Cultural variations in LGBT issues

2016 ◽  
Vol 33 (S1) ◽  
pp. S70-S70
Author(s):  
D. Bhugra
Keyword(s):  
Cultural Values ◽  
Coming Out ◽  
Help Seeking ◽  
Pathways To Care ◽  
Sex Partners ◽  
Cultural Variations ◽  
Therapeutic Adherence ◽  
Lgbt Issues ◽  
Number Of Factors ◽  
Competing Interest

Culturally determined gender roles influence relationships between different-sex partners, and cultural values affect attitudes towards sexual variation. LGBT patients face stigma, discrimination and prejudice and have specific issues related to a number of factors, in addition to the nature of sexuality. These factors affect help-seeking and also cause delays in pathways to care. In specific instances, gay, lesbian and transgender individuals show higher than expected levels of psychopathology. The clinician's attitudes affect therapeutic adherence and therapeutic alliance. LGBT patients may also have specific issues related to “coming out” and this may influence their relationships directly and indirectly. Furthermore, they may experience a reluctance to share their sexual orientation. Matching of therapists may offer one way forward but this is not always possible, and may not work due to a number of reasons.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Cultural factors and sexual dysfunction in clinical practice

2013 ◽  
Vol 19 (2) ◽  
pp. 144-152 ◽  
Author(s):  
Vishal Bhavsar ◽  
Dinesh Bhugra
Keyword(s):  
Sexual Dysfunction ◽  
Cultural Values ◽  
Help Seeking ◽  
Epidemiological Data ◽  
Explanatory Models ◽  
Cultural Factors ◽  
Child Rearing ◽  
Sex Partners ◽  
Therapeutic Engagement

SummaryAttitudes to sex and the perceived role of sexual activity are very strongly influenced by cultural values. Culturally determined gender roles influence relationships between different-sex partners, and cultural values affect attitudes towards sexual variation. Cultures define what is deviant and from where help is sought. Through differing patterns of child-rearing, cultures also affect individuals' cognitive development, world views and explanatory models of emotional distress. It is critical that clinicians are aware of the role of culture in defining sexual dysfunction and how cultural factors can be used in initiating treatment as well as in therapeutic engagement and alliance. Although epidemiological data on prevalence of sexual dysfunction across cultures are scanty, it is likely that prevalences vary, as will pathways into care and patterns of help-seeking. In this article we discuss the potential impact of culture on sexual dysfunction, and issues that clinicians, whether in specialist or in general services, need to be aware of in assessing and treating patients who present with sexual dysfunction.

Differences in Baseline Demographics, Presentation, Pathways to Care and Duration of Untreated Psychosis (DUP) in the Ethnically Diverse Population of Lancashire, UK

2017 ◽  
Vol 41 (S1) ◽  
pp. S231-S231
Author(s):  
V. Damle ◽  
D.N. Husain
Keyword(s):  
Help Seeking ◽  
Illicit Drugs ◽  
Ethnically Diverse ◽  
Cross Sectional Study ◽  
Pathways To Care ◽  
Sociocultural Factors ◽  
Antipsychotic Treatment ◽  
Diverse Population ◽  
Cross Sectional ◽  
Competing Interest

IntroductionDUP is the time from the emergence of first psychotic symptom to the commencement of adequate antipsychotic treatment. Psychopathological and sociocultural factors influence patient's treatment seeking behavior. Better understanding of DUP could help in development of improved therapeutic strategies and public health initiatives. Emphasis on early detection of psychosis and reduction of DUP has led to a huge interest in pathways to care.ObjectivesTo understand the differences in baseline demographics, presentation, care-pathways and DUP in ethnically diverse population of Lancashire, UK.MethodsOur cross-sectional study involved a subset analysis of National EDEN data for Blackburn and Preston in Lancashire.ResultsOf the 183 patients, 78% were Whites and rest belonged to BME population. Median DUP was 188 days. Whites were significantly younger at onset of both non-specific symptoms and psychosis and at acceptance into EIS. Whites were significantly less likely than non-whites to be married, more likely to be in paid work and to have used illicit drugs. There were no significant differences with respect to other demographics/delays in help seeking or DUP. Non-White group had shorter DUP of 95 days (but not statistically significant, P = 0.060).ConclusionsBetter understanding of mental illness and local services in White patients could have led to early help seeking. Having a supportive family may have promoted early help seeking and thus shorter DUP in BME group. Further studies are needed exploring socioenvironmental variables, substance misuse and knowledge of local psychiatric services amongst the BME population and the influence of these variables on DUP.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Roads less taken: Pathways to care before near-lethal suicide attempts

