Sarah Salway
Biographic Data
| ID | 121190 |
|---|---|
| NAME | Sarah Salway |
| GIVEN NAMES | Sarah |
| FAMILY NAME | Salway |
| SIGNATURE | SALWAY S |
| AFFILIATIONS | University of Sheffield |
| ORCID | 0000-0002-7688-5496 |
| VERIFIED | Yes |
| TOTAL WORKS | 46 |
| TOTAL CITATIONS | 262 |
| AUTHOR COUNT | 46 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1998 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 8 |
Can White allyship contribute to tackling ethnic inequalities in health? Reflections on the experiences of diverse young adults in England
Ethnic diversity and racism have not featured strongly in English research, policy or practice centred on understanding and addressing health inequalities. However, the COVID-19 pandemic and the Black Lives Matter movement have shone fresh light on deep-rooted ethnic inequalities and mobilised large segments of the population into anti-racist demonstration. These recent developments suggest that, despite strong counterforces within national gover…
Neighbourhood deprivation and intersectional inequalities in biomarkers of healthy ageing in England
While social and spatial determinants of biomarkers have been reported, no previous study has examined both together within an intersectional perspective. We present a novel extension of quantitative intersectional analyses using cross-classified multilevel models to explore how intersectional positions and neighbourhood deprivation are associated with biomarkers, using baseline UK Biobank data (collected from 2006 to 2010). Our results suggest i…
Researching the health and social inequalities experienced by European Roma populations
This paper draws on the experience of two Romani and three non‐Romani scholars in knowledge production on the health and social inequalities experienced by European Roma populations. Together, we explore how we might better account for, and work against, the complex web of dynamic oppressions embedded within processes of academic knowledge production. Our aim is to encourage careful scrutiny through which sociologists of health and illness might …
Challenges to achieving appropriate and equitable access to Caesarean section
Access to Caesarean section (C-section) remains inadequate for some groups of women while others have worryingly high rates. Understanding differential receipt demands exploration of the socio-cultural, and political economic, characteristics of the health systems that produce them. This extensive institutional ethnography investigated under- and over-receipt of C-section in two rural districts in Pakistan – Jhelum and Layyah. Data were collected…
I realised it weren't about spending the money. It's about doing something together
Community initiatives aiming to reduce health inequalities are increasingly common in health policy. Though diverse many such initiatives aim to support residents of disadvantaged places to exercise greater collective control over decisions/actions that affect their lives - which research suggests is an important determinant of health - and some seek to achieve this by giving residents control over a budget. Informed by theoretical work in which …
Roma populations and health inequalities
Purpose The purpose of this paper is to explore the emergence of “Roma health and wellbeing” as a focus of attention in European research and in policy and the possible detrimental consequences of action founded on a generic representation of “Roma health.” Design/methodology/approach Based on discussions with and research conducted by scholars who work directly with Roma communities across European regions from a wide range of academic disciplin…
Learning from failure? Political expediency, evidence, and inaction in global maternal health
Adjusting a mainstream weight management intervention for people with intellectual disabilities
This user-centred approach identified reasonable adjustments that were feasible to implement. In a small uncontrolled feasibility study, people with ID were positive about the adjustments and lost weight. However, issues in the wider context of people's lives, such as obesogenic environments and concerns about joining mainstream groups, limited the acceptability of Slimming World even with these adjustments. These findings have important implicat…
A qualitative exploration of evidence-based decision making in public health practice and policy
Purpose The purpose of this paper is to explore the perceived usefulness of a diabetes economic model as a potential tool for aiding evidence-based decision making in public health. Methods Fifteen interviews and two focus groups, with four participants in each, were conducted with health and management professionals working in one public health department in a local council. Data were analysed using inductive thematic analysis to generate four t…
Reframing “participation” and “inclusion” in public health policy and practice to address health inequalities
There is a need for greater conceptual clarity in place-based initiatives that seek to give residents of disadvantaged neighbourhoods more control over action to address the social determinants of health inequalities at a local level. In this article, we address this issue as it relates to the concepts of participation and inclusion. We draw on qualitative data generated during the first phase of the Communities in Control Study, a longitudinal m…
