scholarly journals Mitigating the identity and health threat of COVID-19: Perspectives of middle-class South Asians living in the UK

2021 ◽  
pp. 135910532110276
Author(s):  
Kristin Hanson ◽  
Emma O’Dwyer ◽  
Sharmistha Chaudhuri ◽  
Luiz Gustavo Silva Souza ◽  
Tushna Vandrevala
Keyword(s):  
High Risk ◽  
Middle Class ◽  
South Asian ◽  
Thematic Analysis ◽  
Minority Groups ◽  
South Asians ◽  
Psychological Theory ◽  
Identity Threat ◽  
South Asian Community ◽  
The Uk

The recognition and representation of BAME community as ‘high risk’ of Covid-19 in the UK presents both a health and an identity threat to this ethnic group. This study employed thematic analysis to explore response to these threats as related by a sample of 13 middle class members of the South Asian community. This work advances both health and identity psychological theory by recognising the affinity between expressions of health efficacy and identity. Our findings identify South Asian intragroup stigmatisation and commonalities that have implications for the promotion of health behaviour and health communications for minority groups.

scholarly journals Mitigating the identity and health threat of COVID-19: Perspectives of Middle-Class South Asians living in the UK

2021 ◽  
Author(s):  
Kristin Hanson ◽  
Emma O’Dwyer ◽  
Sharmistha Chauduri ◽  
Luiz Gustavo Silva Souza ◽  
Tushna Vandrevala
Keyword(s):  
High Risk ◽  
Middle Class ◽  
South Asian ◽  
Thematic Analysis ◽  
Minority Groups ◽  
South Asians ◽  
Psychological Theory ◽  
Identity Threat ◽  
South Asian Community ◽  
The Uk

AbstractThe recognition and representation of BAME community as “high risk” of Covid-19 in the UK presents both a health and an identity threat to this ethnic group. This study employed thematic analysis to explore response to these threats as related by a sample of thirteen middle class members of the South Asian community. This work advances both health and identity psychological theory by recognising the affinity between expressions of health efficacy and identity. Our findings identify South Asian intragroup stigmatisation and commonalities that have implications for the promotion of health behaviour and health communications for minority groups.

Disparity in implantable cardioverter defibrillator therapy among minority South Asians in the United Kingdom

Heart ◽  
2020 ◽  
Vol 106 (9) ◽  
pp. 671-676 ◽  
Author(s):  
Amar Mistry ◽  
Zakariyya Vali ◽  
Bharat Sidhu ◽  
Charley Budgeon ◽  
Matthew F Yuyun ◽  
...  
Keyword(s):  
Implantable Cardioverter Defibrillator ◽  
South Asian ◽  
South Asians ◽  
Geographical Differences ◽  
Icd Implantation ◽  
Asian Ethnicity ◽  
Cardioverter Defibrillator ◽  
Tertiary Centre ◽  
Implantation Rates ◽  
The Uk

ObjectiveThere are large geographical differences in implantable cardioverter defibrillator (ICD) implantation rates for reasons not completely understood. In an increasingly multiethnic population, we sought out to investigate whether ethnicity influenced ICD implantation rates.MethodsThis was a retrospective, cohort study of new ICD implantation or upgrade to ICD from January 2006 to February 2019 in recipients of Caucasian or South Asian ethnicity at a single tertiary centre in the UK. Data were obtained from a routinely collected local registry. Crude rates of ICD implantation were calculated for the population of Leicestershire county and were age-standardised to the UK population using the UK National Census of 2011.ResultsThe Leicestershire population was 980 328 at the time of the Census, of which 761 403 (77.7%) were Caucasian and 155 500 (15.9%) were South Asian. Overall, 2650 ICD implantations were performed in Caucasian (91.9%) and South Asian (8.1%) patients. South Asians were less likely than Caucasians to receive an ICD (risk ratio (RR) 0.43, 95% CI 0.37 to 0.49, p<0.001) even when standardised for age (RR 0.75, 95% CI 0.74 to 0.75, p<0.001). This remained the case for primary prevention indication (age-standardised RR 0.91, 95% CI 0.90 to 0.91, p<0.001), while differences in secondary prevention ICD implants were even greater (age-standardised RR 0.49, 95% CI 0.48 to 0.50, p<0.001).ConclusionDespite a universal and free healthcare system, ICD implantation rates were significantly lower in the South Asian than the Caucasian population residing in the UK. Whether this is due to cultural acceptance or an unbalanced consideration is unclear.

