Ethnic minority needs and service delivery: The barriers to access in a Glasgow inner‐city area

McFarland, Elaine; Dalton, M.; Walsh, David

doi:10.1080/1369183x.1989.9976128

Cited by 9 publications

(7 citation statements)

References 4 publications

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“…Secondly, random sampling of ethnic minority groups by address or electoral register is not practical and very expensive in terms of time and labour. 28 While sampling from electoral rolls has been used to identify South Asians for population studies, 28,29,30 this method becomes inefficient if, as in this study, a relatively narrow age range is to be sampled. In addition to not reporting age, the completeness of electoral registers for ethnic minorities has also been questioned.…”

Section: Discussionmentioning

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

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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...

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Section: Discussionmentioning

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

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“…Improving the level of trust in the service was also stressed, particularly by one of the personnel advisers for the trust, and there is some evidence to support these assumptions (see McFarland et al 1989). To borrow the language of Kandola et al (1995), these could be conceived of as indirect benefits of greater ethnic diversity, but there were more direct and perhaps more important potential benefits identified.…”

Section: Proportional and Structural Diversitymentioning

confidence: 99%

Ethnic Diversity Policy: Perceptions within the NHS

Johns¹

2004

Soc Policy Adm

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Ethnic diversity has become an important policy objective for the Labour government, particularly since the publication of the Macpherson Report (  ). It is projected as a potential means of improving service provision in various policy areas from policing to the business sector. The contention of this article, based on research conducted in the NHS, is that much more thought needs to be given to the shape of ethnic diversity and its operationalization if services are to improve for society as a whole. The current shape of the concept, as perceived by the majority of the interview respondents who participated in the research (all of whom had responsibility for employment decisions within their organizations), promises at best disappointment, and at worst a further peripheralization of minority ethnic issues, for which communities themselves may be held responsible.

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“…They are neither part of mainstream services or permanent, and are particularly vulnerable to changes Delivered by Ingenta to: University of British Columbia Library Central Serials-Woodward Library IP : 185.50.250.47 On: Wed, 22 Jun 2016 12:16:11 Copyright The Policy Press in temporary or 'special funding' (Ahmed et al, 1985). McFarland et al (1989) suggest such short term, specialist solutions, although attractive, are unlikely to counter inequalities in service delivery. They recommend 'a flexible and comprehensive approach which would incorporate as a matter of course, an ethnic component into the mainstream of provision'.…”

Section: Policy and Politicsmentioning

confidence: 94%

Community Care in a Multi-Racial Society: incorporating the user view

Atkin¹

1991

Policy &Amp; Politics

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Recent policy debates are beginning to recognise the potential significance of race in formulating social care policy. This occurs within a wider policy context that emphasises user views. Community service provision, however, has not been responsive to the views of the black user. This paper, by exploring current policy and practice, argues that successful community care cannot rely merely on an understanding of black user views. It must also appraise the organisation and delivery of community services to people who form black minorities.

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Ethnic minority needs and service delivery: The barriers to access in a Glasgow inner‐city area

Cited by 9 publications

References 4 publications

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

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

Ethnic Diversity Policy: Perceptions within the NHS

Community Care in a Multi-Racial Society: incorporating the user view

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