correlated with lifetime suicide attemp...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"23-35"},"PeriodicalIF":0.0,"publicationDate":"2014-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-10-2013-0030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149961","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: 5
Food insecurity, diet quality, and mental health in culturally diverse adolescents 多元文化青少年的粮食不安全、饮食质量和心理健康
Ethnicity and inequalities in health and social care Pub Date : 2014-07-25 DOI: 10.1108/EIHSC-02-2013-0002
L. Lachance, Micha Martin, P. Kaduri, Paula Godoy‐Paiz, J. Ginieniewicz, V. Tarasuk, K. McKenzie
{"title":"Food insecurity, diet quality, and mental health in culturally diverse adolescents","authors":"L. Lachance, Micha Martin, P. Kaduri, Paula Godoy‐Paiz, J. Ginieniewicz, V. Tarasuk, K. McKenzie","doi":"10.1108/EIHSC-02-2013-0002","DOIUrl":"https://doi.org/10.1108/EIHSC-02-2013-0002","url":null,"abstract":"Purpose – The purpose of this paper is to increase the understanding of adolescents’ perceptions of food insecurity and diet quality, and the impact that these factors have on mental health. Design/methodology/approach – This study used a community-based research approach. It gathered qualitative data from 11 in-depth interviews conducted with adolescents aged 13-19. Participants were recruited through various programmes they attended at a community organization in Toronto. Findings – Overall, results indicate that respondents clearly identified a linkage between food insecurity and mental health. They also identified several effects of poor diet quality on mental health. Respondents understood food insecurity and poor diet quality to exist on a continuum. However, they also identified other reasons for making poor dietary choices such as peer pressure. Mental health effects of food insecurity and poor diet quality included sadness, stress, worry, anger, shame, impaired concentration, and fatigue. Practic...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"14-22"},"PeriodicalIF":0.0,"publicationDate":"2014-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-02-2013-0002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149319","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: 18
Social entrepreneurship and services for marginalized groups 社会企业家精神和对边缘群体的服务
Ethnicity and inequalities in health and social care Pub Date : 2014-07-25 DOI: 10.1108/EIHSC-03-2013-0004
S. Kidd, K. McKenzie
{"title":"Social entrepreneurship and services for marginalized groups","authors":"S. Kidd, K. McKenzie","doi":"10.1108/EIHSC-03-2013-0004","DOIUrl":"https://doi.org/10.1108/EIHSC-03-2013-0004","url":null,"abstract":"Purpose – The purpose of this paper is to examine the usefulness of the social entrepreneurship (SE) framework in highlighting effective models of service development and practice in mental health equity. Design/methodology/approach – Using a rigorous SE search process and a multiple case study design, core themes underlying the effectiveness of five services in Toronto, Canada for transgender, Aboriginal, immigrant, refugee, and homeless populations were determined. Findings – It was found that the SE construct is highly applicable in the context of services addressing mental health inequities. In the analysis five core themes emerged that characterized the development of these organizations: the personal investment of leaders within a social justice framework; a very active period of clarifying values and mission, engaging partners, and establishing structure; applying a highly innovative approach; maintaining focus, keeping current, and exceeding expectations; and acting more as a service working from ...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"3-13"},"PeriodicalIF":0.0,"publicationDate":"2014-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-03-2013-0004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149395","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: 6
Taxing times? Smoker response to tax increases 次征税?吸烟者对增税的反应
Ethnicity and inequalities in health and social care Pub Date : 2014-07-25 DOI: 10.1108/EIHSC-08-2013-0014
Nathan Cowie, M. Glover, D. Gentles
{"title":"Taxing times? Smoker response to tax increases","authors":"Nathan Cowie, M. Glover, D. Gentles","doi":"10.1108/EIHSC-08-2013-0014","DOIUrl":"https://doi.org/10.1108/EIHSC-08-2013-0014","url":null,"abstract":"Purpose – Taxing tobacco is one of the most effective means to reduce smoking but concerns about the impact on poor smokers are a barrier. New Zealand resumed increasing tobacco taxes in April 2010. The paper hypothesised smokers would attempt to stop smoking and/or adapt, changing their smoking behaviours in response to price increases. The paper aims to discuss these issues. Design/methodology/approach – The authors conducted a door knock survey of smokers and recent ex-smokers who were home when visited. Participants (n=428) were from socioeconomically deprived neighbourhoods of Auckland with large proportions of Māori and Pacific Island people. Findings – Many smokers (66 per cent) attempted to quit an average of 3 times. More than 40 per cent stopped for at least 24 hours without intending to quit altogether, monthly or more. Consumption reduced among 40 per cent of participants, by an average 7.1 cigarettes daily. More than a fifth of participants switched to cheaper brands. Switching from factory m...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"36-48"},"PeriodicalIF":0.0,"publicationDate":"2014-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-08-2013-0014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149657","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: 6
Stigma and disclosure as barriers to regular dental care for people living with HIV/AIDS in Kwazulu-Natal and Western Cape, South Africa 在南非夸祖鲁-纳塔尔省和西开普省，耻辱感和信息披露是艾滋病毒/艾滋病感染者获得常规牙科护理的障碍
Ethnicity and inequalities in health and social care Pub Date : 2014-07-25 DOI: 10.1108/EIHSC-05-2013-0006
M. Turton, S. Naidoo
{"title":"Stigma and disclosure as barriers to regular dental care for people living with HIV/AIDS in Kwazulu-Natal and Western Cape, South Africa","authors":"M. Turton, S. Naidoo","doi":"10.1108/EIHSC-05-2013-0006","DOIUrl":"https://doi.org/10.1108/EIHSC-05-2013-0006","url":null,"abstract":"Purpose – The purpose of this paper is to determine the oral health care experiences of people living with HIV in Kwazulu-Natal (KZN) and the Western Cape (WC) and also to identify the role of stigma and discrimination in the oral health care experiences for people living with HIV in KZN and the WC. Design/methodology/approach – This study was a survey among HIV-positive people attending selected Community Health Centres and regional hospitals, HIV clinics in KZN and WC provinces in South Africa. The sample consisted of people living with HIV that were 18 years or older and who had given written, informed consent. A cross-sectional study structure has been employed using a standardized format using a semi-structured interview and an administered questionnaire to collect data. The study classified participants as living in metropolitan or non-metropolitan areas. Findings – Apprehension of loss of confidentiality, stigma and discrimination were the barriers that deterred participants from seeking care. Resp...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"49-59"},"PeriodicalIF":0.0,"publicationDate":"2014-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-05-2013-0006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149516","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
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