2018 ◽  
Vol 63 (4) ◽  
pp. 473-485
Author(s):  
Yik Wa Law
Keyword(s):  
Cultural Values ◽  
Help Seeking ◽  
Suicide Attempts ◽  
Service Providers ◽  
Healthcare Services ◽  
High Risk Group ◽  
Pathways To Care ◽  
Individual Values ◽  
Self Reliance ◽  
Work Empowerment

This study identifies the cultural values affecting near-lethal suicide attempters’ help-seeking behaviours. Six Chinese survivors of intentional near-lethal self-poisoning were interviewed and their medical records examined. Interviewees with strong suicidal intentions had less demand for healthcare services and were resistant to care. Non-contact with services was associated with perceived service irrelevance, unhelpfulness and personal need to maintain self-reliance and dignity. Service providers should be trained to be sensitive to these individual values to allow the delivery of a culturally-appropriate service for this population. Social work empowerment models that focus on users’ self-reliance should be adopted in practice for this high-risk group.

Improving outcomes: Factors influencing help-seeking behaviors in immigrants and ethnic minorities with first-episode psychosis

2016 ◽  
Vol 13 (03) ◽  
pp. 152-157
Author(s):  
A. O. Berg ◽  
K. Leopold ◽  
S. Zarafonitis-Müller ◽  
M. Nerhus ◽  
L. H. Stouten ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Service Use ◽  
First Episode Psychosis ◽  
Pathways To Care ◽  
First Episode ◽  
Factors Influencing ◽  
Increased Risk ◽  
Episode Psychosis ◽  
The Hague

Summary Background: Immigrants have increased risk of a poor recovery from first episode psychosis (FEP). Early treatment can improve prognosis, but having an immigrant background may influence pathways to care. Method: We present research of service use and factors influencing treatment outcome in immigrants with FEP. Service use was assessed in in-patients at an early intervention center in Berlin, Germany. Duration of untreated psychosis and beliefs about illness was assessed in a FEP study in Oslo, Norway and cognitive functioning in patients with FEP schizophrenia from the regular mental health services in The Hague, the Netherlands. The proportion of immigrants in Berlin and Oslo was at level with the local populations, while the proportion in The Hague appeared to be higher. Result: There were clear indications that mental health literacy, probably based in different cultural expectations, were lower in first generation immigrants (FGI). Findings regarding clinical insight were ambiguous. There were also indications that FGI had more cognitive problems, based in higher stress levels or in cognitive styles. Early psychosis services must take issues of immigration and ethnicity into consideration.

Cultural Values Influence Mental-Health Help-Seeking in Asian and Latinx College Students

2019 ◽  
Author(s):  
Elayne Zhou ◽  
Yena Kyeong ◽  
Cecilia Cheung ◽  
Kalina Michalska;Michalska
Keyword(s):  
Mental Health ◽  
College Students ◽  
Cultural Values ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Online Survey ◽  
Negative Attitudes ◽  
Help Seeking Behaviors ◽  
Seeking Behavior ◽  
Ethnic Group Membership

The current study examined the influence of cultural values on mental health attitudes and help-seeking behaviors in college students of diverse ethnic backgrounds. Asian and Latinx college students (N = 159) completed an online survey in which they reported their adherence to cultural values and general attitudes towards mental health and help-seeking behavior. Factor analysis revealed two common factors of cultural values irrespective of ethnic background: Interdependent Orientation (IO) and Cultural Obligation (CO). Regardless of ethnicity, the more students endorsed IO values, the less likely they were to perceive a need for mental health treatment. IO value adherence also predicted more negative attitudes towards mental health. CO values were not predictive of perceived need or help-seeking behaviors. Findings highlight the importance of assessing certain cultural values independently from ethnicity and considering how the multidimensionality of culture may help explain shared mental health behaviors across ethnic group membership.

scholarly journals Understanding Cultural Preferences for Social Robots

2021 ◽  
Vol 10 (2) ◽  
pp. 1-19
Author(s):  
Oliver Korn ◽  
Neziha Akalin ◽  
Ruben Gouveia
Keyword(s):  
Cultural Values ◽  
Real Life ◽  
Emotional Awareness ◽  
Social Robots ◽  
Arab Countries ◽  
Cultural Backgrounds ◽  
Cultural Variations ◽  
Cultural Preferences ◽  
Design Preferences ◽  
The Impact

This article presents a study of cultural differences affecting the acceptance and design preferences of social robots. Based on a survey with 794 participants from Germany and the three Arab countries of Egypt, Jordan, and Saudi Arabia, we discuss how culture influences the preferences for certain attributes. We look at social roles, abilities and appearance, emotional awareness and interactivity of social robots, as well as the attitude toward automation. Preferences were found to differ not only across cultures, but also within countries with similar cultural backgrounds. Our findings also show a nuanced picture of the impact of previously identified culturally variable factors, such as attitudes toward traditions and innovations. While the participants’ perspectives toward traditions and innovations varied, these factors did not fully account for the cultural variations in their perceptions of social robots. In conclusion, we believe that more real-life practices emerging from the situated use of robots should be investigated. Besides focusing on the impact of broader cultural values such as those associated with religion and traditions, future studies should examine how users interact, or avoid interaction, with robots within specific contexts of use.

