Evidence map›Paper›PMID 33109227›Full record

ArticleInternational journal for equity in health2020

"Crazy person is crazy person. It doesn't differentiate": an exploration into Somali views of mental health and access to healthcare in an established UK Somali community.

Catherine Linney, Siyan Ye, Sabi Redwood, Abdi Mohamed, Abdullahi Farah, Lucy Biddle, Esther Crawley

Open access · goldAbstract read
In one paragraph

Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Understanding Inequalities Shaping Engagement With Cultural and Green Assets to Improve Mental Health for Underserved Communities: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
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  8. Cultural psychiatry in Flanders, Belgium: an exploratory focus group study and position statement.European psychiatry : the journal of the Association of European Psychiatrists · 2026
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  17. People from ethnic minorities seeking help for long COVID: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Catherine LinneyCentre for Academic Child Health, Bristol Medical School, University of Bristol, 1-5 Whiteladies Road, Bristol, BS8 1NU, UK. catherine.linney@bristol.ac.uk.ORCID 0000-0002-3873-3686
Siyan YeCentre for Academic Child Health, Bristol Medical School, University of Bristol, 1-5 Whiteladies Road, Bristol, BS8 1NU, UK.
Sabi RedwoodARC West, Bristol, UK.
Abdi MohamedGolden Key, Bristol, UK.
Abdullahi FarahSomali Resource Centre, Bristol, UK.
Lucy BiddleARC West, Bristol, UK.
Esther CrawleyCentre for Academic Child Health, Bristol Medical School, University of Bristol, 1-5 Whiteladies Road, Bristol, BS8 1NU, UK.
University of Bristol · GBAt Bristol · GB

Funding

Department of Health
6 · The paper itself

Abstract

backgroundMental health conditions have been shown to disproportionately affect those from Black, Asian and Minority Ethnic (BAME) communities. Somali communities globally have relatively high levels of mental illness, but low levels of mental health service use, with numerous barriers to care identified. This study was conducted in an established UK Somali community in the South West of England and aimed to explore community beliefs and views about the causes of mental illness, treatment for mental illness, and access to medical services in general. Participants were asked about how mental health and illness are understood and conceptualised, along with the cultural meaning of mental illness and its manifestations in relation to men, women and young people.

designUsing a community-based participatory research design, in partnership with local Somali community organisations, the research team conducted four focus groups with a total of 23 participants aged over 18. Open-ended questions were used to facilitate discussion. Transcripts were analysed thematically.

resultsThe participants discussed the role of migration and associated stress from the civil war and how that could contribute to mental illness. Participants tended to view the symptoms of mental illness as physical manifestations such as headaches and to describe a strong community stigma where those with mental health conditions were viewed as "crazy" by others. Barriers to accessing healthcare included language barriers, waiting times and a mistrust of doctors. Various ideas for improvements were discussed, including ideas to reduce stigma and ideas for community initiatives.

conclusionCultural considerations and reducing stigma are vital in improving understanding of mental illness and improving access to mental health services, along with building relationships and trust between the Somali community and health care workers.

Indexed as

Health Knowledge, Attitudes, PracticeHealth Services AccessibilityAdultCommunity-Based Participatory ResearchFemaleFocus GroupsHumansMaleMental DisordersMental Health ServicesMiddle AgedSocial StigmaSomaliaTransients and MigrantsUnited Kingdom

Identifiers

PMID33109227
PMCPMC7592587
OpenAlexW3092945164

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.