Delan Devakumar
Datos Biográficos
| ID | 134171 |
|---|---|
| NOMBRE | Delan Devakumar |
| NOMBRES | Delan |
| APELLIDO | Devakumar |
| FIRMA | DEVAKUMAR D |
| AFILIACIONES | University College London |
| ORCID | 0000-0002-8695-6817 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 34 |
| TOTAL DE CITAS | 21 |
| TOTAL COMO AUTOR | 34 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2015 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
The association between paternal labour migration and the growth of the left-behind children—evidence from a birth cohort in Dhanusha district, Nepal
INTRODUCTION: We aimed to determine the association between paternal labour migration and the growth of the left-behind children in Dhanusha district, Nepal, where child stunting and international labour migration are highly prevalent. METHODS: -score (HAZ). Children's body circumferences, skinfold thicknesses, body composition, tibia length and grip strength were secondary outcomes measured at 6 years. We tested (i) the overall association betwe…
A co‐produced analysis of Send policy for children and young people
Despite decades of documented ethnic inequalities in Special Educational Needs and Disability (SEND), the well‐established role of social determinants of health and growing awareness of cultural safety and trauma‐informed practices in supporting children's mental health, their integration into England's SEND policy remains unclear. This study, co‐produced with peer researchers and community stakeholders, examined national and local SEND policy an…
Determinants of Infant Growth in a Birth Cohort in the Nepal Plains
This study aimed to identify the determinants of infant growth in terms of length-for-age z-score (LAZ) in a birth cohort (n = 602) in the plains of Nepal. Children were enrolled within 72 h of birth and followed-up every 28 days until they were 2 years. We fitted mixed-effects linear regression models controlling for multiple measurements within individuals to examine the impact of household and maternal factors, feeding practices and infection …
Growing up in transit. Personal development and resistance of migrant adolescents travelling through Mexico unaccompanied
Mexico is a major global migration corridor. The last decade has seen an increase in adolescents travelling unaccompanied from Guatemala, Honduras and El Salvador, mainly due to violence and natural disasters. This group of migrants is exposed to migration risks such as trafficking and exploitation, as well as multiple deportations and long waiting times without appropriate access to health and education services. These conditions have significan…
What Women Want
Insufficient evidence guides mental health service development for survivors of violence against women in Sri Lanka. Provider and survivor perspectives on (1) what constitutes mental health, (2) quality of care, and (3) priority areas and stakeholders for intervention were identified through framework analysis of 53 in-depth interviews. Desired care is chiefly psychosocial—not psychological—prioritizing socioeconomic, parenting, and safe environm…
How does domestic violence stigma manifest in women’s lives in Afghanistan? A study of survivors’ lived experiences of help-seeking across three provinces
Afghanistan has one of the highest rates of domestic violence in the world, with an estimated 46% women reporting lifetime violence. Survivors of domestic violence experience significant stigma from their families and communities, often in the form of blame, shame, gossip, and dismissal. While the manifestations of stigma are often the same across cultural settings, the drivers may be different. We conducted sixty semi-structured interviews with …
Risk factors for violence against women in high-prevalence settings
Overlooked and unaddressed
Child Marriage (before the age of 18) affects over 12 million young women globally, annually. Given the ability for poor mental health to intensify other health and social challenges, understanding the mental health consequences linked to child marriage is vital. Our study is the first to examine how mental health is approached in current literature on child marriage. Our conceptual framework was informed by a rapid assessment of key issues in th…
Mechanisms for the prevention of adolescent intimate partner violence
Adolescent girls are among those at the greatest risk of experiencing intimate partner violence (IPV). Despite adolescence being widely regarded as a window of opportunity to influence attitudes and behaviours related to gender equality, evidence on what works to prevent IPV at this critical stage is limited outside of high-income, school-based settings. Even less is understood about the mechanisms of change in these interventions. We conducted a…
Impact of infectious disease epidemics on xenophobia
School-based group interpersonal therapy for adolescents with depression in rural Nepal
School-based group IPT is feasible and acceptable in Nepal. Findings support progression to a randomised controlled trial to assess effectiveness and cost-effectiveness
Social and cultural conditions affecting the mental health of Syrian, Lebanese and Palestinian adolescents living in and around Bar Elias, Lebanon
An estimated 1.5 million displaced Syrians live in Lebanon, sharing neighbourhoods and communal spaces with longer-term Lebanese and Palestinian residents. The Syrian Civil War has lasted over one decade. Protracted mass displacement means that many young people are growing up in neighbourhoods, towns and cities which include comparable numbers of recently displaced and longer-term residents. In this study, we explore adolescent mental health and…