scholarly journals Cardiovascular risk knowledge in patients of South Asian origin living with rheumatoid arthritis: data from India and the UK

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Kanta Kumar ◽  
Suvrat Arya ◽  
Peter Nightingale ◽  
Tom Sheeran ◽  
Amita Aggarwal
Keyword(s):  
Rheumatoid Arthritis ◽  
South Asian ◽  
South Asians ◽  
Demographic Data ◽  
Cvd Risk ◽  
Asian Origin ◽  
South Asian Origin ◽  
Increased Risk ◽  
The Uk ◽  
Risk Knowledge

Abstract Background South Asians have a higher risk of cardiovascular disease (CVD). Rheumatoid arthritis (RA) increases the risk of premature atherosclerosis. We investigated whether there was a substantial difference in the level of CVD risk knowledge among patients of South Asian origin with RA in India and in the UK. Methods In this cross-sectional survey, patients of South Asian origin with RA from India and the UK were recruited from secondary care settings. Data were collected via Heart Disease Fact Questionnaire-Rheumatoid Arthritis (HDFQ-RA), a validated self-completion questionnaire. The HDFQ-RA was translated into Hindi and piloted among patients from South Asian background before use. Additionally, clinical and demographic data was collected. Results Among 118 patients from each country, 84% were female and they had similar age, education level, employment status and co-morbidities. Patients from India had longer disease duration (5.5 years versus 4.1 years (p = 0.012) whereas those from the UK had higher disease activity score (4.0 + 0.8 versus 3.1 + 0.7, p < 0.01). Regarding modifiable risk factors for CVD only 51.2% from India and 51.3% in the UK were aware of them. However, awareness of the link between RA and increased risk of CVD was even more limited (32.8% in India and 34.4% in UK). Conclusion Patients of South Asians origin with RA from both countries had limited knowledge about CVD risk. There is a need to educate them about CVD risk during consultation, as this will result in better outcomes.

scholarly journals Explaining ethnic differentials in COVID-19 mortality: cohort study

2021 ◽  
Author(s):  
G David Batty ◽  
Bamba Gaye ◽  
Catharine R Gale ◽  
Mark Hamer ◽  
Camille Lassale
Keyword(s):  
Cohort Study ◽  
South Asian ◽  
Social Factors ◽  
Minority Groups ◽  
Black Study ◽  
Uk Biobank ◽  
Ethnic Minority Groups ◽  
Explanatory Factors ◽  
National Mortality ◽  
The Uk

Abstract Ethnic inequalities in coronavirus disease 2019 (COVID-19) hospitalizations and mortality have been widely reported but there is scant understanding of how they are embodied. The UK Biobank prospective cohort study comprises around half a million people who were aged 40-69 years at study induction between 2006 and 2010 when information on ethnic background and potential explanatory factors was captured. Study members were prospectively linked to a national mortality registry. In an analytical sample of 448,664 individuals (248,820 women), 705 deaths were ascribed to COVID-19 between 5th March, 2020 and 24th January, 2021. In age- and sex-adjusted analyses, relative to White participants, Black study members experienced around five times the risk of COVID-19 mortality (odds ratio; 95% confidence interval: 4.81; 3.28, 7.05), while there was a doubling in the South Asian group (2.05; 1.30, 3.25). Controlling for baseline comorbidities, social factors (including socioeconomic circumstances), and lifestyle indices attenuated this risk differential by 34% in Black study members (2.84; 1.91, 4.23) and 37% in South Asian individuals (1.57; 0.97, 2.55). The residual risk of COVID-19 deaths in ethnic minority groups may be ascribed to a range of unmeasured characteristics and requires further exploration.

Negotiating liminality following life transitions: reflexive bricolage and liminal hotspots

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Katy Kerrane ◽  
Andrew Lindridge ◽  
Sally Dibb
Keyword(s):  
South Asian ◽  
Design Methodology ◽  
Minority Groups ◽  
Life Transitions ◽  
Future Research ◽  
Content Type ◽  
Transition To Motherhood ◽  
The Uk ◽  
Asian Mothers ◽  
Practical Implications

