Evidence map›Paper›PMID 40280628›Full record

ArticleBMJ mental health2025

"I am not a priority": ethnic minority experiences of navigating mental health support and the need for culturally sensitive services during and beyond the pandemic.

Evgenia Stepanova, Sarah Croke, Ge Yu, Oládayò Bífárìn, Maria Panagioti, Yu Fu

Abstract read
In one paragraph

Article in BMJ mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Mental-Health Help-Seeking Among Muslims in the Liverpool City Region: A System-Informed Qualitative Study of Knowledge, Attitudes, Practices.Health expectations : an international journal of public participation in health care and health policy · 2026
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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

6 authors.

Evgenia StepanovaPopulation Health Sciences Institute, University of Newcastle upon Tyne, Newcastle upon Tyne, Tyne and Wear, UK.ORCID 0000-0002-7397-299X
Sarah CrokeDivision of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, UK.ORCID 0000-0001-6743-4573
Ge YuHealth Services and Population Research, King's College London Institute of Psychiatry Psychology and Neuroscience, London, UK.ORCID 0000-0002-0891-2501
Oládayò BífárìnNursing and Advanced Practice, Liverpool John Moores University Faculty of Health, Liverpool, UK.ORCID 0000-0002-8247-2508
Maria PanagiotiDivision of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, UK.ORCID 0000-0002-7153-5745
Yu FuPrimary Care and Mental Health, Institute of Population Health, University of Liverpool, Liverpool, UK yu.fu@liverpool.ac.uk.ORCID 0000-0003-4972-0626

Funding

National Institute of Health and Care Research NIHR NIHR200152UK Department of Health and Social Care NIHR200152
6 · The paper itself

Abstract

backgroundExisting health inequalities and the lack of timely and appropriate support have long been a reality for many ethnic minority individuals living with mental health conditions, even before the pandemic. Limited access to services and the absence of culturally or religiously embedded care have led to increased severity of mental health problems.

objectiveTo explore the complexity of interactions between ethnic minorities and mental health services and their experiences of seeking and receiving mental health support throughout the pandemic.

methodsSemi-structured interviews with purposive and snowball sampling of ethnic minorities aged over 18 (n=32) across North East and North West in England were analysed using a framework approach.

findingsFive themes were generated. Cultural stigma attached to mental health could lead to fear and reluctance to seek support. Individuals struggled to engage with non-culturally sensitive health services. Instead, they indicated a strong preference for wider community support, which continued through the pandemic despite interrupted health services. A collaboration between mental health services and ethnic minority communities was advocated to shape services to cultural contexts and improve patient-centred service delivery.

conclusionsEthnic minorities with mental health face significant challenges and disparities in seeking and engaging in mental health services. They often seek support from multicultural community settings even though the support is not specifically targeted at addressing mental health issues. Understanding cultural beliefs, religious influences and family and community structures are necessary components of culturally appropriate care. CLINICAL IMPLICATIONS: Culturally sensitive mental health services need to be integrated into existing systems through initiating collaborations with ethnic minority communities that tailor services to meet the needs of diverse populations, improving overall engagement and experiences.

Indexed as

COVID-19Culturally Competent CareEthnicityMental DisordersMental Health ServicesMinority GroupsPatient Acceptance of Health CareAdultEnglandFemaleHealth Services AccessibilityHumansInterviews as TopicMaleMiddle AgedQualitative ResearchAdult psychiatryCOVID-19Depression

Identifiers

PMID40280628
PMCPMC12083255

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.