Experiences from the frontline
Recent UK welfare reforms have been less successful than expected by the Government in supporting unemployed people with long-term illness into work. Frontline workers remain a core element of the new welfare-to-work machinery, but operate within a changed organisational and policy landscape. These changes raise important questions regarding whether and how claimants' health-related barriers to work are considered. This paper examines the UK welf…
Determinants of uptake of hepatitis B testing and healthcare access by migrant Chinese in the England
Hepatitis B among migrants of Chinese ethnicity in England can be characterised as an invisible disease in an invisible population. Multi-modal solutions are needed to tackle barriers within this population and the health system
Towards a critical complex systems approach to public health
There are growing calls for public health research to eschew linear models of cause and effect typical of clinical research, and instead to embrace approaches that recognise the manifold, multi-lay
Incorporation of a health economic modelling tool into public health commissioning
A model of how targeted and universal welfare entitlements impact on material, psycho-social and structural determinants of health in older adults
A growing body of research attests to the impact of welfare regimes on health and health equity. However, the mechanisms that link different kinds of welfare entitlement to health outcomes are less well understood. This study analysed the accounts of 29 older adults in England to delineate how the form of entitlement to welfare and other resources (specifically, whether this was understood as a universal entitlement or as targeted to those in nee…
Responding to the increased genetic risk associated with customary consanguineous marriage among minority ethnic populations
Populations practising customary consanguineous marriage have a higher incidence of autosomal recessive genetic disorders than those in which reproductive partners are usually unrelated. In the absence of any national-level response, English service developments to address the additional needs of families living with or at risk of such disorders have been locally led. These interventions remain in their infancy here, as elsewhere in Europe, and i…
Putting context centre stage
It is now widely accepted that context matters in evaluations of the health inequalities impact of community-based social initiatives. Systems thinking offers a lens for uncovering the dynamic relationship between such initiatives and their social contexts. However, there are very few examples that show how a systems approach can be applied in practice and what kinds of evidence are produced when this happens. In this paper, we use data from ethn…
Obstacles to "race equality" in the English National Health Service
Inequitable healthcare access, experiences and outcomes across ethnic groups are of concern across many countries. Progress on this agenda appears limited in England given the apparently strong legal and policy framework. This disjuncture raises questions about how central government policy is translated into local services. Healthcare commissioning organisations are a potentially powerful influence on services, but have rarely been examined from…
A Review of Health‐related Support Provision within the UK W ork P rogramme – What's on the Menu
In common with other E uropean welfare states, a large proportion of those who are out of work and claiming welfare benefits in the UK have long‐term health conditions. The need to reduce the number of people who are claiming sickness related unemployment benefits by supporting them into paid work has been highlighted as a priority across the political spectrum since the late 1990s. However, recent years have seen a significant shift in UK welfar…
Understanding welfare conditionality in the context of a generational habitus
Improving Maternal Health in Pakistan
Evidence suggests national- and community-level interventions are not reaching women living at the economic and social margins of society in Pakistan. We conducted a 10-month qualitative study (May 2010–February 2011) in a village in Punjab, Pakistan. Data were collected using 94 in-depth interviews, 11 focus group discussions, 134 observational sessions, and 5 maternal death case studies. Despite awareness of birth complications and treatment op…
Long-term ill health and the social embeddedness of work
Against the background of an increasingly individualising welfare-to-work regime, sociological studies of incapacity and health-related worklessness have called for an appreciation of the role of history and context in patterning individual experience. This article responds to that call by exploring the work experiences of long-term sick people in East London, a post-industrial, multi-ethnic locality. It demonstrates how the individual experience…
Prospects for progress on health inequalities in England in the post-primary care trust era
