Evidence map›Paper›PMID 34978500›Full record

ArticleJournal of health services research & policy2022

'It's possibly made us feel a little more alienated': How people from ethnic minority communities conceptualise COVID-19 and its influence on engagement with testing.

Tushna Vandrevala, Lailah Alidu, Jane Hendy, Shuja Shafi, Aftab Ala

Open access · hybridAbstract read
In one paragraph

Article in Journal of health services research & policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  5. 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

5 authors at 3 institutions in 1 country.

Tushna VandrevalaCentre for Applied Health and Social Care Research, Faculty of Health, Social Care and Education, 4264Kingston University and St George's University of London, Kingston-Upon-Thames, UK.ORCID 0000-0002-1140-8445
Lailah AliduCentre for Applied Health and Social Care Research, Faculty of Health, Social Care and Education, 4264Kingston University and St George's University of London, Kingston-Upon-Thames, UK.
Jane HendyBrunel Business School, 3890Brunel University London, Uxbridge, Middlesex, UK.
Shuja ShafiMass Gatherings and Global Health Network, London, UK.
Aftab AlaKing's College Hospital and University of Surrey, 3661Royal Surrey County Hospital NHS Foundation, Guildford, Surrey, UK.
St George's, University of London · GBBrunel University of London · GBRoyal Surrey County Hospital · GB

Funding

Medical Research Council MC_PC_20013
6 · The paper itself

Abstract

objectivesThe cultural beliefs, practices and experiences of ethnic minority groups, alongside structural inequalities and the political economy play a critical, but overlooked role in health promotion. This study aimed to understand how ethnic minority groups in the United Kingdom conceptualised COVID-19 and how this influenced engagement in testing.

methodBlack (African and Caribbean) and South Asian (Indian, Pakistani and Bangladeshi) community members were purposefully recruited from across the UK. Fifty-seven semi-structured interviews were conducted and analysed using principles of grounded theory.

resultsWe found that people of Black and South Asian ethnicity conceptualised COVID-19 as a disease that makes them visible to others outside their community and was seen as having more severe risk and suffering worse consequences, resulting in fear, stigmatisation and alienation. Views about COVID-19 were embedded in cultural beliefs, relating to culturally specific ideas around disease, such as ill-health being God's will. Challenges brought about by the pandemic were conceptualised as one of many struggles, with the saliency of the virus contextualised against life experiences. These themes and others influenced engagement with COVID-19 testing. Testing was less about accessing timely and effective treatment for themselves and more about acting to protect the family and community. Testing symbolised a loss of income, anxiety and isolation, accentuated by issues of mistrust of the system and not being valued, or being treated unfairly.

conclusionHealth communications should focus on counterbalancing the mistrust, alienation and stigmatisation that act as barriers to testing, with trust built using local credible sources.

Indexed as

COVID-19EthnicityCOVID-19 TestingEthnic and Racial MinoritiesHumansMinority GroupsUnited KingdomCOVID-19ethnic minoritytesting

Identifiers

PMID34978500
PMCPMC8948536
OpenAlexW4205866777

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.