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At least 19 recordsLinked to original sources
PubMed1997

The use of problem-based learning in dealing with cultural minority groups.

Minority peoples like the Romanies have divergent cultures. Typical cultural aspects for medical personnel to consider would include greetings and other communication, family and social support, dressing and habits of cleanliness, marriage and sexuality, honor, and other issues of importance to any human being. Some minority cultures have no geographic boundaries but they still may adopt the lifestyles of the country they live in. Physicians have to reckon with these different cultural patterns when dealing with patients. Patients must be treated equally at the same time when their personal needs require individual consideration. This consideration is reflected in both verbal and non-verbal communication with the other. Both the sender and the receiver of a message would need to know of the other. Minority groups tend to know more about the majority groups than vice versa. Most health care providers belong to the majority group and would be expected to learn more about the other. Problem-based learning can help students to understand attitudes of minority patients (like the Romanies) and handle the situation. In this instance, the students collected theory base from existing legal, cultural, and other resources and interviewed a Romany woman to verify that the information pertaining to the female case was correct. This combination of theory and experience was considered useful in preparing a case presented to a seminar with 116 medical and dental students in 1994.

Breast Neoplasms↗
PubMed1978

Are the aged a minority group?

The aged resemble minority groups in three ways, i.e. they suffer from prejudice, discrimination, and deprivation. On the other hand, they are not born into their age group, and they have little sense of group identity or political unity. The most descriptive term would seem to be "quasi-minority group." However, the aged are becoming less and less like minority groups as society seems to be moving toward an "age-irrelevant" era.

Aged↗
PubMed1997

Pain and treatment of pain in minority patients with cancer. The Eastern Cooperative Oncology Group Minority Outpatient Pain Study.

BACKGROUND: Clinics that primarily see members of ethnic minority groups have been found to provide inadequate treatment of cancer-related pain. The extent of undertreatment of pain in these patients and the factors that contribute to undertreatment are not known. OBJECTIVES: To evaluate the severity of cancer-related pain and the adequacy of prescribed analgesics in minority outpatients with cancer. DESIGN: Prospective clinical study. SETTING: Eastern Cooperative Oncology Group. PATIENTS: 281 minority outpatients with recurrent or metastatic cancer. MEASUREMENTS: Patients and physicians independently rated severity of pain, pain-related functional impairment, and pain relief obtained by taking analgesic drugs. Analgesic adequacy was determined on the basis of accepted guidelines. RESULTS: 77% of patients reported disease-related pain or took analgesics; 41% of patients reporting pain had severe pain. Sixty-five percent of minority patients did not receive guideline-recommended analgesic prescriptions compared with 50% of non-minority patients (P < 0.001). Hispanic patients in particular reported less pain relief and had less adequate analgesia. CONCLUSIONS: The awareness that minority patients do not receive adequate pain control and that better assessment of pain is needed may improve control of cancer-related pain in this patient population.

Adult↗
PubMed1995

Medical school applicants from ethnic minority groups: identifying if and when they are disadvantaged.

OBJECTIVE: To assess whether people from ethnic minority groups are less likely to be accepted at British medical schools, and to explore the mechanisms of disadvantage. DESIGN: Prospective study of a national cohort of medical school applicants. SETTING: All 28 medical schools in the United Kingdom. SUBJECTS: 6901 subjects who had applied through the Universities' Central Council on Admissions in 1990 to study medicine. MAIN OUTCOME MEASURES: Offers and acceptance at medical school by ethnic group. RESULTS: Applicants from ethnic minority groups constituted 26.3% of those applying to medical school. They were less likely to be accepted, partly because they were less well qualified and applied later. Nevertheless, taking educational and some other predictors into account, applicants from ethnic minority groups were 1.46 times (95% confidence interval 1.19 to 1.74) less likely to be accepted. Having a European surname predicted acceptance better than ethnic origin itself, implying direct discrimination rather than disadvantage secondary to other possible differences between white and non-white applicants. Applicants from ethnic minority groups fared significantly less well in 12 of the 28 British medical schools. Analysis of the selection process suggests that medical schools make fewer offers to such applicants than to others with equivalent estimated A level grades. CONCLUSIONS: People from ethnic minority groups applying to medical school are disadvantaged, principally because ethnic origin is assessed from a candidate's surname; the disadvantage has diminished since 1986. For subjects applying before A level the mechanism is that less credit is given to referees' estimates of A level grades. Selection would be fairer if (a) application forms were anonymous; (b) forms did not include estimates of A level grades; and (c) selection took place after A level results are known.