There is doubt about the ability of GP commissioners to take clearer action on health inequalities than PCTs have historically achieved. Key actors expect the contribution from commissioning to address health inequalities to become even more piecemeal in the new arrangements, as it will be dependent upon the interest and agency of particular individuals within the new commissioning groups to engage and influence a wider range of stakeholders
Migration and Maternity
A group from Germany, Canada, and the United Kingdom undertook country-specific scoping reviews and stakeholder consultations before joining to holistically compare migration and maternity in all three countries. We examined four interlinking dimensions to understand how international migrant/minority maternal health might be improved upon using transnational research: (a) wider sociopolitical context, (b) health policy arena, (c) constellation, …
The role of social geography on Lady Health Workers' mobility and effectiveness in Pakistan
The Pakistan Lady Health Worker (LHW) program provides door-step reproductive health services in a context where patriarchal norms of seclusion constrain women's access to health care facilities. The program has not achieved optimal functioning, particularly in relation to raising levels of contraceptive use. One reason may be that the LHWs face the same mobility constraints that necessitated their appointment. Past research has documented the in…
Understanding gendered influences on women's reproductive health in Pakistan
I never go anywhere
Gender, pregnancy and the uptake of antenatal care services in Pakistan
An integrated analysis of detailed ethnography and large-scale survey data is presented to explore the gendered influences on women's uptake of antenatal care (ANC) services in Punjab, Pakistan. Pregnancy and its associated decisions were shown to be normatively the older women's domain, with pregnant women and their husbands being distanced from the decision-making process. Women who successfully claimed ANC did so not by overtly challenging the…
A Profile of Women’s Work Participation Among the Urban Poor of Dhaka
Economic Activity among UK Bangladeshi and Pakistani Women in the 1990s
Recent research has suggested that patterns of economic activity among UK Pakistani and Bangladeshi women may be changing. It is argued that a younger, UK-educated generation of women is both better equipped to compete in the labour market than older migrants and more likely to subscribe to gender roles that view employment outside the home as a legitimate option. Thus far, small sample sizes have restricted investigation into the relationships b…
Long-term health conditions and Disability Living Allowance
Long-term health conditions affect a substantial proportion of working-age adults, often reducing their employment chances and their incomes. As a result, welfare benefits including those intended to off-set additional expenditure (primarily Disability Living Allowance [DLA]) can make an essential contribution towards maintaining living standards. Given the differences in rates of long-term health conditions for different ethnic groups, issues of…
Labour market experiences of young UK Bangladeshi men
Detailed qualitative data are used to explore the processes perpetuatinglabour market disadvantage among young UK-Bangladeshi men living in central London. Strong forces of inclusion within the Bangladeshi community are found to interact with forces of exclusion from 'mainstream' society to constrain aspirations and limit opportunities. Though diverse forms of young Bangladeshi masculinity are found, a common pattern is heavy dependency on intra-…
Roma populations and health inequalities
Purpose The purpose of this paper is to explore the emergence of “Roma health and wellbeing” as a focus of attention in European research and in policy and the possible detrimental consequences of action founded on a generic representation of “Roma health.” Design/methodology/approach Based on discussions with and research conducted by scholars who work directly with Roma communities across European regions from a wide range of academic disciplin…
The role of social geography on Lady Health Workers' mobility and effectiveness in Pakistan
The Pakistan Lady Health Worker (LHW) program provides door-step reproductive health services in a context where patriarchal norms of seclusion constrain women's access to health care facilities. The program has not achieved optimal functioning, particularly in relation to raising levels of contraceptive use. One reason may be that the LHWs face the same mobility constraints that necessitated their appointment. Past research has documented the in…
Postpartum Contraceptive Use in Bangladesh
Researching the health and social inequalities experienced by European Roma populations
This paper draws on the experience of two Romani and three non‐Romani scholars in knowledge production on the health and social inequalities experienced by European Roma populations. Together, we explore how we might better account for, and work against, the complex web of dynamic oppressions embedded within processes of academic knowledge production. Our aim is to encourage careful scrutiny through which sociologists of health and illness might …
A model of how targeted and universal welfare entitlements impact on material, psycho-social and structural determinants of health in older adults
