Understanding and beliefs of diabetes in the UK Bangladeshi population

Choudhury, Sopna; Brophy, Sinéad; Williams, Rhys

doi:10.1111/j.1464-5491.2009.02741.x

Cited by 28 publications

(106 citation statements)

References 26 publications

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“…They described doctors as either too busy to see them26 27 or not giving enough information about diagnosis and medicines 3233 37 Other patients reported having been belittled by doctors 25. In another study, patients accounted for the lack of communication with healthcare professionals due to language barriers 33…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of qualitative research on the contributory factors leading to medicine-related problems from the perspectives of adult patients with cardiovascular diseases and diabetes mellitus

et al. 2014

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ObjectivesTo synthesise contributing factors leading to medicine-related problems (MRPs) in adult patients with cardiovascular diseases and/or diabetes mellitus from their perspectives.DesignA systematic literature review of qualitative studies regarding the contributory factors leading to MRPs, medication errors and non-adherence, followed by a thematic synthesis of the studies.Data sourcesWe screened Pubmed, EMBASE, ISI Web of Knowledge, PsycInfo, International Pharmaceutical Abstract and PsycExtra for qualitative studies (interviews, focus groups and questionnaires of a qualitative nature).Review methodsThematic synthesis was achieved by coding and developing themes from the findings of qualitative studies.ResultsThe synthesis yielded 21 studies that satisfied the inclusion and exclusion criteria. Three themes emerged that involved contributing factors to MRPs: patient-related factors including socioeconomic factors (beliefs, feeling victimised, history of the condition, lack of finance, lack of motivation and low self-esteem) and lifestyle factors (diet, lack of exercise/time to see the doctor, obesity, smoking and stress), medicine-related factors (belief in natural remedies, fear of medicine, lack of belief in medicines, lack of knowledge, non-adherence and polypharmacy) and condition-related factors (lack of knowledge/understanding, fear of condition and its complications, and lack of control).ConclusionsMRPs represent a major health threat, especially among adult patients with cardiovascular diseases and/or diabetes mellitus. The patients’ perspectives uncovered hidden factors that could cause and/or contribute to MRPs in these groups of patients.

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Section: Resultsmentioning

confidence: 99%

“…Another group of patients misunderstood the concept of a healthy diet. They believed that eating bitter foods could control DM,33 or applied portion sizes to their diets 40. In the latter case, patients had difficulty eating smaller portions and/or even changing their favourite foods.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of qualitative research on the contributory factors leading to medicine-related problems from the perspectives of adult patients with cardiovascular diseases and diabetes mellitus

et al. 2014

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“…Qualitative research methods are valuable in allowing the exploration of complex behaviours, attitudes and interactions (38) and have previously been used to explore diet and health in South Asians (17,21,23,39,40) . Various sociocultural factors can hamper research among South Asian groups, especially women.…”

Section: Discussionmentioning

confidence: 99%

“…The participants did appear to recognise the important role of health-care professionals, however. Other recent evidence also suggests that South Asian women may be strongly, though passively, influenced by their doctor's recommendations and that word of mouth may have an important role in promoting programmes (23) . Other evidence suggests that Pakistani-born people with diabetes expect empathy and care from health workers, rather than an authoritarian style (40) .…”

Section: Health Promotion and Educationmentioning

confidence: 99%

“…Socio-cultural factors strongly influence dietary habits among South Asians. Important factors include Islamic guidance, cultural beliefs, family roles and expectations, language barriers, health knowledge and the level of acculturation (17)(18)(19)(20)(21)(22)(23) . As South Asian women have a principal role in food preparation, measures to improve their understanding of food and health are particularly important if community-wide changes and effects are to be achieved.…”

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Social and cultural construction of obesity among Pakistani Muslim women in North West England

Ludwig

Cox

Ellahi

2011

Public Health Nutr.

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Objective: The present qualitative study explored health perceptions, diet and the social construction of obesity and how this relates to the initiation and maintenance of a healthier diet in UK Pakistani women. Design: Pakistani women in Greater Manchester participated in focus group and one-to-one discussions. Semi-structured interviews employing fictional vignettes and body shape images were used to explore the participants' beliefs and practices regarding diet, overweight/obesity and the risk of type 2 diabetes. Transcripts were analysed using phenomenological and sociological approaches. Setting: Interviews took place either in local community and Pakistani resource centres or in private homes. Subjects: First-and second-generation women who were both active in the community and housebound. The women spoke English and/or Urdu. Results: The fifty-five participants lacked the motivation to address weight gain and were unsure how to do so. There was a limited awareness of the link between weight gain and type 2 diabetes. Other barriers included the influence of Islam, culture and familial expectations on home cooking, perceptions that weight gain is inevitable (owing to ageing, childbirth or divine predestination) and the prioritisation of family concerns over individual lifestyle changes. As the findings of the present research did not correspond to existing educational and behaviour change models, a new Health Action Transition conceptual model is proposed. Conclusions: Health education programmes that aim to address obesity and its associated risks in the South Asian community must take into account the complex beliefs and practices and the multiple dimensions of religion, ethnic and social identity within this population. The present study provides further insight into these factors and proposes a novel model for use in designing and implementing education interventions for British Pakistani women. Keywords Diet Educational models Pakistani ObesityActions to address the rising levels of obesity and type 2 diabetes (T2D), which predispose people to CVD, are a health-care priority. There is a particular need for culturally specific educational interventions targeted at black and minority ethnic groups, including South Asian populations (4)(5)(6) . In 2001, approximately two million ethnic South Asians were living in England and Wales (7) . Approximately 215 000 South Asians were living in North West England (7) and this population is growing faster than those of other minorities (8) . South Asian men and women have a 2-fold and 1?5-fold higher risk of T2D, respectively, than the general population (9) . Central obesity is more common in South Asians than in Caucasians (4,9,10) and is particularly prevalent in Pakistani women (10,11) . Overall, South Asians are approximately 50 % more likely to die from CHD than the general population (4) . In the South Asian context, women's health is devalued and neglected (12) . Dietary differences are likely to contribute to these health inequalities (4,13,14) . A...

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Current literature in diabetes

2009

Diabetes Metabolism Res

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of diabetes/metabolism. Each bibliography is divided into 26 sections: 1 Reviews; 2 General; 3 Genetics; 4 Epidemiology; 5 Immunology; 6 Obesity; 7 Prediction and Prevention; 8 Intervention: a) General; b) Care; c) Drug Therapy; d)Economics; e) Gene therapy; f) Nursing; g) Nutrition; h) Surgery; i) Transplantation; 9 Pathology and Complications: a) General; b) Cardiovascular; c) Eye disease; d) Gestational and fetal; e) Neurological; f) Podiatrical; g) Renal; 10 Endocrinology & Metabolism; 11 Experimental Studies; 12 Diagnosis and Techniques. Within each section, articles are listed in alphabetical order with respect to author

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Understanding and beliefs of diabetes in the UK Bangladeshi population

Cited by 28 publications

References 26 publications

A systematic review of qualitative research on the contributory factors leading to medicine-related problems from the perspectives of adult patients with cardiovascular diseases and diabetes mellitus

A systematic review of qualitative research on the contributory factors leading to medicine-related problems from the perspectives of adult patients with cardiovascular diseases and diabetes mellitus

Social and cultural construction of obesity among Pakistani Muslim women in North West England

Current literature in diabetes

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