Black or African American↗
PubMed2001

The identified needs of ethnic minority groups with cancer within the community: a review of the literature.

The literature suggests that healthcare provision for ethnic minority groups is poorer than for the majority population. The intention of this paper is to review the literature available on healthcare provision for ethnic minority groups to see if this is the case for those with cancer. The introduction in the UK of monitoring of ethnic origins in the general population and healthcare service is recent and means that there are few data available. At present, cancer mortality is lower among ethnic minority groups than the majority population in the UK, which may partly be explained by a younger than average age within the ethnic minority groups and the fact that some members of ethnic groups retire to their country of origin. However, the mortality rates are expected to increase as the population ages. Breast and lung cancers are the most common cancers among ethnic minority groups in the UK. Traditional intervention strategies have been aimed at the majority white population and have not taken into account the needs identified by the ethnic communities themselves. Intervention strategies include advice on stopping smoking and chewing tobacco, increasing use of screening services by ethnic minority groups, targeted health promotion messages and education on cancer specifically for these groups. More data are required on cancer among ethnic minority groups in the UK. There are many similarities in the use of cancer services between ethnic minority groups and individuals with lower socioeconomic status in the UK.

Attitude to Health↗
PubMed1994

Searching the PsychLIT Database for Literature on Minority Groups.

PURPOSE OF THE PAPER. This paper proposes to analyze the ways in which minority groups are represented by indexing terms in the PsycLIT database and to suggest techniques for running an effective search on topics relating to these minority groups. SUMMARY OF METHODS UTILIZED. In order to determine how often the names of minority groups appear as descriptors in PsycLIT over a twenty-year span, nine terms were individually entered in each successive year of document publication from 1973 to 1992. Minority-group terms were also searched in the current journals file, and the resulting document records scanned, in order to observe indexing nuances and to recommend methods for increasing retrieval. PRINCIPAL FINDINGS. Occurrence rates were found to vary over time among the minority-group terms, with "Blacks" clearly in the lead. Retrieval of less-frequently occuring group names increased when various free-text search methods were employed, leading to the conclusion that PsycLIT searchers should use the available thesarus terminology and, when necessary, should supplement it with non-thesaurus terms. CONCLUSIONS. This paper can serve as an introduction to the subtleties of searching the PsycLIT database for psychology literature relevant to minority groups, particularly Asian Americans and Pacific Islanders. RELEVANCE TO ASIAN PACIFIC ISLANDER AMERICAN POPULATIONS. This paper gives the reader background on using PsycLIT to search for literature relevant to mental health research conducted on Asian Pacific Islander Americans. KEY WORDS. Asians; Asian Americans; Pacific Islanders; Mental Health.

Journal Article↗
PubMed2006

Recruitment and retention of students from minority groups.

BACKGROUND AND PURPOSE: Studies have identified strategies used in physical therapist education to recruit and retain students from minority groups. However, physical therapist education has evolved since these studies were published. The purpose of this study was to examine current practice in recruiting and retaining students from minority groups. SUBJECTS: Seventy program directors of programs offering master's or doctoral degrees in physical therapy responded to a survey. METHODS: The survey questionnaire requested information on program demographics, numbers of applicants, students and graduates from minority groups, and recruitment and retention strategies utilized. The most frequently used strategies were identified. Wilcoxon rank sum tests were performed to determine which strategies were associated with better recruitment and retention of students from minority groups. RESULTS: Fifty programs made a special effort to recruit and retain students from minority groups. Nine recruitment strategies and 3 retention activities were associated with programs having higher proportions of minority applicants, students, and graduates. DISCUSSION AND CONCLUSION: The most frequently used strategies were incongruent with the strategies used by programs with higher proportions of applicants, students, and graduates from minority groups. This study provides information to help physical therapist educators determine which strategies help recruit and retain students from minority groups.

