British South Asian mothers' experiences of seeking help for their food allergic child

Author(s):  
Sue Peckover ◽  
Nicola Jay ◽  
Punita Chowbey ◽  
Naheeda Rehman ◽  
Farhat Javed
Author(s):  
Hashim Mohamed

AbstractIntroductionPostnatal Depression (PND) is a major health problem affecting mother, her child and family.  Its prevalence and associated risk factors among South Asian mothers (SAM) living  in Qatar remain unknown. The objectives of this study were to estimate the prevalence of PND among (SEAM) in Qatar and to correlate risk factors contributing to the development of PND.Materials and methodsA total of (285 ) (SAM)females who were six months  postpartum were interviewed as  part of a prospective study conducted in primary health care centers in Qatar.  PND symptoms were defined as present when subjects had an Edinburgh Postnatal Depression Scale score of 10 or higher. Descriptive statistics were used for summarizing the study and outcome variables. The χ2 test and ORs with 95% confidence intervals (CIs) were used for observation and quantifying the association between different variables. Multivariate binary logistic regression was used to identify the independent associated factors of PPD. P≤0.05 was considered significant. Variables included were age , occupation, education level ,previous psychiatric history ,comorbidities , ,history of depression during current  pregnancy, history of anxiety during current pregnancy, number of previous pregnancies, strong social support, husband support, marital problem before pregnancy and ongoing marital problems during current pregnancy.Results The prevalence of postnatal depression among 285 respondents was 33.2% .several psychosocial risk factors were significantly associated with postnatal depression and, after multiple regression analysis, a history of depressive illness ,anxiety ,marital problems before delivery ,a history of diabetes and asthma ,history of congenital malformations ,and lack of mother support.Other variables, including age, parity, education, occupation, and delivery type, were not significantly correlated (P=0.15–0.95), but marginally indicative of the risk of depressive symptoms.ConclusionThis study showed a high rate of depressive symptoms among(SAM) six months Postpartum . Future screening protocols  must be employed at primary care level and hospital based clinics in Qatar to detect and treat post natal depression.Keywords: postnatal  depression,  South Asians, primary health care ,Doha, EPDS  


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Katy Kerrane ◽  
Andrew Lindridge ◽  
Sally Dibb

Purpose This paper aims to investigate how consumption linked with life transitions can differ in its potential to bring about ongoing liminality. By examining how consumers can draw on overlapping systems of resources, different ways in which consumers negotiate ongoing liminality following the transition to motherhood are identified. Design/methodology/approach The authors conducted an interpretive, exploratory study using in-depth phenomenological interviews with 23 South Asian mothers living in the UK. The sample consisted of mothers at different stages of motherhood. Findings Following life transitions, consumers may encounter liminal hotspots at the intersection of overlapping systems of resources. The findings examine two liminal hotspots with differing potential to produce ongoing liminality. The study shows how consumers navigate these liminal hotspots in different ways, by accepting, rejecting and amalgamating the resources at hand. Research limitations/implications The research sample could have been more diverse; future research could examine liminal hotspots relating to different minority groups and life transitions. Practical implications Marketers need to examine the different ways in which consumers draw on different systems of resources following life transitions. The paper includes implications for how marketers segment, target and market to ethnic minority consumers. Originality/value Due to increasingly fluid social conditions, there are likely to be growing numbers of consumers who experience ongoing liminality following life transitions. A preliminary framework is presented outlining different ways that consumers negotiate ongoing liminality by drawing on overlapping systems of resources, broadening the understanding of the role that marketplace resources play beyond life transitions.


2014 ◽  
Vol 6 (1) ◽  
pp. 47-52 ◽  
Author(s):  
N. S. Karamali ◽  
G. A. M. Ariëns ◽  
H. H. H. Kanhai ◽  
C. J. M. de Groot ◽  
J. T. Tamsma ◽  
...  

Several studies have shown that South Asian neonates have a characteristic thin–fat insulin-resistant phenotype. The aim of our study was to determine whether this phenotype is also present in South Asians who have migrated to a Western country (the Netherlands). South Asian and white Dutch pregnant women were included in our study. After delivery, cord blood was collected and neonatal anthropometry was measured within 72 h. Compared with white Dutch mothers, South Asian mothers were younger (28.5 v. 32.2 years, P<0.001) and had a higher prepregnancy body mass index (25.1 v. 23.0, P=0.001). Gestational age at delivery was on average 4 days shorter in South Asians (274.9 v. 278.8, P=0.001). To compare the two groups of neonates, we calculated sex- and gestation-specific s.d. scores using the values for mean and s.d. obtained from the white Dutch subjects as a reference. All measurements were smaller in South Asian neonates, except for those of the skinfolds. The largest difference was found in abdominal circumference (s.d. score 1.39, 95% CI −1.76 to −1.01). Triceps and subscapular skinfolds were similar in both groups (triceps s.d. score −0.34, 95% CI −0.88 to +0.20 and subscapular s.d. score −0.03, 95% CI −0.31 to +0.25). South Asian neonates had higher cord plasma levels of triglycerides (0.40 v. 0.36, P=0.614), glucose (5.4 v. 4.8, P=0.079) and insulin (6.3 v. 4.0, P=0.051). However, these differences were not statistically significant. After adjustment for birth weight, the difference in insulin became statistically significant (P=0.001). We therefore conclude that the thin–fat insulin-resistant phenotype is also present in South Asian neonates in the Netherlands.


