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Health and social care experience and research perception of different ethnic minority populations in the East Midlands, United Kingdom (Represent study)

Bibliographic Data

ID19508265
AuthorsWinifred Ekezie (0000-0001-6622-0784, National Institute for Health and Social Care Research (NIHR), Applied Research Collaboration East Midlands (ARC EM) Leicester UK, corresponding author), Shabana Cassambai (0000-0001-6201-9063, National Institute for Health and Social Care Research (NIHR), Applied Research Collaboration East Midlands (ARC EM) Leicester UK), Barbara Czyznikowska (0000-0001-9253-607X, Diabetes Research Centre University of Leicester Leicester UK), Ffion Curtis (0000-0001-6843-8568, National Institute for Health and Social Care Research (NIHR), Applied Research Collaboration East Midlands (ARC EM) Leicester UK), Lauren L O'Mahoney (0000-0002-2786-3290, National Institute for Health and Social Care Research (NIHR), Applied Research Collaboration East Midlands (ARC EM) Leicester UK), Andrew Willis (0000-0002-9671-2162, National Institute for Health and Social Care Research (NIHR), Applied Research Collaboration East Midlands (ARC EM) Leicester UK), Yogini Chudasama (0000-0002-6777-0064, Diabetes Research Centre University of Leicester Leicester UK), Kamlesh Khunti (0000-0003-2343-7099, National Institute for Health and Social Care Research (NIHR), Applied Research Collaboration East Midlands (ARC EM) Leicester UK), Azhar Farooqi (Leicester City Clinical Commissioning Group (CCG) UK)
Year2024
Volume27
Issue1
Pagese13944-e13944
Publication date2024-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.13944
PMID39102736
OpenAlexW4390058627
LanguageEN
Citations received5
References cited38

INTRODUCTION: Ethnic minority populations experience significant health and social care disparities; despite experiencing a greater burden of diseases, these groups are underrepresented in health and social care research. Consequently, related research can be less applicable to these population groups. The REPRESENT study aims to explore the health and social care experiences of ethnic minorities and other minoritised populations, their research interests and appropriate research practices. METHODS: Focus groups and semistructured interviews were conducted between May and September 2022 with members of a number of ethnic minority communities in England. Data were audio recorded, transcribed and thematically coded using NVivo 12. Rigour was determined through extensive sampling, iterative data collection and analysis. FINDINGS: Fifty-two ethnic minority members were engaged in group interviews and one-to-one interviews. Participants included representatives of the following groups: African Caribbean, Eastern European, Gypsy Travellers, Lesbian, Gay, Bisexual, Transgender, Queer, Intersex and Asexual+, Refugee/Asylum Seekers, Somali and South Asian communities. Interviews were also conducted with ethnic minority healthcare providers and researchers. Three overarching categories were identified: health information, medical service experiences, health and social care concerns and health research. Health and social care services challenges were mostly attributed to discrimination, delayed services, poor cultural relevance and language and cultural barriers. The most influential information sources were local community organisations and word-of-mouth. The main health and social care concerns were chronic long-term health conditions, mental health, maternal health and child development. Recommendations for research involved understanding the motivations for participation, improving communication and empowering communities. Top research priorities were long-term health conditions, health promotion and education, early care interventions and understanding community needs. INTERPRETATION: Discrimination and bias in health and social care provision have severe implications for worsening ethnic health inequalities. Healthcare commissioning authorities and policymakers can leverage the preference of ethnic minority groups for pharmacy services and community organisations to improve access to care. Improving research interest and engagement requires understanding individual community needs, community sensitivity, research relevance and cultural appropriateness. PATIENT OR PUBLIC CONTRIBUTION: Members of ethnic minority Patient and Public Involvement and Engagement group and Community Advisory Board supported the REPRESENT study design, conceptualisation and report development

Ethnic group · Geography · Health care · Perception · Political science · Sociology · Anthropology · Cultural Competency in Health Care · Medicine · Migration, Health and Trauma · Psychology · Romani and Gypsy Studies

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Unique citing works5
Citations per year2,5
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 5

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