Adult↗
PubMed1996

Self-definition, defensive processing, and influence: the normative impact of majority and minority groups.

Past research has found that recipients agree with majority group positions and resist minority group positions on direct measures of influence. The authors suggest that these attitude shifts reflect normative pressures to align with valued majorities and to differentiate from derogated minorities. In support of this idea, participants who considered a majority group relevant to their own self-definitions (but not those who judged it irrelevant), on learning that the group held a counterattitudinal position, shifted their attitudes to agree with the source. In a second study, recipients who judged a minority group (negatively) self-relevant, on learning that the group held a similar attitude to their own, shifted their attitudes to diverge from the source. These shifts in attitudes were based on participants' interpretations of the attitude issues.

Analysis of Variance↗
PubMed2005

Population genetics for Y-STRs haplotypes of Chinese Ewenki ethnic minority group.

Chinese Ewenki ethnic minority group, with a population of 26,300 in a statistical survey conducted in 2000, has a lifestyle of nomad, and is distributed across seven counties in the Inner Mongolia Autonomous Region and in Nahe County of Heilongjiang Province of China. The Ewenki people have no written script but a spoken language with three dialects belonging to the Manchu-Tungusic group of the Altai language family. Raising reindeers is the key livelihood of Ewenkis.

China↗
PubMed1994

Spatial variations in ethnic minority group populations in Great Britain.

This article is concerned with contrasts in the geographical distribution of people from the white and ethnic minority groups within Great Britain. It begins by describing regional variations in ethnic composition and maps the distribution of ethnic minority groups at the local authority district scale. The article then demonstrates that most people from the white ethnic group live in wards with very small populations from ethnic minority groups, while people from ethnic minority groups tend to be found where the share of minorities in the resident population is relatively high. The focus then switches to the neighbourhood (enumeration district) scale, at which a very marked degree of spatial segregation in the distribution of ethnic groups is revealed. The local authority districts in which the degree of segregation of people from ethnic minority groups relative to the rest of the population is greatest are listed.

Africa↗
PubMed2003

Sampling minority groups in health surveys.

Sampling racial and ethnic minority groups in population-based health studies presents the statistical designer with a variety of notable challenges, many of which can be traced to the manner in which the sampling frame maps into the set of group members. A brief review of sampling approaches aimed at race/ethnic groups is followed by findings on two particularly important statistical issues one may face when sampling minorities: the implications of the geographic diffusion of minorities within sampled area clusters, and the relative utility of different forms of space and time sampling to deal with sometimes dramatic change over time in the linkage between entries on a sampling frame and members of relatively mobile minority groups. Simulated findings from practical illustrations involving the sampling of Hispanics are presented to address each issue.

Health Services Needs and Demand↗
PubMed2000

Social inequalities in later life: the socio-economic position of older people from ethnic minority groups in Britain.

There are now nearly a quarter of a million individuals aged 60 years or over belonging to ethnic minority groups living in Britain. As the ethnic minority groups in Britain continue to age, information regarding their circumstances in later life will be of increasing importance for the development of appropriate services and policy. This article uses data from the General Household Survey (1991-96) to investigate the household living arrangements, lifestyle, socio-economic status, economic resources and experience of multiple deprivation in later life amongst older people from ethnic minority groups in Britain. The findings indicate that there are significant differences both between and within ethnic minority groups in access to material and social resources, which need to be taken into account by policy makers and planners.

Age Factors↗
PubMedDate not supplied

Ethnicity and fertility in Liberia: a test of the minority group status hypothesis.

This study examines the relationship between ethnicity and fertility in Liberia, within the context of the minority group status hypothesis. The hypothesis argues that minority group status exerts an independent effect on fertility, net of controls for socioeconomic and demographic variables. Using a subsample of women from the 1974 Liberian census, the study examines interethnic variations in fertility by comparing five ethnic minorities--Bassa, Vai, Grebo, Kru, Kpelle--with the majority group, Americo-Liberian. With the possible exception of Bassa women, the findings do not support the minority group status hypothesis. Instead, the findings are more congruent with the alternative assimilationist hypothesis which argues that when sociodemographic differences between majority and minority groups are controlled, their fertility levels should converge. The implications of these findings are explored.

