Culturally Relevant Prevention

2007 ◽  
Vol 35 (6) ◽  
pp. 763-778 ◽  
Author(s):  
Le'Roy E. Reese ◽  
Elizabeth M. Vera
Keyword(s):  
Ethnic Minority ◽  
Minority Groups ◽  
Minority Population ◽  
Diverse Populations ◽  
Applied Psychology ◽  
Ethnic Minority Groups ◽  
Ethnic Minority Population ◽  
Individual Family ◽  
Similarities And Differences

For over a decade, there have been increasing efforts in counseling psychology and other areas of applied psychology to understand the role of culture in preventive and mental health services for ethnically, economically, and religiously diverse communities. In this Major Contribution, the authors offer examples of three prevention programs in which cultural relevance and competence were central to each program's development, implementation, and evaluation. The interventions each focus on an ethnic minority population, and they are offered in diverse settings. Participants differ in age and contexts in which they receive the intervention (e.g., individual, family, or classroom). Each article highlights similarities and differences likely in any prevention effort with diverse populations. In this introduction, the authors discuss the theoretical and empirical rationale for such interventions, as informed by literature on cultural competence and social justice, and the disproportionate health, educational, and economic disparities that poor and ethnic minority groups experience.

scholarly journals Acculturation and dietary patterns among residents of Surinamese origin in the Netherlands: the HELIUS dietary pattern study

2015 ◽  
Vol 19 (4) ◽  
pp. 682-692 ◽  
Author(s):  
Suzanne M Sturkenboom ◽  
Louise H Dekker ◽  
Majda Lamkaddem ◽  
Laura A Schaap ◽  
Jeanne HM de Vries ◽  
...  
Keyword(s):  
The Netherlands ◽  
Ethnic Minority ◽  
Dietary Patterns ◽  
Minority Groups ◽  
Host Population ◽  
Minority Population ◽  
Ethnic Minority Groups ◽  
Cross Sectional ◽  
Acculturation Strategies ◽  
Ethnic Minority Population

AbstractObjectiveInsight into the role of acculturation in dietary patterns is important to inform the development of nutrition programmes that target ethnic minority groups. Therefore, the present study aimed to investigate how the adherence to dietary patterns within an ethnic minority population in the Netherlands varies by acculturation level compared with the host population.DesignCross-sectional study using data of the HELIUS study. Dietary patterns were assessed with an ethnic-specific FFQ. Acculturation was operationalized using unidimensional proxies (residence duration, age at migration and generation status) as well as on the basis of the bidimensional perspective, defined by four distinct acculturation strategies: assimilation, integration, separation and marginalization.SettingAmsterdam, the Netherlands.SubjectsParticipants of Dutch (n 1370) and Surinamese (n 1727) origin.ResultsThree dietary patterns were identified: (i) ‘noodle/rice dishes and white meat’ (traditional Surinamese pattern); (ii) ‘red meat, snacks and sweets’; and (iii) ‘vegetables, fruit and nuts’. Surinamese-origin respondents adhered more to the traditional Surinamese pattern than the other dietary patterns. Neither the unidimensional proxies nor the bidimensional acculturation strategies demonstrated consistent associations with dietary patterns.ConclusionsThe lack of consistent association between acculturation and dietary patterns in the present study indicates that dietary patterns are quite robust. Understanding the continued adherence to traditional dietary patterns when developing dietary interventions in ethnic minority groups is warranted.

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.

scholarly journals Race and Ethnicity in the Evidence for Integrating Palliative Care Into Oncology

2018 ◽  
Vol 14 (6) ◽  
pp. e346-e356
Author(s):  
William F. Pirl ◽  
Estefany Saez-Flores ◽  
Matthew Schlumbrecht ◽  
Ryan Nipp ◽  
Lara N. Traeger ◽  
...  
Keyword(s):  
Palliative Care ◽  
Ethnic Minority ◽  
Race And Ethnicity ◽  
Minority Groups ◽  
Evidence Base ◽  
Data Representation ◽  
Ethnic Minority Groups ◽  
Ethnicity Data ◽  
Racial And Ethnic Minority

Purpose: ASCO recommends early involvement of palliative care for patients with advanced cancers on the basis of evidence from 18 randomized trials. We examined racial and ethnic minority representation in these trials and the role of race and ethnicity in the statistical analyses. The goal was to identify specific gaps in the palliative care evidence base for these individuals and potential strategies to address them. Methods: We reviewed the 18 trials cited in the 2012 and 2017 ASCO clinical statements on integrating palliative care into oncology. We extracted data on the reporting and categorization of race and ethnicity, on the enrollment of specific racial and ethnic minority groups, and on how race and ethnicity were addressed in the analyses. Results: One third of patient trials reported representation of specific racial and ethnic minority groups, one third reported rates of “white” versus “other,” and one third did not report race or ethnicity data. Among the patient trials with race and ethnicity data, 9.9% of participants were Asian, 8.8% Hispanic/Latino, and 5.7% African American. Analyses that used race and ethnicity were primarily baseline comparisons among randomized groups. Conclusion: Race and ethnicity were inconsistently reported in the trials. Among those that provided race and ethnicity data, representation of specific racial and ethnic minority groups was low. In addition to more research in centers with large minority populations, consistent reporting of race and ethnicity and supplementary data collection from minority patients who participate in trials may be strategies for improvement.