2021 ◽  
Vol 9 (8) ◽  
pp. 341-347
Author(s):  
Sue Peckover ◽  
Nicola Jay ◽  
Punita Chowbey ◽  
Naheeda Rehman ◽  
Farhat Javed

The incidence of food allergy in children of south Asian heritage in the UK is increasing, but little is known about families' understanding or help-seeking. The aim of this study was to explore the experiences of mothers from the south Asian community with regard to recognising and seeking help for their child's food allergy. The study method comprised semi-structured interviews with 10 mothers with a child under 5 years with known or suspected food allergy. Interviews were audio-recorded, translated, transcribed and thematically analysed. The study found that there was uncertainty about the cause of the child's symptoms and delays in seeking medical advice. Few parents had talked to health visitors about allergy, although recognised their preventive role. In conclusion, infants from south Asian backgrounds with food allergies face inequalities in health and access to specialist services, and health visitors are missing opportunities to intervene early and promote the delivery of evidence-based care.


2014 ◽  
Vol 111 (10) ◽  
pp. 1891-1897 ◽  
Author(s):  
Gillian Santorelli ◽  
Lesley Fairley ◽  
Emily S. Petherick ◽  
Baltica Cabieses ◽  
Pinki Sahota

The present study aimed to explore previously unreported ethnic differences in infant feeding practices during the introduction of solid foods, accounting for maternal and birth factors, and to determine whether these feeding patterns are associated with BMI at 3 years of age. An observational study using Poisson regression was carried out to investigate the relationship between ethnicity and infant feeding practices and linear regression was used to investigate the relationship between feeding practices and BMI at 3 years of age in a subsample of 1327 infants in Bradford. It was found that compared with White British mothers, mothers of Other ethnicities were less likely to replace breast milk with formula milk before introducing solid foods (adjusted relative risk (RR) – Pakistani: 0·76 (95 % CI 0·64, 0·91), Other South Asian: 0·58 (95 % CI 0·39, 0·86), and Other ethnicities: 0·50 (95 % CI 0·34, 0·73)). Pakistani and Other South Asian mothers were less likely to introduce solid foods early ( < 17 weeks) (adjusted RR – Pakistani: 0·92 (95 % CI 0·87, 0·96) and Other South Asian: 0·87 (95 % CI 0·81, 0·93)). Other South Asian mothers and mothers of Other ethnicities were more likely to continue breast-feeding after introducing solid foods (adjusted RR – 1·72 (95 % CI 1·29, 2·29) and 2·12 (95 % CI 1·60, 2·81), respectively). Pakistani and Other South Asian infants were more likely to be fed sweetened foods (adjusted RR – 1·18 (95 % CI 1·13, 1·23) and 1·19 (95 % CI 1·10, 1·28), respectively) and Pakistani infants were more likely to consume sweetened drinks (adjusted RR 1·72 (95 % CI 1·15, 2·57)). No association between infant feeding practices and BMI at 3 years was observed. Although ethnic differences in infant feeding practices were found, there was no association with BMI at 3 years of age. Interventions targeting infant feeding practices need to consider ethnicity to identify which populations are failing to follow recommendations.


2000 ◽  
Vol 4 (4) ◽  
pp. 139-149 ◽  
Author(s):  
Katherine Reed

Contemporary sociology is faced by a central problem of conceptualising and rendering empirically operable the concept of difference without dissolution into perpetual plurality on the one hand, and recourse to fixed hierarchical relations on the other. Drawing on attempts to operationalise research categories within a research project on the health beliefs and behaviours of South Asian mothers, the paper explores the difficulties of operating concepts of difference at epistemological analytical and methodological levels. For example, within the research there are difficulties in operationalising concepts of local/global difference and differences between western and non-western medical systems without fixing one in a privileged position relative to the other or without seeing them as necessarily always equal. The research also raises questions of how to sample across multiple difference and develop interview and writing strategies which do not fix relations between researcher/researched in either equal or hierarchical relations. The paper draws on attempts to cope with these problems. It engages with post-modern approaches to difference but stops short of complete deconstruction, developing these approaches instead within a dialectical framework. A dialectical approach attempts to contextualise difference, recognising the interrelationship and contradiction between research categories of difference, temporally locating hierarchies between them. Methodologically, it also strives to develop an approach which steers a course in between a position of researcher as ‘expert’ and a position where our knowledge of others is treated as inconceivable.


2015 ◽  
Vol 45 (4) ◽  
pp. 1163-1166 ◽  
Author(s):  
Claudia E. Kuehni ◽  
Marie-Pierre F. Strippoli ◽  
Ben D. Spycher ◽  
Michael Silverman ◽  
Caroline S. Beardsmore

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