Adolescent↗
PubMed1997

Why minority group members perceive or do not perceive the discrimination that confronts them: the role of self-esteem and perceived control.

Self-esteem and perceived control were examined to explain why minority group members sometimes perceive discrimination but, more often, minimize the discrimination. Women (Study 1), and Asians and Blacks (Study 2) reacted to negative feedback after information about the probability for discrimination. Minority group members tended to minimize discrimination and attributed their failure to themselves. By perceiving discrimination as a reason for failure, minority group members protected their performance state self-esteem. In contrast, by minimizing discrimination, they protected their social state self-esteem and maintained the perception of control in the performance and social domains. Results suggest that minority group members minimize discrimination because the consequences of doing so are psychologically beneficial.

Adaptation, Psychological↗
PubMed2003

Introducing touchscreens to black and ethnic minority groups--a report of processes and issues in the Three Cities project.

There is a need for people to have access to health information but this may not be readily available for some black and ethnic minority groups living in England. This study aims to improve access to health information for ethnic minority groups by providing this in their own language, in an audio and visual format through a touchscreen computer. The study was led by health promotion and public health workers informed by advisory panels of representatives from local black and ethnic minority groups in the cities of Nottingham, Sheffield and Leicester. Discussion within the advisory panels and local epidemiological data helped to identify groups to be targeted and priority health issues to be addressed. Other issues covered during development included interface design, language translation and identification of accessible locations. A number of problems were addressed in establishing appropriate touchscreen facilities, mainly relating to producing information in an electronic format for multiple languages and populations not necessarily computer-literate. Three touchscreens, containing information on 10 health topics, translated into five languages are currently installed, one in each city. They are being rotated through a series of locations including a library, GP practice, and a temple. Their use, and satisfaction with use, is being evaluated over a 2-year period, by statistical analysis of computer logs and the collection of qualitative information by bi-lingual interviewers with users, over an 18-month period. Health information can be made available for ethnic minority groups even if they are unable to read their mother tongue. Touchscreens appear to be a suitable medium for achieving this.

Access to Information↗
PubMed2006

Incidence of schizophrenia and other psychoses in ethnic minority groups: results from the MRC AESOP Study.

BACKGROUND: The incidence of schizophrenia in the African-Caribbean population in England is reported to be raised. We sought to clarify whether (a) the rates of other psychotic disorders are increased, (b) whether psychosis is increased in other ethnic minority groups, and (c) whether particular age or gender groups are especially at risk. METHOD: We identified all people (n=568) aged 16-64 years presenting to secondary services with their first psychotic symptoms in three well-defined English areas (over a 2-year period in Southeast London and Nottingham and a 9-month period in Bristol). Standardized incidence rates and incidence rate ratios (IRR) for all major psychosis syndromes for all main ethnic groups were calculated. RESULTS: We found remarkably high IRRs for both schizophrenia and manic psychosis in both African-Caribbeans (schizophrenia 9.1, manic psychosis 8.0) and Black Africans (schizophrenia 5.8, manic psychosis 6.2) in men and women. IRRs in other ethnic minority groups were modestly increased as were rates for depressive psychosis and other psychoses in all minority groups. These raised rates were evident in all age groups in our study. CONCLUSIONS: Ethnic minority groups are at increased risk for all psychotic illnesses but African-Caribbeans and Black Africans appear to be at especially high risk for both schizophrenia and mania. These findings suggest that (a) either additional risk factors are operating in African-Caribbeans and Black Africans or that these factors are particularly prevalent in these groups, and that (b) such factors increase risk for schizophrenia and mania in these groups.

Adolescent↗
PubMedDate not supplied

Binge eating in ethnic minority groups.

Eating disorders have generally been considered uncommon among ethnic minorities. However, there are data that suggest bulimia nervosa may not be all that rare in some minority groups. Furthermore, emerging data on binge eating disorder (BED) have indicated high rates in some ethnic groups, and these data prompt reconsideration of the view that minority populations are protected from eating disorders. The current report reviews data on bulimia nervosa and BED in ethnic minority groups. Ramifications of a broader diversity of affected individuals on our understanding of eating disorders will be addressed, and directions for further research will be discussed.

Black People↗