Mental health of women and children experiencing family violence in conflict settings
Family violence was common in conflict settings and was associated with mental health outcomes, but the studies were too heterogenous to determine whether prevalence or risk was greater than in non-conflict settings. The review highlights an urgent need for more robust data on perpetrators, forms of family violence, and mental health outcomes in conflict-affected settings in order to help understand the magnitude of the problem and identify poten…
Resilience as a communal concept
This study illuminates the elements and mechanisms embodied in these adolescents' communities and relationships that allow for adaptation to life in Bar Elias. These factors strengthen their approach to overcome social barriers and practice resilience. These communal aspects of the adolescents' lives also connect to their memories of home, current environment, and future aspirations
A cross-cultural interpersonal model of adolescent depression
Most cross-cultural qualitative research on depression has been descriptive, documenting symptoms and explanatory models. There is a lack of qualitative research testing theoretical models of depression. The interpersonal model conceptualises grief, interpersonal disputes, role transitions and social isolation as the context in which depression develops and is the basis of interpersonal therapy (IPT), which is increasingly used in cross-cultural …
Black, Asian and Minority Ethnic groups in England are at increased risk of death from Covid-19
Background : International and UK data suggest that Black, Asian and Minority Ethnic (BAME) groups are at increased risk of infection and death from COVID-19. We aimed to explore the risk of death in minority ethnic groups in England using data reported by NHS England. Methods : We used NHS data on patients with a positive COVID-19 test who died in hospitals in England published on 28th April, with deaths by ethnicity available from 1st March 202…
Global call to action for inclusion of migrants and refugees in the Covid-19 response
Racism and discrimination in Covid-19 responses
Experience and perspectives on palliative or end-of-life care of Chinese people and their families as immigrants to high-income countries
The association of maternal nutrition and children’s pre-primary experience with over-age attendance in secondary school
Over-age attendance is increasing but remains under-studied in South Asia.•Children fall behind by entering pre-primary or primary late, and by repeating a grade during/after primary school.•Rural location, thin and uneducated mothers predicted late pre-primary entry.•Educational research and interventions need to focus on the earlier time-point of pre-primary.•Improving maternal nutrition and education may ensure timely progression of children i…
Culturally and developmentally adapting group interpersonal therapy for adolescents with depression in rural Nepal
Group IPT can be adapted for adolescents in Nepal and delivered through the education system. A randomised controlled trial is needed to assess the impact and costs of the intervention in this setting. Future research in LMICs to adapt IPT for adolescents could use this adapted intervention as a starting point
Signs and strategies to deal with food insecurity and consumption of ultra-processed foods among Amazonian mothers
Although food insecurity configures a public health issue in developing countries going through nutrition transition, there is still lack of evidence on how it is affected by social determinants and its relationship with ultra-processed food (UPF) consumption. Using qualitative methods, we investigated the experience of food (in)security among mothers living in the Brazilian Amazon area, identifying aspects of food insecurity promoting UPF consum…
Categorisation and Minoritisation
The disproportionate mortality of COVID-19 \nand brutality of protective institutions has \nshifted anti-racism \ndiscourses into the mainstream. \n1 Increased reckoning over categorisations \nof people demonstrate that racial \ncategories, while imprecise, fluid, time and \ncontext-specific, \nembody hierarchical power. \nWe interrogate categorisations used in the \nUK, South Africa and the USA; their origins \nand impact. We emphasise needing t…
Occupational health outcomes among international migrant workers
The UCL–Lancet Commission on Migration and Health
Categorisation and Minoritisation
The disproportionate mortality of COVID-19 \nand brutality of protective institutions has \nshifted anti-racism \ndiscourses into the mainstream. \n1 Increased reckoning over categorisations \nof people demonstrate that racial \ncategories, while imprecise, fluid, time and \ncontext-specific, \nembody hierarchical power. \nWe interrogate categorisations used in the \nUK, South Africa and the USA; their origins \nand impact. We emphasise needing t…
Resilience as a communal concept
This study illuminates the elements and mechanisms embodied in these adolescents' communities and relationships that allow for adaptation to life in Bar Elias. These factors strengthen their approach to overcome social barriers and practice resilience. These communal aspects of the adolescents' lives also connect to their memories of home, current environment, and future aspirations
A cross-cultural interpersonal model of adolescent depression
