How do people respond to the news that they are HIV positive? To date, there have been few published qualitative studies of HIV diagnosis experiences, and none focusing on Caribbean people. Twenty-five HIV-positive Caribbean people in London, UK, related their diagnosis experience and its immediate aftermath in semi-structured interviews. Diagnosis with HIV caused profound shock and distress to participants, as they associated the disease with immediate death and stigmatisation. The respondents struggled with biographical disruption, the radical disjuncture between life before and after diagnosis, which led them into a state of liminality, as they found themselves betwixt and between established structural and social identities. Respondents were faced with multifaceted loss: of their known self, their present life, their envisioned future and the partner they had expected to play a role in each of these. A minority of accounts suggest that the way in which healthcare practitioners delivered the diagnosis intensified the participants' distress
Examined the spiritual perspectives of Black Caribbean and White British older adults based on in-depth interviews with 34 individuals aged between 60 and 95 years.
A recent analysis of the Longitudinal Study of Young People in England (LSYPE) indicates a White British-Black Caribbean achievement gap at age 14 which cannot be accounted for by socio-economic variables or a wide range of contextual factors. This article uses the LSYPE to analyse patterns of entry to the different tiers of national mathematics and science tests at age 14.
This paper presents estimates of the level and trend of the fertility of different ethnic minorities in the UK from the 1960s up to 2006. The fertility estimates are derived primarily from the Labour Force Survey using the Own-Child method, with additional information from the General Household Survey and vital registration data. Comparisons are made between the level of fertility of UK-born and immigrant mothers from minority groups, and the fertility of the populations in the country of origin. Total fertility in all groups has fallen from levels that were initially relatively high. That of some UK ethnic groups has already fallen to about the level of the UK national average (e.g., black Caribbean) or below it (e.g., Indian and Chinese). Only among Pakistani and Bangladeshi women does total fertility remain substantially above the national average despite a continuous decrease over the last 20 years.
Despite the difficulty differentiating between the symptomology of dissociative disorders and schizophrenia, Black people of African and Caribbean descent in the UK continue to be diagnosed with schizophrenia and over-represented within the mental health care system. The reasons why remain illusive; however, some researchers have begun asking whether racism plays an integral part. Given that Black people often given racism as a contributing factor to their mental state, and the difficulty differentiating between the symptomology of dissociative disorders and schizophrenia, this study examined the relation between mental representations that might be indicative of the subjective experience of racism and dissociative experiences as evidence of a trauma-related response.
Examines the subjective reality of living with dementia from the perspective of people with dementia within the 3 largest ethnic groups in the United Kingdom. In-depth individual interviews were conducted with 11 Black Caribbean, 9 south Asian, and 10 White British older people with dementia.
Ethnic disparities in UK mental healthcare persist despite decades of policy and practice initiatives to eradicate them. Inequalities in access, care and outcomes are most evident among people of Black Caribbean origin. However, much of this evidence is derived from clinical practice and research among men with serious mental illness. Lack of evidence about common mental health issues in Black British Caribbean women is an important omission as reducing inequalities in mental healthcare and providing effective interventions require improved understanding of aetiology, epidemiology, symptom profile and ways of coping. In this paper, I explore the conundrum of apparently low levels of perinatal depression among Black British Caribbean women despite significant levels of psychosocial risk and against the backdrop of high prevalence of diagnosed mental illness among Black British Caribbean men. I posit that the intersections of ethnicity, gender and spirituality might provide at least a partial explanation for apparent underdiagnosis in this group of women. Understanding Black British Caribbean women's mental health needs, coping styles, help-seeking strategies and their relationship with formal systems of care has important ramifications for research, policy and practice aimed at reducing mental health disparities in the context of the UK's equity-based healthcare system. Adapted from the source document.
The incidence of prostate cancer among African-Caribbean men in the UK is three times that among men from the majority population. This qualitative study is the first such investigation, situating men’s accounts within the context of their personal history and social environment. 16 first generation African-Caribbean men living in Central England were recruited.