scholarly journals Optimising co-design with ethnic minority consumers

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ashfaq Chauhan ◽  
Jessica Leefe ◽  
Éidín Ní Shé ◽  
Reema Harrison

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.

2015 ◽  
Vol 19 (4) ◽  
pp. 682-692 ◽  
Author(s):  
Suzanne M Sturkenboom ◽  
Louise H Dekker ◽  
Majda Lamkaddem ◽  
Laura A Schaap ◽  
Jeanne HM de Vries ◽  
...  

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.


2007 ◽  
Vol 35 (6) ◽  
pp. 763-778 ◽  
Author(s):  
Le'Roy E. Reese ◽  
Elizabeth M. Vera

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.


2021 ◽  
pp. jclinpath-2021-207446
Author(s):  
David R Taylor ◽  
Devon Buchanan ◽  
Wiaam Al-Hasani ◽  
Jessica Kearney ◽  
Tina Mazaheri ◽  
...  

AimsPublic Health England has identified that in COVID-19, death rates among ethnic minorities far exceeds that of the white population. While the increase in ethnic minorities is likely to be multifactorial, to date, no studies have looked to see whether values for routine clinical biochemistry parameters differ between ethnic minority and white individuals.MethodsBaseline biochemical data for 22 common tests from 311 SARS-CoV-2 positive patients presenting to hospital in April 2020 in whom ethnicity data were available was retrospectively collected and evaluated. Data comparisons between ethnic minority and white groups were made for all patient data and for the subset of patients subsequently admitted to intensive care.ResultsWhen all patient data were considered, the ethnic minority population had statistically significant higher concentrations of C reactive protein (CRP), aspartate aminotransferase and gamma-glutamyl transferase, while troponin T was higher in the white group. A greater proportion of ethnic minority patients were subsequently admitted to intensive care, but when the presenting biochemistry of this subset of patients was compared, no significant differences were observed between ethnic minority and white groups.ConclusionOur data show for the first time that routine biochemistry at hospital presentation in COVID-19 differs between ethnic minority and white groups. Among the markers identified, CRP was significantly higher in the ethnic minority group pointing towards an increased tendency for severe inflammation in this group.


2018 ◽  
Vol 24 (5) ◽  
pp. 429-436 ◽  
Author(s):  
Ambika Amblee ◽  
Divyanshu Mohananey ◽  
Micheal Morkos ◽  
Sanjib Basu ◽  
Ayokunle T. Abegunde ◽  
...  

2008 ◽  
Vol 40 (2) ◽  
pp. 41-55
Author(s):  
Cathy Black

Since at least the fourteenth century the Slavic ethnic minority population known as Polish Lemkos has claimed the northern slopes of the Carpathian Mountains as its homeland. Lemkos are part of a larger east Slavic population of Carpathian Rus' collectively known as Rusyns, who reside in the Lemko region (in Poland), the Prešov region (in Slovakia), and western Subcarpathian Rus' (in Ukraine) (see Figure I). Beyond the Carpathian homeland Rusyns live in Serbia, Croatia, the Czech Republic, Hungary, Romania, and outside of Europe in the United States, Canada, and Australia (Magocsi 2005, 433; 2006, II). By the outset of the twentieth century in the Lemko Region, the term “Lemko” was gradually adopted as an ethnonym instead of “Rusyn.” Some Rusyns in lands other than Poland also choose to refer to themselves as Lemkos.


1998 ◽  
Vol 4 (4) ◽  
pp. 219-226 ◽  
Author(s):  
James Lindesay

From the 1991 census (Office of Population Censuses and Surveys, 1993) it is estimated that 5.9% of the total population of England and Wales belong to an ethnic minority, and that 3% of this ethnic minority population are aged 65 years and older. This compares with 17% aged 65 years and older in the indigenous population. Although the numbers of elderly people from ethnic minorities are small in absolute terms, these groups are growing rapidly, and mental health professionals working with elderly patients will increasingly need to be equipped with the necessary services and skills to meet their specific needs. The elderly ethnic minority population of the UK is extremely diverse; the largest groups originate from the Indian subcontinent and the Caribbean, but there are also significant communities of Chinese, Somali, Vietnamese, Eastern European, Mediterranean and Irish origin, all of which require consideration when planning and providing services, whatever their numbers. This diversity is also important when considering the various factors that influence the presentation and diagnosis of mental disorders in these groups.


2007 ◽  
Vol 6 (4) ◽  
pp. 464-480 ◽  
Author(s):  
Reza Hasmath

AbstractThe educational attainments of Beijing's permanent ethnic minority population out perform or are on par with the dominant, local Hans. Yet, the Han demographic disproportionately dominates the high-wage, education-intensive employment sectors. What accounts for this paradox? What does this signify regarding the management of ethnic difference in the capital city? And how do we improve this situation? Drawing upon recent research, this paper will offer sociological explanations to answer these questions. Moreover, it will further suggest strategies for enhancing the development of ethnic minorities in Beijing.


2021 ◽  
Author(s):  
Adrian Zenz

Chinese academics and politicians in the Xinjiang Uyghur Autonomous Region have argued that the region’s “terrorism” problem can only be solved by “optimizing” southern Xinjiang’s ethnic population structure. High Uyghur population concentrations are deemed a national security threat. “Optimizing” such concentrations is achieved by embedding substantial Han populations. Scenarios that do not overburden the region’s population carrying capacity entail drastic reductions in ethnic minority natural population growth. The intent to “optimize” the population serves as a basis to assess the intent to destroy an ethnic minority population in part, as outlined in the 1948 U.N. Genocide Convention. The “destruction in part” is assessed as the difference between projected natural population growth without substantial government interference, and reduced growth scenarios in line with population “optimization” requirements. Based on population projections conducted by Chinese researchers, this difference could range between 2.6 and 4.5 million persons by the year 2040.


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