scholarly journals Extremely high SARS-CoV-2 seroprevalence in a strictly-Orthodox Jewish community in the UK

2021 ◽  
Author(s):  
Katherine M Gaskell ◽  
Marina Johnson ◽  
Victoria Gould ◽  
Adam Hunt ◽  
Neil RH Stone ◽  
...  
Keyword(s):  
Secondary School ◽  
Ethnic Minority ◽  
Jewish Population ◽  
Minority Groups ◽  
Age Groups ◽  
Orthodox Jewish ◽  
Minority Populations ◽  
Minority Population ◽  
Ethnic Minority Groups ◽  
The Uk

AbstractBackgroundEthnic and religious minorities have been disproportionately affected by SARS-CoV-2 worldwide. The UK strictly-Orthodox Jewish community has been severely affected by the pandemic. This group shares characteristics with other ethnic minorities including larger family sizes, higher rates of household crowding and relative socioeconomic deprivation. We studied a UK strictly-Orthodox Jewish population to understand how COVID-19 had spread within this community.MethodsWe performed a household-focused cross-sectional SARS-CoV-2 serosurvey specific to three antigen targets. Randomly-selected households completed a standardised questionnaire and underwent serological testing with a multiplex assay for SARS-CoV-2 IgG antibodies. We report clinical illness and testing before the serosurvey, seroprevalence stratified by age and gender. We used random-effects models to identify factors associated with infection and antibody titres.FindingsA total of 343 households, consisting of 1,759 individuals, were recruited. Serum was available for 1,242 participants. The overall seroprevalence for SARS-CoV-2 was 64.3% (95% CI 61.6-67.0%). The lowest seroprevalence was 27.6% in children under 5 years and rose to 73.8% in secondary school children and 74% in adults. Antibody titres were higher in symptomatic individuals and declined over time since reported COVID-19 symptoms, with the decline more marked for nucleocapsid titres.InterpretationIn this tight-knit religious minority population in the UK, we report one of the highest SARS-CoV-2 seroprevalence levels in the world to date. In the context of this high force of infection, all age groups experienced a high burden of infection. Actions to reduce the burden of disease in this and other minority populations are urgently required.FundingThis work was jointly funded by UKRI and NIHR [COV0335; MR/V027956/1], a donation from the LSHTM Alumni COVID-19 response fund, HDR UK, the MRC and the Wellcome Trust. The funders had no role in the design, conduct or analysis of the study or the decision to publish. The authors have no financial relationships with any organizations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work.Research In ContextEvidence before the studyIn January 2020, we searched PubMed for articles on rates of SARS-CoV-2 infection amongst ethnic minority groups and amongst the Jewish population. Search teams included “COVID-19”, “SARS-CoV-2”, seroprevalence, “ethnic minority”, and “Jewish” with no language restrictions. We also searched UK government documents on SARS-CoV-2 infection amongst minority groups. By January 2020, a large number of authors had reported that ethnic minority groups experienced higher numbers of cases and increased hospitalisations due to COVID-19. A small number of articles provided evidence that strictly-Orthodox Jewish populations had experienced a high rate of SARS-CoV-2 infection but extremely limited data was available on overall population level rates of infection amongst specific ethnic minority population groups. There was also extremely limited data on rates of infection amongst young children from ethnic minority groups.Added value of the studyWe report findings from a population representative, household survey of SARS-CoV-2 infection amongst a UK strictly Orthodox Jewish population. We demonstrate an extremely high seroprevalence rate of SARS-CoV-2 in this population which is more than five times the estimated seroprevalence nationally and five times the estimated seroprevalence in London. In addition the large number of children in our survey, reflective of the underlying population structure, allows us to demonstrate that in this setting there is a significant burden of disease in all age groups with secondary school aged children having an equivalent seroprevalence to adults.Implications of the available evidenceOur data provide clear evidence of the markedly disproportionate impact of SARS-CoV-2 in minority populations. In this setting infection occurs at high rates across all age groups including pre-school, primary school and secondary school-age children. Contextually appropriate measures to specifically reduce the impact of SARS-CoV-2 amongst minority populations are urgently required.

scholarly journals Etnische Minderheden, Taaldiversiteit En Onderwijsbeleid

1992 ◽  
Vol 42 ◽  
pp. 81-101
Author(s):  
Guus Extra
Keyword(s):  
The Netherlands ◽  
Ethnic Minority ◽  
Western Europe ◽  
Minority Groups ◽  
Group Discussion ◽  
Ethnic Minority Groups ◽  
Immigrant Background ◽  
National Perspective ◽  
Year 2000