A growing body of research attests to the impact of welfare regimes on health and health equity. However, the mechanisms that link different kinds of welfare entitlement to health outcomes are less well understood. This study analysed the accounts of 29 older adults in England to delineate how the form of entitlement to welfare and other resources (specifically, whether this was understood as a universal entitlement or as targeted to those in nee…
Obstacles to "race equality" in the English National Health Service
Inequitable healthcare access, experiences and outcomes across ethnic groups are of concern across many countries. Progress on this agenda appears limited in England given the apparently strong legal and policy framework. This disjuncture raises questions about how central government policy is translated into local services. Healthcare commissioning organisations are a potentially powerful influence on services, but have rarely been examined from…
Long-term ill health and the social embeddedness of work
Against the background of an increasingly individualising welfare-to-work regime, sociological studies of incapacity and health-related worklessness have called for an appreciation of the role of history and context in patterning individual experience. This article responds to that call by exploring the work experiences of long-term sick people in East London, a post-industrial, multi-ethnic locality. It demonstrates how the individual experience…
Uptake of contraception during postpartum amenorrhoea
Neighbourhood deprivation and intersectional inequalities in biomarkers of healthy ageing in England
While social and spatial determinants of biomarkers have been reported, no previous study has examined both together within an intersectional perspective. We present a novel extension of quantitative intersectional analyses using cross-classified multilevel models to explore how intersectional positions and neighbourhood deprivation are associated with biomarkers, using baseline UK Biobank data (collected from 2006 to 2010). Our results suggest i…
Incorporation of a health economic modelling tool into public health commissioning
Women's Employment in Urban Bangladesh
Drawing on survey and ethnographic data, this article presents empirical evidence regarding the impact of work participation on poor women's lives in urban Bangladesh. Working for pay is common among poor, married women in Dhaka and working women commonly make an important contribution to household income. There is evidence that working women are more likely to manage money, shop for household provisions and move about outside the home than non-w…
I realised it weren't about spending the money. It's about doing something together
Community initiatives aiming to reduce health inequalities are increasingly common in health policy. Though diverse many such initiatives aim to support residents of disadvantaged places to exercise greater collective control over decisions/actions that affect their lives - which research suggests is an important determinant of health - and some seek to achieve this by giving residents control over a budget. Informed by theoretical work in which …
Understanding welfare conditionality in the context of a generational habitus
Signalling, status and inequities in maternal healthcare use in Punjab, Pakistan
Despite rising uptake of maternal healthcare in Pakistan, inequities persist. To-date, attempts to explain and address these differentials have focused predominantly on increasing awareness, geographic and financial accessibility. However, in a context where 70% of healthcare is private sector provided, it becomes pertinent to consider the value associated with this good. This study examined patterns of maternal healthcare use across socioeconomi…
Can the quality of social research on ethnicity be improved through the introduction of guidance? Findings from a research commissioning pilot exercise
As the volume of UK social research addressing ethnicity grows, so too do concerns regarding the ethical and scientific rigour of this research domain and its potential to do more harm than good. The establishment of standards and principles and the introduction of guidance documents at critical points within the research cycle might be one way to enhance the quality of such research. This article reports the findings from the piloting of a guida…
Long‐term ill‐health, poverty and ethnicity
An examination of why there are links between ill health and poverty, and why the consequences appear to be worse among minority ethnic groups. \nChronic ill health is now recognised as a major public health and social welfare issue, with significant new policy initiatives in recent months. This report presents findings from a detailed investigation into the experiences of individuals living with long-term ill health and their families. New quali…
Reframing “participation” and “inclusion” in public health policy and practice to address health inequalities
There is a need for greater conceptual clarity in place-based initiatives that seek to give residents of disadvantaged neighbourhoods more control over action to address the social determinants of health inequalities at a local level. In this article, we address this issue as it relates to the concepts of participation and inclusion. We draw on qualitative data generated during the first phase of the Communities in Control Study, a longitudinal m…