Purpose This paper aims to investigate how consumption linked with life transitions can differ in its potential to bring about ongoing liminality. By examining how consumers can draw on overlapping systems of resources, different ways in which consumers negotiate ongoing liminality following the transition to motherhood are identified. Design/methodology/approach The authors conducted an interpretive, exploratory study using in-depth phenomenological interviews with 23 South Asian mothers living in the UK. The sample consisted of mothers at different stages of motherhood. Findings Following life transitions, consumers may encounter liminal hotspots at the intersection of overlapping systems of resources. The findings examine two liminal hotspots with differing potential to produce ongoing liminality. The study shows how consumers navigate these liminal hotspots in different ways, by accepting, rejecting and amalgamating the resources at hand. Research limitations/implications The research sample could have been more diverse; future research could examine liminal hotspots relating to different minority groups and life transitions. Practical implications Marketers need to examine the different ways in which consumers draw on different systems of resources following life transitions. The paper includes implications for how marketers segment, target and market to ethnic minority consumers. Originality/value Due to increasingly fluid social conditions, there are likely to be growing numbers of consumers who experience ongoing liminality following life transitions. A preliminary framework is presented outlining different ways that consumers negotiate ongoing liminality by drawing on overlapping systems of resources, broadening the understanding of the role that marketplace resources play beyond life transitions.

Innovation

2020 ◽  
pp. 32-70
Author(s):  
Anusha Kedhar
Keyword(s):  
South Asian ◽  
Social Cohesion ◽  
Cultural Practices ◽  
South Asians ◽  
Cultural Integration ◽  
Dance Company ◽  
Competing Demands ◽  
British Asians ◽  
The Uk

Chapter 1 theorizes flexibility in relation to neoliberal demands for innovation. In the late 1990s, during an era of expanding economic globalization and increasing European integration, Britain capitalized on the diverse cultural practices of its postcolonial communities to showcase the country’s “cool” cosmopolitanism and global investment appeal. However, the state was keen to promote a certain kind of diversity, one that was legible and assimilable. In order to be considered for funding, South Asian dance had to be both diverse (i.e., ethnically marked) and innovative (i.e., ethnically unmarked)—different but not too different. After decades of racial division and growing fears that British Asians were a threat to social cohesion, innovation was key to cultural integration. Balancing the dual demands for innovation and diversity required great flexibility on the part of British South Asian dancers, including the ability to stretch the boundaries of the form through experimentation; to be fluent and versatile in multiple techniques; and to adhere to competing demands to make work that was both culturally distinct and legible to a wider (and whiter) public. This chapter shows how one particular British South Asian dance company, Angika, struck a balance between ethnic particularity and mainstream appeal through an array of flexible choreographic and artistic choices. In doing so, Angika’s performances not only helped audiences reimagine Britain as inclusive, cosmopolitan, modern, and “cool,” but also allayed public fears about South Asians in the UK as unassimilable outsiders.

Abstract P472: Addressing Hypertension and Cardiovascular Disease in South Asian San Joaquin Population

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Maha Siddiqui
Keyword(s):  
Blood Pressure ◽  
At Risk ◽  
South Asian ◽  
Low Income ◽  
South Asians ◽  
Asian Population ◽  
The South ◽  
South Asian Population ◽  
Asian Community ◽  
South Asian Community

Introduction: South Asians have a higher death rate than any other population for cardiovascular disease (CVD) and high blood pressure (HBP). San Joaquin has a growing rate of South Asians immigrants who may be at risk for CVD. Objectives: Trainees conducted hypertension and CVD screenings at South Asians religious organizations to reduce the risk of CVD and spread awareness about the factors that lead to CVD and its implications in the South Asians population due to environmental racism in the most underserved county for health care, San Joaquin. Methods: I trained low-income minority high school students to conduct weekly blood pressure screenings and serve as a health technology coach by each student monitoring 2 hypertensive patients of 48 hypertensive or at risk hypertensive and low-income San Joaquin residents and constantly stressed, and at risk for CVD. CVD screenings were conducted at all San Joaquin gurdwaras and mosques to spread awareness about heart health and track hypertension in the South Asians community. Findings: -61.7% of the South Asian population of San Joaquin are at risk for CVD -3.3% of the South Asian population of San Joaquin are hypotensive -28.6% of the South Asian population of San Joaquin are Stage 1 hypertensive -29.7% of the South Asian population of San Joaquin are Stage 2 hypertensive -38.3% of the South Asian population of San Joaquin have normal blood pressure but consume red meat more than 4 times a month Direct Outcomes of Events: -Development of self-advocacy in the South Asian community. Community members became activists for their own heart health. -Increased participation of youth, in an otherwise adult dominant environment (i.e. the mosques and gurdwaras). -Increased awareness of CVD, hypertension, hypotension, and periodontal disease (PD) among the South Asian community. -Increased participation by youth and adults on activities such as games, challenges and information booths dispensing awareness on CVD and PD. -Increased interaction between community members of different religions, creed, and socioeconomic backgrounds. -Awareness, education among the South Asian community for better heart and oral health -Diagnoses and referrals of suspected cases of hypertension and CVD -Improved patient-provider trust -San Joaquin high school students trained for community outreach events and determined to address CVD. -Youth learned the value of empathy, multiculturalism, and service to disadvantaged communities through the program and volunteering.