The growing presence of ethnic minority groups in society is not a phenomenon that can only be observed in the Netherlands. It is estimated that in the year 2000 about one-third of the population below 35 years in urban Western Europe will have an immigrant background. Against this background, demographic trends in processes of immigration and the emergence of ethnic minority groups will be discussed, both from a European and national perspective. Special attention will be paid to problems in defining and identifying ethnic minority groups in the Netherlands, and to the neglected role of the language factor in these issues. As a follow-up of this target group discussion, the focus will be on major characteristics of Dutch policies regarding the education of ethnic minority groups. Both in primary and secondary education, a two-track approach can be observed. Special educational arrangements are made for the teaching of Dutch as a second language and the teaching of ethnic community languages. An outline of this two-track approach will be presented, along with recent research evidence and policy initiatives. Moreover, ideas will be presented for a re-thinking of some basic pre-conceptions in these particular domains of educational policy.

scholarly journals Risk of involuntary admission among first-generation ethnic minority groups with early psychosis: a retrospective cohort study using health administrative data

2019 ◽  
Vol 29 ◽  
Author(s):  
Rebecca Rodrigues ◽  
Arlene G. MacDougall ◽  
Guangyong Zou ◽  
Michael Lebenbaum ◽  
Paul Kurdyak ◽  
...  
Keyword(s):  
Ethnic Minority ◽  
First Generation ◽  
Minority Groups ◽  
Minority Group ◽  
Early Psychosis ◽  
Involuntary Admission ◽  
Ethnic Minority Groups ◽  
Refugee Status ◽  
First Generation Migrants

Abstract Aims Ethnic minority groups often have more complex and aversive pathways to mental health care. However, large population-based studies are lacking, particularly regarding involuntary hospitalisation. We sought to examine the risk of involuntary admission among first-generation ethnic minority groups with early psychosis in Ontario, Canada. Methods Using health administrative data, we constructed a retrospective cohort (2009–2013) of people with first-onset non-affective psychotic disorder aged 16–35 years. This cohort was linked to immigration data to ascertain migrant status and country of birth. We identified the first involuntary admission within 2 years and compared the risk of involuntary admission for first-generation migrant groups to the general population. To control for the role of migrant status, we restricted the sample to first-generation migrants and examined differences by country of birth, comparing risk of involuntary admission among ethnic minority groups to a European reference. We further explored the role of migrant class by adjusting for immigrant vs refugee status within the migrant cohort. We also explored effect modification of migrant class by ethnic minority group. Results We identified 15 844 incident cases of psychotic disorder, of whom 19% (n = 3049) were first-generation migrants. Risk of involuntary admission was higher than the general population in five of seven ethnic minority groups. African and Caribbean migrants had the highest risk of involuntary admission (African: risk ratio (RR) = 1.52, 95% CI = 1.34–1.73; Caribbean: RR = 1.58, 95% CI = 1.37–1.82), and were the only groups where the elevated risk persisted when compared to the European reference group within the migrant cohort (African: RR = 1.24, 95% CI = 1.04–1.48; Caribbean: RR = 1.29, 95% CI = 1.07–1.56). Refugee status was independently associated with involuntary admission (RR = 1.16, 95% CI = 1.02–1.32); however, this risk varied by ethnic minority group, with Caribbean refugees having an elevated risk of involuntary admission compared with Caribbean immigrants (RR = 1.72, 95% CI = 1.15–2.58). Conclusions Our findings are consistent with the international literature showing increased rates of involuntary admission among some ethnic minority groups with early psychosis. Interventions aimed at improving pathways to care could be targeted at these groups to reduce disparities.

scholarly journals Optimising co-design with ethnic minority consumers

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ashfaq Chauhan ◽  
Jessica Leefe ◽  
Éidín Ní Shé ◽  
Reema Harrison
Keyword(s):  
Ethnic Minority ◽  
Design Process ◽  
Minority Groups ◽  
Improve Patient Safety ◽  
Minority Population ◽  
Design Work ◽  
Ethnic Minority Population ◽  
Engagement Strategies ◽  
Health And Social Care ◽  
Key Aspects

AbstractCo-design as a participatory method aims to improve health service design and implementation. It is being used more frequently by researchers and practitioners in various health and social care settings. Co-design has the potential for achieving positive outcomes for the end users involved in the process; however, involvement of diverse ethnic minority population in the process remains limited. While the need to engage with diverse voices is identified, there is less information available on how to achieve meaningful engagement with these groups. Ethnic minorities are super-diverse population and the diversity between and within these groups need consideration for optimising their participation in co-design. Based on our experience of working with diverse ethnic minority groups towards the co-design of consumer engagement strategies to improve patient safety in cancer services as part of the two nationally-funded research projects in Australia, we outline reflections and practical techniques to optimise co-design with people from diverse ethnic backgrounds. We identify three key aspects of the co-design process pertinent to the involvement of this population; 1) starting at the pre-commencement stage to ensure diverse, seldom heard consumers are invited to and included in co-design work, 2) considering logistics and adequate resources to provide appropriate support to address needs before, during and beyond the co-design process, and 3) supporting and enabling a diversity of contributions via the co-design process.

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