Supporting Fathers in Multi-Ethnic Societies
There is concern that current UK policy and intervention aimed at supporting fathers remains primarily informed by dominant White middle-class values and experiences, and therefore fails to respond adequately to the needs of Britain's diverse fathers. This paper contributes to understanding of ethnic diversity in fathering contexts, practices and experiences, by reporting findings from a qualitative study of British Asian fathers, involving in-de…
Postpartum Contraceptive Use in Bangladesh
Uptake of contraception during postpartum amenorrhoea
Why is contraceptive use inversely associated with lactational amenorrhoea? Qualitative and quantitative insights from Bangladesh
A Profile of Women’s Work Participation Among the Urban Poor of Dhaka
Special Reviewers
I never go anywhere
Women's Employment in Urban Bangladesh
Drawing on survey and ethnographic data, this article presents empirical evidence regarding the impact of work participation on poor women's lives in urban Bangladesh. Working for pay is common among poor, married women in Dhaka and working women commonly make an important contribution to household income. There is evidence that working women are more likely to manage money, shop for household provisions and move about outside the home than non-w…
Women's Position Within the Household as a Determinant of Maternal Health Care Use in Nepal
CONTEXT: Although gender inequality is often cited as a barrier to improving maternal health in Nepal, little attention has been directed at understanding how sociocultural factors may influence the use of health care. In particular, how a woman's position within her household may affect the receipt of health care deserves further investigation. METHODS: Data on ever-married women aged 15-49 from the 2001 Nepal Demographic and Health Survey were …
Economic Activity among UK Bangladeshi and Pakistani Women in the 1990s
Recent research has suggested that patterns of economic activity among UK Pakistani and Bangladeshi women may be changing. It is argued that a younger, UK-educated generation of women is both better equipped to compete in the labour market than older migrants and more likely to subscribe to gender roles that view employment outside the home as a legitimate option. Thus far, small sample sizes have restricted investigation into the relationships b…
Long-term health conditions and Disability Living Allowance
Long-term health conditions affect a substantial proportion of working-age adults, often reducing their employment chances and their incomes. As a result, welfare benefits including those intended to off-set additional expenditure (primarily Disability Living Allowance [DLA]) can make an essential contribution towards maintaining living standards. Given the differences in rates of long-term health conditions for different ethnic groups, issues of…
Gender, pregnancy and the uptake of antenatal care services in Pakistan
An integrated analysis of detailed ethnography and large-scale survey data is presented to explore the gendered influences on women's uptake of antenatal care (ANC) services in Punjab, Pakistan. Pregnancy and its associated decisions were shown to be normatively the older women's domain, with pregnant women and their husbands being distanced from the decision-making process. Women who successfully claimed ANC did so not by overtly challenging the…
Ill health in the family
The employment rates of both disabled people and those from minority ethnic groups are subject to substantial UK policy attention. In this paper we set out to enhance understanding of the relationship with the labour market for those living with long-term illness and their family members. We explore the role of family caring responsibilities and ethnicity in shaping patterns of employment participation. We do this by investigating the experiences…
Labour market experiences of young UK Bangladeshi men
Detailed qualitative data are used to explore the processes perpetuatinglabour market disadvantage among young UK-Bangladeshi men living in central London. Strong forces of inclusion within the Bangladeshi community are found to interact with forces of exclusion from 'mainstream' society to constrain aspirations and limit opportunities. Though diverse forms of young Bangladeshi masculinity are found, a common pattern is heavy dependency on intra-…
Long‐term ill‐health, poverty and ethnicity
An examination of why there are links between ill health and poverty, and why the consequences appear to be worse among minority ethnic groups. \nChronic ill health is now recognised as a major public health and social welfare issue, with significant new policy initiatives in recent months. This report presents findings from a detailed investigation into the experiences of individuals living with long-term ill health and their families. New quali…
Understanding gendered influences on women's reproductive health in Pakistan
Maternal deaths in Pakistan