scholarly journals Phyto-oestrogen intake and plasma concentrations in South Asian and native British women resident in England

2006 ◽  
Vol 95 (6) ◽  
pp. 1150-1158 ◽  
Author(s):  
Dee Bhakta ◽  
Craig D. Higgins ◽  
Leena Sevak ◽  
Punam Mangtani ◽  
Herman Adlercreutz ◽  
...  
Keyword(s):  
South Asian ◽  
First Generation ◽  
South Asians ◽  
Plasma Concentrations ◽  
Protective Role ◽  
Cancer Risks ◽  
Using Data ◽  
Daily Intakes ◽  
The Uk ◽  
Two Populations

Phyto-oestrogens, naturally occurring hormone-like chemicals in plant food, may play a protective role against hormone-related chronic diseases. South Asian migrants in the UK have a lower incidence of hormone-related cancer than their hosts but the extent to which this difference may be due to phytoestrogen intake is not known. The aim was to compare habitual phytoestrogen intake in first-generation South Asian migrant women and native British women. South Asian (n 221) and native British women (n 50) were recruited from general practitioner lists and were asked to provide monthly 24h recalls for a period of 1 year. An enhanced phytoestrogen database was compiled using data from a literature search and unpublished data. A sub-sample of South Asian women (n 100) and the native British women (n 40) also provided blood samples every 3 months during the 1-year period. The median daily intakes (μg/d) of isoflavones (184·2 v. 333·9) and lignans (110·8 v. 148·8) were significantly lower in South Asians than in the native British (P<0·001, P=0·04 respectively).There were no significant differences in mean plasma isoflavone levels (nmol/l) but plasma enterolactone was significantly lower in the South Asians (13·9 (sd17·5) v. 28·5 (SD23·3),P<0·001). The main sources of phytoestrogens were bread and vegetables in both ethnic groups. Habitual phytoestrogen intake in South Asian and native British women was below 1mg/d and was higher in the native British diet. The present study does not support the hypothesis that differences in phytoestrogen intake, or in circulating levels, could explain differences in hormone-related cancer risks between these two populations.

scholarly journals Oral Health Beliefs, Attitudes, and Practices of South Asian Migrants: A Systematic Review

2019 ◽  
Vol 16 (11) ◽  
pp. 1952 ◽  
Author(s):  
Mehak Batra ◽  
Sabrina Gupta ◽  
Bircan Erbas
Keyword(s):  
Oral Health ◽  
Health Beliefs ◽  
South Asian ◽  
Health Knowledge ◽  
South Asians ◽  
Country Of Origin ◽  
Asian Population ◽  
South Asian Population ◽  
Attitudes And Practices ◽  
The Uk

Oral health is a burden among all populations and is linked with major chronic diseases such as cardiovascular diseases. Migrants, in particular South Asians, have poor oral health which requires further understanding to better inform oral health interventions by targeting specific aspects of this heterogenous South Asian population. This review is undertaken to systematically synthesize the evidence of oral health understandings, knowledge, attitudes, beliefs, practices, and behaviors of South Asian migrants residing in high-income countries. A comprehensive systematic search of seven electronic databases and hand-searching for peer-reviewed studies was conducted. All study designs were included, and quality assessment conducted. Of the 1614 records identified, 17 were included for synthesis and 12 were quantitative in design. These studies were primarily conducted in the UK, USA, Canada, and Europe. South Asian migrants had inadequate oral health knowledge, attitudes, and practices—influenced by culture, social norms, and religiosity. In the absence of symptoms, preventive oral hygiene practices were limited. Barriers to access varied with country of origin; from lack of trust in dentists and treatment cost in studies with India as the country of origin, to religiosity, among poorer nations such as Bangladesh. Fewer studies focused on recent arrivals from Bhutan or the Maldives. Culturally and socially appropriate strategies must be developed to target oral health issues and a “one-size” fits all approach will be ineffective in addressing the needs of South Asian migrants.

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