HELP-SEEKING AND PATHWAYS TO CARE IN THE EARLY STAGES OF PSYCHOSIS: RESULTS FROM THE FEPSY STUDY

2014 ◽  
Vol 153 ◽  
pp. S48-S49
Author(s):  
Anita Riecher-Rössler ◽  
Gertraud J. Fridgen ◽  
Jacqueline Aston
Keyword(s):  
Help Seeking ◽  
Pathways To Care ◽  
Early Stages

scholarly journals A focus group study of older Chinese people with CVD patients in the North West of the UK

2021 ◽  
Vol 22 ◽  
Author(s):  
Shaun Speed ◽  
Zeyuan Sun ◽  
Zhenmi Liu
Keyword(s):  
Cardiovascular Disease ◽  
Primary Care ◽  
Focus Group ◽  
Cultural Values ◽  
Help Seeking ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Chinese Patients ◽  
Focus Group Study ◽  
North West

Abstract Background: Cardiovascular disease (CVD) is the leading cause of death for Chinese migrants around the world. Chinese CVD patients rely heavily on their native Chinese language, cultural values and beliefs, which adds challenges for the healthcare providers to offer primary healthcare services with standard protocol. The inappropriate treatment could lead to life loss, mistrust in doctor-patient relationship and heavy burden for healthcare funding. Methods: 28 participants were included for focus group study with the grounded theory methodology. Results: There is considerable misunderstanding among the Chinese community about the role of primary care doctors in the treatment of cardiovascular disease resulting in the variable use of primary care services. Conclusion: Chinese CVD patients or identified risk factors for CVD arguably need closer management, culturally sensitive advice, support and robust follow-up compared to the general population. Doctors and nurses should enhance their practice and give them confidence in their interaction with Chinese patients on the basis of how they think and behave in relation to help seeking.

scholarly journals Understanding Components of Duration of Untreated Psychosis and Relevance for Early Intervention Services in the Canadian Context: Comprendre les Composantes de la Durée de la Psychose Non Traitée et la Pertinence de Services D’intervention Précoce Dans le Contexte Canadien

2021 ◽  
pp. 070674372199267
Author(s):  
Ashok Malla ◽  
Manish Dama ◽  
Srividya Iyer ◽  
Ridha Joober ◽  
Norbert Schmitz ◽  
...  
Keyword(s):  
Early Intervention ◽  
Help Seeking ◽  
Multivariate Analyses ◽  
Patient Characteristics ◽  
Pathways To Care ◽  
Duration Of Untreated Psychosis ◽  
Present Sample ◽  
Early Intervention Services ◽  
Rapid Access ◽  
Intervention Services

Background: Clinical, functional, and cost-effectiveness outcomes from early intervention services (EIS) for psychosis are significantly associated with the duration of untreated psychosis (DUP) for the patients they serve. However, most EIS patients continue to report long DUP, while a reduction of DUP may improve outcomes. An understanding of different components of DUP and the factors associated with them may assist in targeting interventions toward specific sources of DUP. Objectives: To examine the components of DUP and their respective determinants in order to inform strategies for reducing delay in treatment in the context of an EIS. Methods: Help-seeking (DUP-H), Referral (DUP-R), and Administrative (DUP-A) components of DUP, pathways to care, and patient characteristics were assessed in first episode psychosis ( N = 532) patients entering an EIS that focuses on systemic interventions to promote rapid access. Determinants of each component were identified in the present sample using multivariate analyses. Results: DUP-H (mean 25.64 ± 59.00) was longer than DUP-R (mean = 14.95 ± 45.67) and DUP-A (mean 1.48 ± 2.55). Multivariate analyses showed that DUP-H is modestly influenced by patient characteristics (diagnosis and premorbid adjustment; R 2 = 0.12) and DUP-R by a combination of personal characteristics (age of onset and education) and systemic factors (first health services contact and final source of referral; R 2 = 0.21). Comorbid substance abuse and referral from hospital emergency services have a modest influence on DUP-A ( R 2 = 0.08). Patients with health care contact prior to onset of psychosis had a shorter DUP-H and DUP-R than those whose first contact was after psychosis onset (F(1, 498) = 4.85, P < 0.03 and F(1, 492) = 3.34, P < 0.07). Conclusions: Although much of the variance in DUP is unexplained, especially for help-seeking component, the systemic portion of DUP may be partially determined by relatively malleable factors. Interventions directed at altering pathways to care and promote rapid access may be important targets for reducing DUP. Simplifying administrative procedures may further assist in reducing DUP.

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