BACKGROUND: A key aim of countries with high maternal mortality rates is to increase availability of competent maternal health care during pregnancy and childbirth. Yet, despite significant investment, countries with the highest burdens have not reduced their rates to the expected levels. We argue, taking Pakistan as a case study, that improving physical availability of services is necessary but not sufficient for reducing maternal mortality beca…
Contributions and challenges of cross-national comparative research in migration, ethnicity and health
In view of these pros and cons, the paper encourages researchers to reflect more on the rationale for, feasibility and likely contribution of proposed cross-national comparative research that engages with migration, ethnicity and health and suggests some principles that could support such reflection
Can the quality of social research on ethnicity be improved through the introduction of guidance? Findings from a research commissioning pilot exercise
As the volume of UK social research addressing ethnicity grows, so too do concerns regarding the ethical and scientific rigour of this research domain and its potential to do more harm than good. The establishment of standards and principles and the introduction of guidance documents at critical points within the research cycle might be one way to enhance the quality of such research. This article reports the findings from the piloting of a guida…
A care pathway approach to identifying factors that impact on diagnosis of heart disease in British Pakistani women
Purpose The authors examined the cardiac care pathway with the aim of identifying factors that impact on diagnosis and treatment of coronary heart disease in British Pakistani women. Design/methodology/approach This is an exploratory qualitative study. In depth interviews and focus groups with an opportunistic sample of Pakistani women and a purposive sample of clinicians working at different points along the care pathway were conducted. The auth…
Prospects for progress on health inequalities in England in the post-primary care trust era
There is doubt about the ability of GP commissioners to take clearer action on health inequalities than PCTs have historically achieved. Key actors expect the contribution from commissioning to address health inequalities to become even more piecemeal in the new arrangements, as it will be dependent upon the interest and agency of particular individuals within the new commissioning groups to engage and influence a wider range of stakeholders
Migration and Maternity
A group from Germany, Canada, and the United Kingdom undertook country-specific scoping reviews and stakeholder consultations before joining to holistically compare migration and maternity in all three countries. We examined four interlinking dimensions to understand how international migrant/minority maternal health might be improved upon using transnational research: (a) wider sociopolitical context, (b) health policy arena, (c) constellation, …
The role of social geography on Lady Health Workers' mobility and effectiveness in Pakistan
The Pakistan Lady Health Worker (LHW) program provides door-step reproductive health services in a context where patriarchal norms of seclusion constrain women's access to health care facilities. The program has not achieved optimal functioning, particularly in relation to raising levels of contraceptive use. One reason may be that the LHWs face the same mobility constraints that necessitated their appointment. Past research has documented the in…
Signalling, status and inequities in maternal healthcare use in Punjab, Pakistan
Despite rising uptake of maternal healthcare in Pakistan, inequities persist. To-date, attempts to explain and address these differentials have focused predominantly on increasing awareness, geographic and financial accessibility. However, in a context where 70% of healthcare is private sector provided, it becomes pertinent to consider the value associated with this good. This study examined patterns of maternal healthcare use across socioeconomi…
Supporting Fathers in Multi-Ethnic Societies
There is concern that current UK policy and intervention aimed at supporting fathers remains primarily informed by dominant White middle-class values and experiences, and therefore fails to respond adequately to the needs of Britain's diverse fathers. This paper contributes to understanding of ethnic diversity in fathering contexts, practices and experiences, by reporting findings from a qualitative study of British Asian fathers, involving in-de…
Improving Maternal Health in Pakistan
Evidence suggests national- and community-level interventions are not reaching women living at the economic and social margins of society in Pakistan. We conducted a 10-month qualitative study (May 2010–February 2011) in a village in Punjab, Pakistan. Data were collected using 94 in-depth interviews, 11 focus group discussions, 134 observational sessions, and 5 maternal death case studies. Despite awareness of birth complications and treatment op…
Sociology (37 works) · Political science (34 works) · Medicine (31 works) · Economic growth (21 works) · Economics (20 works) · Psychology (18 works) · Nursing (17 works) · Population (16 works) · Health care (15 works) · Global Maternal and Child Health (13 works)