Ethnic differences in consultation rates in urban general practice.

Gillam, Stephen; Jarman, B; White, PJ; Law, Robin

doi:10.1136/bmj.299.6705.953

Cited by 171 publications

(102 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In England, native people were at a lower risk of developing allergic rhinitis than those born in Asia or the West Indies (272). Similarly, Maori people suffered more from allergic rhinitis than New Zealanders from English origin (273).…”

Section: Ethnic Groupsmentioning

confidence: 95%

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Bousquet¹,

Khaltaev²,

Cruz³

et al. 2008

Allergy

3,801

1,761

View full text Add to dashboard Cite

Section: Ethnic Groupsmentioning

confidence: 95%

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Bousquet¹,

Khaltaev²,

Cruz³

et al. 2008

Allergy

3,801

1,761

View full text Add to dashboard Cite

“…35 Consultation rates for mental disorders -in particular, anxiety and depressionhave been reported as lower in all immigrant groups in London general practices. 32 Once patients do attend their GP, there is evidence to suggest that patients coming from ethnic minorities are less likely to have mental health problems recognised, 36 and this has been shown particularly for black ethnic groups. 37 Lower anxiolytic prescribing has been reported in practices with more Asian names, 3 while a number of studies in the US have also reported that black Americans were prescribed fewer anxiolytics and hypnotics than white Americans.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

“…Some studies have reported lower prevalence rates of anxiety symptoms in Caribbeans and black Africans, whereas in the Asian community, prevalence studies have produced conflicting findings. [27][28][29][30][31] Prevalence studies need to be interpreted with caution, as findings may be a function of differences in helpseeking behaviours and social beliefs about the acceptability and management of psychological illness 29,[32][33][34][35] or they may represent differences in the recognition of mental health problems by health professionals. [36][37] Cultural beliefs may deter patients from attending, particularly where family support is seen as the most appropriate coping method (for example, in the Bangladeshi community), or may hamper detection if, for example, alternative concepts are proffered such as belief in the role of magic (for example, in the Yoruba community).…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Variations in anxiolytic and hypnotic prescribing by GPs: a cross-sectional analysis using data from the UK Quality and Outcomes Framework

2009

View full text Add to dashboard Cite

“…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.…”

mentioning

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

View full text Add to dashboard Cite

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...

show abstract

Ethnic differences in consultation rates in urban general practice.

Cited by 171 publications

References 10 publications

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Variations in anxiolytic and hypnotic prescribing by GPs: a cross-sectional analysis using data from the UK Quality and Outcomes Framework

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

Contact Info

Product

Resources

About