Preconception care

2017 ◽  
Author(s):  
Janet Medforth ◽  
Linda Ball ◽  
Angela Walker ◽  
Sue Battersby ◽  
Sarah Stables
Keyword(s):  
Adolescent Mothers ◽  
Minority Groups ◽  
Preconception Care ◽  
Vulnerable Groups ◽  
Lifestyle Advice ◽  
Ethnic Minority Groups ◽  
Fetal Health ◽  
Low Incomes ◽  
Menstrual History ◽  
Provide Health Care

This chapter includes taking a menstrual history, used to predict ovulation and the length of the menstrual cycle, and also as an opportunity to provide health care advice and education for women who are planning a pregnancy. Preconception nutrition is briefly covered with particular emphasis on vulnerable groups such as those with closely spaced pregnancies, adolescent mothers, vegans and vegetarians, those on low incomes, those with pre-existing diseases such as diabetes, those with eating disorders, and those from within ethnic minority groups. If needed, the practitioner can then refer women to professionally qualified nutritionists or dietitians. Lifestyle advice and medical considerations are provided here as healthy adjustments can be suggested to clients before conception to optimize maternal and early fetal health. A non-comprehensive list of some of the more common medical conditions is also provided, allowing for advice on screening or potential adjustments to medications to be organized prior to conception.

scholarly journals Uneven Humanitarianism: Abandoned Refugees along the Thai-Myanmar Border

2016 ◽  
Vol 2 (1) ◽  
pp. 65-86
Author(s):  
Tani Sebro
Keyword(s):  
Ad Hoc ◽  
Minority Groups ◽  
Humanitarian Aid ◽  
Vulnerable Groups ◽  
Refugee Camps ◽  
Ethnic Minority Groups ◽  
Authoritarian Rule ◽  
Humanitarian Organizations ◽  
British Colonial

This essay considers the case of uneven humanitarian aid distribution along the Thai-Myanmar border, where forcibly displaced migrants from Myanmar have been abandoned by the UNHCR and international humanitarian organizations. Based upon long-term ethnographic fieldwork along the Thai-Myanmar border amongst Tai migrants from the Shan State in Myanmar, I attend to the effects of the inequitable distribution of rights and privileges in an international humanitarian system that is predicated on the neoliberal logic of uneven development. After two centuries of British colonial occupation and later Burman authoritarian rule, the ethnic minority groups along the Thai-Myanmar border are now facing another crisis – that of abandonment as NGOs search for new and more pressing humanitarian disasters elsewhere. The essay addresses a concept I call uneven humanitarianism as a neocolonial condition for peoples living in the Thai-Myanmar borderlands by specifically focusing on Tai peoples who are living in unofficial refugee camps that lost foreign funding in 2017. I argue that the ad hoc treatment and eventual abandonment of these vulnerable groups – that are currently in the midst of the world’s most protracted civil war and displacement situation – constitutes a failure of the “responsibility to protect” humanitarian project.

scholarly journals Constructing im/migrants and ethnic minority groups as ‘carriers of disease’: Power effects of categorization practices in tuberculosis health reporting in the UK and Germany

Ethnicities ◽  
2019 ◽  
Vol 19 (3) ◽  
pp. 518-534
Author(s):  
Hella von Unger ◽  
Penelope Scott ◽  
Dennis Odukoya
Keyword(s):  
Ethnic Minority ◽  
Minority Groups ◽  
Epidemiological Data ◽  
Vulnerable Groups ◽  
Potential Contribution ◽  
Health Reporting ◽  
Ethnic Minority Groups ◽  
Core Feature ◽  
The Uk

Migration- and ethnicity-related categories are a core feature of public health systems internationally, particularly in health reporting on communicable infectious diseases. The specific categories and classifications used differ from country to country and are subject to controversy and change. The article compares categorization practices in health reporting in the UK and Germany with regard to tuberculosis. Tuberculosis has been framed as a ‘migrants’ disease’ in recent decades and new categories were introduced to collect and report epidemiological data. We reconstruct the genesis, change and power effects of categories related to im/migrants and ethnic minority groups. In both countries, migration-related categorizations entail constructions of im/migrants as ‘carriers of disease’. However, the categories also connect with discourses on human rights, prevention, treatment and care for migrants as vulnerable groups. While this ambivalent role of migration-related categories is not unique to health statistics, the potential contribution to processes of ‘othering’ and politics of exclusion seem particularly imminent in the context of communicable diseases such as tuberculosis. Ethnicity categories used in the UK, but not in Germany, also contribute to othering through racialization and culturalization, yet at the same time provide opportunities for community participation in the discourse.