Most cross-cultural qualitative research on depression has been descriptive, documenting symptoms and explanatory models. There is a lack of qualitative research testing theoretical models of depression. The interpersonal model conceptualises grief, interpersonal disputes, role transitions and social isolation as the context in which depression develops and is the basis of interpersonal therapy (IPT), which is increasingly used in cross-cultural …
Growing up in transit. Personal development and resistance of migrant adolescents travelling through Mexico unaccompanied
Mexico is a major global migration corridor. The last decade has seen an increase in adolescents travelling unaccompanied from Guatemala, Honduras and El Salvador, mainly due to violence and natural disasters. This group of migrants is exposed to migration risks such as trafficking and exploitation, as well as multiple deportations and long waiting times without appropriate access to health and education services. These conditions have significan…
What Women Want
Insufficient evidence guides mental health service development for survivors of violence against women in Sri Lanka. Provider and survivor perspectives on (1) what constitutes mental health, (2) quality of care, and (3) priority areas and stakeholders for intervention were identified through framework analysis of 53 in-depth interviews. Desired care is chiefly psychosocial—not psychological—prioritizing socioeconomic, parenting, and safe environm…
Child health in Syria
The war in Syria, now in its fourth year, is one of the bloodiest in recent times. The legacy of war includes damage to the health of children that can last for decades and affect future generations. In this article we discuss the effects of the war on Syria's children, highlighting the less documented longer-term effects. In addition to their present suffering, these children, and their own children, are likely to face further challenges as a re…
Using international human rights law to improve child health in low-income countries
BACKGROUND: The Committee on Economic, Social and Cultural Rights states that the right to health is closely related to, and dependent upon, the realization of other human rights, including the right to food, water, education and shelter which are important determinants of health. Children's healthcare workers in low income settings may spend the majority of their professional lives trying to mitigate deficiencies of these rights but have little …
Maternal phenotype, independent of family economic capital, predicts educational attainment in lowland nepalese children
OBJECTIVES: Factors acting before children are born or reach school-going age may explain why some do not complete primary education. Many relevant factors relate to maternal phenotype, but few studies have tested for independent associations of maternal factors relative to those characterizing the family in general. METHODS: Using data from a longitudinal study of 838 children in Dhanusha, Nepal, we used logistic regression models to test whethe…
Disentangling the associations between parental BMI and offspring body composition using the four‐component model
OBJECTIVES: This study sets out to investigate the intergenerational associations between the body mass index (BMI) of parents and the body composition of their offspring. METHODS: The cross-sectional data were analyzed for 511 parent-offspring trios from London and south-east England. The offspring were aged 5-21 years. Parental BMI was obtained by recall and offspring fat mass and lean mass were obtained using the four-component model. Multivar…
Blood pressure and the capacity‐load model in 8‐year‐old children from N epal
OBJECTIVES: Growth patterns in early life are increasingly linked with subsequent cardio-metabolic risk, but the underlying mechanisms require elucidation. We have developed a theoretical model of blood pressure, treating it as a function of homeostatic metabolic capacity, and antagonistic metabolic load. We sought to differentiate prenatal and postnatal components of metabolic capacity, and to identify intergenerational contributions to offsprin…
Socioeconomic determinants of growth in a longitudinal study in Nepal
Socioeconomic status (SES) is associated with childhood anthropometry, but little is known about how it is associated with tissue growth and body composition. To investigate this, we looked at components of SES at birth with growth in early and mid-childhood, and body composition in a longitudinal study in Nepal. The exposure variables (material assets, land ownership, and maternal education) were quantified from questionnaire data before birth. …
The UCL–Lancet Commission on Migration and Health
Health impacts of parental migration on left-behind children and adolescents
Women’s Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal
Household air pollution is a major cause of ill health, but few solutions have been effective to date. While many quantitative studies have been conducted, few have explored the lived experiences and perceptions of women who do the cooking, and as a result are those most exposed to household air pollution. In this study, we worked with groups of home cooks, and sought to use art as a means of engaging them in discussions of how household air poll…
Political views of doctors in the UK
Background Little is known about the political views of doctors in the UK despite doctors' importance in the functioning of the National Health Service (NHS). Methods This is a survey-based, cross-sectional study in which we asked questions about voting behaviour in 2015 and 2017 UK general elections and 2016 referendum on leaving the European Union (EU) (Brexit), and questions relating to recent health policies. Results 1172 doctors (45.1% women…
Occupational health outcomes among international migrant workers
