Public health in inner London.

Jacobson, Bobbie

doi:10.1136/bmj.305.6865.1344

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…The inner city area of London has a high proportion of socially deprived residents14 and people from ethnic minorities 15. Population mobility is also a greater problem in inner city areas, and this reduces the efficiency of call-recall systems for cervical cytology.…”

Section: Discussionmentioning

confidence: 99%

Using patient and general practice characteristics to explain variations in cervical smear uptake rates

Majeed

Cook²,

Anderson³

et al. 1994

BMJ

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Section: Discussionmentioning

confidence: 99%

Using patient and general practice characteristics to explain variations in cervical smear uptake rates

Majeed

Cook²,

Anderson³

et al. 1994

BMJ

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“…In addition to not reporting age, the completeness of electoral registers for ethnic minorities has also been questioned. 31,32 Thirdly, the Local Research Ethics Committee expressed concern about researchers approaching subjects at home, their addresses having been obtained from general practitioners age/sex registers. They felt that only subjects who responded to a letter of invitation from their general practitioner could be approached.…”

Section: Discussionmentioning

confidence: 99%

Dental service use and the implications for oral cancer screening in a sample of Bangladeshi adult medical care users living in Tower Hamlets, UK

Pearson¹,

Croucher²,

Marcenes³

et al. 1999

Br Dent J

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517RESEARCH dental public health may arise de novo although in high prevalence areas such as Southern Asia it is usually preceded by a so-called precancerous lesion -a red (erythroplakia) or a white (leukoplakia) patch. 2 In India almost all oral cancers originate from leukoplakias. 3 Secondary prevention is aimed at the early recognition of oral cancer. Treatment of precancerous or small (less than 2 cm) lesions results in an improved prognosis and causes limited morbidity. 4 The UK Working Group on Screening for Oral Cancer and Precancer 5 recommended that screening for oral cancer should form part of a general oral examination by dentists and that all adults should be encouraged to attend for annual check ups. However, several studies have shown that among most minority ethnic groups there is a symptom oriented view in relation to use of dental services. [6][7][8] In India and other South Asian countries oral cancer is the most common cancer accounting for over 40% of all malignancies. 9 Relative frequency is high in Bangladesh, India and Sri Lanka. 10 Paan (betel quid) chewing with tobacco and smoking is associated with an increased risk of oral cancer 11,12 although a recent study 13 found that areca nut chewing by itself was carcinogenic. Paan chewing has a long history in South Asian communities and it is associated with many social and religious traditions. 14 The method and usage of the constituents of paan varies between countries, communities and individuals. Three principal ingredients, a leaf of the betel vine (Piper betle), areca nut and lime are necessary for the term paan to be used. Tobacco is frequently added to the paan quid. Within the UK, paan chewing is practised within Indian, Pakistani and Bangladeshi communities. 15 Recent investigations into paan chewing in the UK have found that the habit is very widespread among Bangladeshis. [15][16][17] These issues emphasize the need for more information on the use of dental services, barriers to the uptake of dental care, attitudes to regular dental examinations, and the paan and tobacco habits among Asians living in the UK.Research into the health of ethnic minority groups is often restricted by methodological difficulties. 18 The most practical and efficient means reported in the literature of identifying a sample has been the use of general medical practices, 8,[19][20][21][22][23][24][25] especially as it has been estimated 26 that only 2% of 'black' and 'Asian' groups were not registered with a general practice in inner London. This approach circumvents the lack of a sampling frame needed for a random sample and the expense of using the address or electoral register to identify ethnic minority members.Aim To assess the use of dental services, barriers to uptake of dental care and attitudes to regular dental examinations and the prevalence of tobacco and paan chewing habits in a group of Bangladeshi medical care users. Design Multi-centre cross-sectional study. Setting Four general medical practices' waiting areas in Tower Hamlets. Subjects Ba...

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Pathogenesis of tropical pulmonary eosinophilia: parasitic alveolitis and parallels with asthma

Marshall¹,

Wilkinson²,

Davidson³

1998

Respiratory Medicine

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Public health in inner London.

Cited by 6 publications

References 5 publications

Using patient and general practice characteristics to explain variations in cervical smear uptake rates

Using patient and general practice characteristics to explain variations in cervical smear uptake rates

Dental service use and the implications for oral cancer screening in a sample of Bangladeshi adult medical care users living in Tower Hamlets, UK

Pathogenesis of tropical pulmonary eosinophilia: parasitic alveolitis and parallels with asthma

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