Gene-environment Interaction on the Risk of Type 2 Diabetes Among Ethnic Minority Populations Living in Europe and North America: A Systematic Review

2020 ◽  
Vol 16 (5) ◽  
pp. 457-470 ◽  
Author(s):  
Mohammad H. Zafarmand ◽  
Parvin Tajik ◽  
René Spijker ◽  
Charles Agyemang
Keyword(s):  
Type 2 Diabetes ◽  
North America ◽  
Ethnic Minority ◽  
Ethnic Minorities ◽  
Minority Groups ◽  
Environment Interaction ◽  
Ethnic Minority Groups ◽  
Gene Environment Interaction ◽  
Gene Environment

Background: The body of evidence on gene-environment interaction (GEI) related to type 2 diabetes (T2D) has grown in the recent years. However, most studies on GEI have sought to explain variation within individuals of European ancestry and results among ethnic minority groups are inconclusive. Objective: To investigate any interaction between a gene and an environmental factor in relation to T2D among ethnic minority groups living in Europe and North America. Methods: We systematically searched Medline and EMBASE databases for the published literature in English up to 25th March 2019. The screening, data extraction and quality assessment were performed by reviewers independently. Results: 1068 studies identified through our search, of which nine cohorts of six studies evaluating several different GEIs were included. The mean follow-up time in the included studies ranged from 5 to 25.7 years. Most studies were relatively small scale and few provided replication data. All studies included in the review included ethnic minorities from North America (Native-Americans, African- Americans, and Aboriginal Canadian), none of the studies in Europe assessed GEI in relation to T2D incident in ethnic minorities. The only significant GEI among ethnic minorities was HNF1A rs137853240 and smoking on T2D incident among Native-Canadians (Pinteraction = 0.006). Conclusion: There is a need for more studies on GEI among ethnicities, broadening the spectrum of ethnic minority groups being investigated, performing more discovery using genome-wide approaches, larger sample sizes for these studies by collaborating efforts such as the InterConnect approach, and developing a more standardized method of reporting GEI studies are discussed.

Betwixt and Between

2018 ◽  
Author(s):  
Shenique S. Thomas ◽  
Johnna Christian
Keyword(s):  
Sense Of Belonging ◽  
Minority Groups ◽  
Family Members ◽  
Social Processes ◽  
Ethnic Minority Groups ◽  
The Social ◽  
The Family ◽  
Incarcerated Men ◽  
Challenges And Opportunities ◽  
Racial And Ethnic Minority

This chapter draws from a qualitative study of incarcerated men to investigate the social processes and interactions between both correctional authorities and family members that inform their sense of belonging and legitimacy. It reveals that prison visitation rooms present a complex environment in which incarcerated men have access to discreet periods of visibility and relevance to their family members and the broader community. There are, however, several precarious aspects to these processes. The family members who are central to enhancing men’s visibility and legitimacy are primarily women from economically disadvantaged, racial, and ethnic minority groups, resulting in their own marginalization, which is compounded within prison spaces. By illuminating both the challenges and opportunities of familial connections, this chapter informs a social justice framework for understanding the experiences of both incarcerated men and their family members.

scholarly journals Addressing inequities in maternal health among women living in communities of social disadvantage and ethnic diversity

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cristina Fernandez Turienzo ◽  
◽  
Mary Newburn ◽  
Agnes Agyepong ◽  
Rachael Buabeng ◽  
...  
Keyword(s):  
Ethnic Diversity ◽  
Minority Groups ◽  
Social Disadvantage ◽  
Vulnerable Groups ◽  
Socioeconomically Disadvantaged ◽  
Structural Racism ◽  
Community Stakeholders ◽  
Public Health Strategies ◽  
The Impact

AbstractThe response to the coronavirus outbreak and how the disease and its societal consequences pose risks to already vulnerable groups such those who are socioeconomically disadvantaged and ethnic minority groups. Researchers and community groups analysed how the COVID-19 crisis has exacerbated persisting vulnerabilities, socio-economic and structural disadvantage and discrimination faced by many communities of social disadvantage and ethnic diversity, and discussed future strategies on how best to engage and involve local groups in research to improve outcomes for childbearing women experiencing mental illness and those living in areas of social disadvantage and ethnic diversity. Discussions centred around: access, engagement and quality of care; racism, discrimination and trust; the need for engagement with community stakeholders; and the impact of wider social and economic inequalities. Addressing biomedical factors alone is not sufficient, and integrative and holistic long-term public health strategies that address societal and structural racism and overall disadvantage in society are urgently needed to improve health disparities and can only be implemented in partnership with local communities.

Medical Care as a Public Accommodation: Moving the Discussion to Race

2003 ◽  
Vol 29 (2-3) ◽  
pp. 381-394
Author(s):  
Joel Teitelbaum ◽  
Sara Rosenbaum
Keyword(s):  
Civil Rights ◽  
Minority Groups ◽  
Healthcare Providers ◽  
Social Attitudes ◽  
Ethnic Minority Groups ◽  
Health Quality ◽  
Narrow Definition ◽  
Definition Of ◽  
Federal Assistance ◽  
Racial And Ethnic Minority

This Article explores the concept of public accommodation in a civil rights context and presents an argument for revising the Civil Rights Act of 1964 (Act) to extend public accommodation obligations to private healthcare providers and the healthcare industry as a whole, regardless of their participation in federally assisted programs. To the extent that the Act currently reaches healthcare conduct within a relatively narrow definition of “federal assistance,” this view has been eclipsed by the evolution of social attitudes toward the community-wide obligation of healthcare providers, U.S. civil rights policy at both the federal and state levels, the enormity of the federal investment in the U.S. health system and changing concepts of basic health quality. This analysis begins with a brief overview of the current structure of U.S. civil rights law in the context of racial and ethnic minority groups’ access to healthcare.

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