Health and Comorbidities in Minority Ethnic Adults Living with Visual Impairment in the UK

Hussain, Syeda F.; Heinze, Nikki; Gomes, Renata S. M.

doi:10.3390/disabilities4010006

Cited by 4 publications

(4 citation statements)

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“…impacted on social functioning among Asian participants. While Asian participants were almost three times more likely than Black participants to report having bad health, overall comorbidity and presence of comorbid physical health conditions and impairments were higher among Black participants ( 69 ). There is some indication that subjective health may be a better indicator of social participation.…”

Section: Discussionmentioning

confidence: 99%

Social functioning in adults with visual impairment from minority ethnic communities in the United Kingdom

Heinze,

Jones

2024

Front. Public Health

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BackgroundVisual impairment (V.I.) has been associated with a negative impact on social functioning, while social support can impact on well-being in those with V.I. Adults from minority ethnic communities (MEC) are projected to make up an increasing proportion of adults living with V.I. in the UK, but limited research has explored their social functioning. This article provides a preliminary insight into social functioning among MEC adults living with V.I. in the UK.MethodsThe article reports findings from a secondary analysis of V.I. Lives survey data. V.I. Lives was a UK telephone survey, which explored the life experiences of people with V.I. across a wide range of topics including social functioning. This secondary analysis explored social participation, support, isolation, and relationships among a matched control sample of 77 MEC and 77 adults aged 18 and over from White communities (WC). Participants were matched on age, gender, UK region and urban/rural setting. Subgroup analyses were also conducted for the two largest subgroups within the MEC group, Asian (n = 46) and Black participants (n = 22).ResultsContact with like-minded people (U = 2174.50, p = 0.003, r = −0.24) and opportunities to take part in more social activities (U = 2253.50, p = 0.007, r = −0.22) was significantly more important to MEC than WC participants. Moreover, MEC participants were significantly less likely to feel supported by friends/family (U = 3522.50, p = 0.017, r = 0.19) and had fewer people they could ask for help (U = 3775.50, p = 0.001, r = 0.26), but there were no significant differences in the perceived impact of V.I. on their friendships/social life and marriage/relationship, their ability to take part in a range of activities, nor their marital status. Asian participants were significantly more likely than Black participants to feel cut off from the people and places around them (U = 655.50, p = 0.042, r = 0.25). Effect sizes were overall small. Although there were no further statistically significant differences between the two groups, Asian participants were also less likely to be able to take part in activities, and more likely to report a negative impact on their social life/friendships and on their marriage/relationship, as well as a smaller social network.ConclusionThe findings suggest that V.I. may have had a greater impact on social functioning among Asian participants in this sample, including on experiences of social isolation and participation in social activities. Future research will need to confirm these findings and explore the possible reasons.

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Section: Discussionmentioning

confidence: 99%

Social functioning in adults with visual impairment from minority ethnic communities in the United Kingdom

Heinze,

Jones

2024

Front. Public Health

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“…This article forms part of a series that explores the life experiences of UK MEC adults [20][21][22][23]. This series reports findings from a secondary analysis of survey data collected as part of the V.I.…”

Section: Methodsmentioning

confidence: 99%

“…status was determined based on the self-reported V.I. registration status (registered as severely sight impaired, partially sight impaired, unsure of the category in which they were registered, or not registered), difficulties with near, distance, and/or peripheral vision (ability to see a person from a certain distance, to read newsprint, and to see people or things in the periphery of their vision), and legal ability to drive [23]. Quantitative survey data were collected over the phone by two market research agencies (Insight Angels and Acumen Fieldwork).…”

Section: Methodsmentioning

confidence: 99%

“…Lives survey did not explore reasons why participants felt they were not able to use public transport as much as they liked. While this may be due to comorbidities, such as mobility issues among MEC, particularly black, participants [23], other factors, such as cost, availability, discrimination, and, indeed, accessibility, may also impact public transport use. Transportation issues have been identified as barriers to employment [44], participation in physical activity [45], and use of health services, e.g., health screenings for diabetic retinopathy [46].…”