Black, Asian and Minority Ethnic groups in England are at increased risk of death from Covid-19
Background : International and UK data suggest that Black, Asian and Minority Ethnic (BAME) groups are at increased risk of infection and death from COVID-19. We aimed to explore the risk of death in minority ethnic groups in England using data reported by NHS England. Methods : We used NHS data on patients with a positive COVID-19 test who died in hospitals in England published on 28th April, with deaths by ethnicity available from 1st March 202…
Global call to action for inclusion of migrants and refugees in the Covid-19 response
Racism and discrimination in Covid-19 responses
Experience and perspectives on palliative or end-of-life care of Chinese people and their families as immigrants to high-income countries
The association of maternal nutrition and children’s pre-primary experience with over-age attendance in secondary school
Over-age attendance is increasing but remains under-studied in South Asia.•Children fall behind by entering pre-primary or primary late, and by repeating a grade during/after primary school.•Rural location, thin and uneducated mothers predicted late pre-primary entry.•Educational research and interventions need to focus on the earlier time-point of pre-primary.•Improving maternal nutrition and education may ensure timely progression of children i…
Culturally and developmentally adapting group interpersonal therapy for adolescents with depression in rural Nepal
Group IPT can be adapted for adolescents in Nepal and delivered through the education system. A randomised controlled trial is needed to assess the impact and costs of the intervention in this setting. Future research in LMICs to adapt IPT for adolescents could use this adapted intervention as a starting point
Signs and strategies to deal with food insecurity and consumption of ultra-processed foods among Amazonian mothers
Although food insecurity configures a public health issue in developing countries going through nutrition transition, there is still lack of evidence on how it is affected by social determinants and its relationship with ultra-processed food (UPF) consumption. Using qualitative methods, we investigated the experience of food (in)security among mothers living in the Brazilian Amazon area, identifying aspects of food insecurity promoting UPF consum…
Categorisation and Minoritisation
The disproportionate mortality of COVID-19 \nand brutality of protective institutions has \nshifted anti-racism \ndiscourses into the mainstream. \n1 Increased reckoning over categorisations \nof people demonstrate that racial \ncategories, while imprecise, fluid, time and \ncontext-specific, \nembody hierarchical power. \nWe interrogate categorisations used in the \nUK, South Africa and the USA; their origins \nand impact. We emphasise needing t…
Mental health of women and children experiencing family violence in conflict settings
Family violence was common in conflict settings and was associated with mental health outcomes, but the studies were too heterogenous to determine whether prevalence or risk was greater than in non-conflict settings. The review highlights an urgent need for more robust data on perpetrators, forms of family violence, and mental health outcomes in conflict-affected settings in order to help understand the magnitude of the problem and identify poten…
Resilience as a communal concept
This study illuminates the elements and mechanisms embodied in these adolescents' communities and relationships that allow for adaptation to life in Bar Elias. These factors strengthen their approach to overcome social barriers and practice resilience. These communal aspects of the adolescents' lives also connect to their memories of home, current environment, and future aspirations
A cross-cultural interpersonal model of adolescent depression
Most cross-cultural qualitative research on depression has been descriptive, documenting symptoms and explanatory models. There is a lack of qualitative research testing theoretical models of depression. The interpersonal model conceptualises grief, interpersonal disputes, role transitions and social isolation as the context in which depression develops and is the basis of interpersonal therapy (IPT), which is increasingly used in cross-cultural …
Risk factors for violence against women in high-prevalence settings
Overlooked and unaddressed
Child Marriage (before the age of 18) affects over 12 million young women globally, annually. Given the ability for poor mental health to intensify other health and social challenges, understanding the mental health consequences linked to child marriage is vital. Our study is the first to examine how mental health is approached in current literature on child marriage. Our conceptual framework was informed by a rapid assessment of key issues in th…
Mechanisms for the prevention of adolescent intimate partner violence
Adolescent girls are among those at the greatest risk of experiencing intimate partner violence (IPV). Despite adolescence being widely regarded as a window of opportunity to influence attitudes and behaviours related to gender equality, evidence on what works to prevent IPV at this critical stage is limited outside of high-income, school-based settings. Even less is understood about the mechanisms of change in these interventions. We conducted a…
Medicine (22 obras) · Psychology (16 obras) · Political science (14 obras) · Sociology (12 obras) · Environmental health (9 obras) · Migration, Health and Trauma (9 obras) · Psychiatry (9 obras) · Psychological intervention (8 obras) · Social Psychology (8 obras) · Geography (7 obras)