Section: Navigation and Mobility Outside The Homementioning

confidence: 99%

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Accessibility, Functioning, and Activities of Daily Living with Visual Impairment amongst Adults from Minority Ethnic Communities in the UK

Kempapidis,

Heinze,

Green

et al. 2024

Disabilities

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Visual impairment (V.I.) has been associated with a negative impact on activities of daily living (ADL) and navigation outside the home. Adults from minority ethnic communities are projected to make up an increasing proportion of the V.I. population in the UK, yet the evidence relating to their experiences of living with V.I. is limited. This article uses data collected by the V.I. Lives Survey, between December 2019 and November 2020. Using secondary analysis of anonymised survey data, this article explores self-reported functioning relating to ADL, navigation outside of the home, and use of technology to access information in a matched control sample of adults from minority ethnic (MEC) and white communities (WC). The findings showed that most issues relating to self-efficacy, accessibility of public environments, and technology were significantly more important to MEC than WC participants. A significantly higher proportion of MEC participants required frequent help with cooking, received support for ADL from siblings and other family members, and had their shopping delivered. WC participants were significantly more likely to receive help with shopping from their spouse/partner and use public transport as much as they liked. Future research will need to confirm these findings in a larger sample and explore the reasons for them.

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Exploring Priority Issues among a Sample of Adults from Minority Ethnic Communities Who Are Living with Visual Impairment in the UK

Heinze,

Jones,

Castle

et al. 2024

Disabilities

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Background: Despite an increased risk of visual impairment (V.I.) among adults from minority ethnic communities in the UK, limited research has explored their wider life experiences. Methods: A secondary analysis of V.I. Lives survey data explored priority issues among a sample of 46 Asian, 22 Black, and 77 White adults who have visual impairment A list of 24 issues were grouped into 10 life domains. Issue and domain mean importance scores were calculated for each to facilitate ranking of importance. Results: Kruskal–Wallis tests showed that there were statistically significant differences between the three groups for 7/10 domains and 19/24 issues. Post hoc comparisons showed that this largely reflected group differences between Asian and White participants. While there were no statistically significant differences between Asian and Black participants possibly due to small sample sizes, there were statistically significant differences between Asian and White participants in 7/10 domains and 14/24 issues. Additionally, there were significant differences between Black and White participants in 5/10 domains and 7/24 issues, specialist workplace equipment being the only issue with a significant difference between White and Black but not Asian participants. There were no group differences for confidence in ability to do everyday tasks and opportunities to take part in more sporting and leisure activities. Overall, White participants generally rated all issues as less important than Asian and Black participants. The top-three domains for Asian participants were ‘accessible environments’/‘finances’, ‘technology’, and ‘public attitudes’. The top-three issues were accessibility of public transport, employer attitudes, and reduction of street clutter. The top-three domains among Black participants were ‘employment’, ‘accessible environments’, and ‘emotional support’. The top-three issues were employer attitudes/specialised education for young people with V.I., specialist V.I. equipment in the workplace, and confidence in ability to do everyday tasks/accessibility of public transport. Conclusions: Differences in priorities between the groups suggest that the needs of individual communities may be lost when grouping culturally diverse communities together, highlighting the need for more research with different minority ethnic communities.

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Health and Comorbidities in Minority Ethnic Adults Living with Visual Impairment in the UK

Cited by 4 publications

References 72 publications

Social functioning in adults with visual impairment from minority ethnic communities in the United Kingdom

Social functioning in adults with visual impairment from minority ethnic communities in the United Kingdom

Accessibility, Functioning, and Activities of Daily Living with Visual Impairment amongst Adults from Minority Ethnic Communities in the UK

Exploring Priority Issues among a Sample of Adults from Minority Ethnic Communities Who Are Living with Visual Impairment in the UK

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