GPs' experience of managing chronic pain in a South Asian community - A qualitative study of the consultation process

Family Practice

Volumn 25, Issue 2, 2008, Pages 71-77

  Patel, Shilpa ^a   Peacock, S M ^b   Mckinley, R K ^c   Carter, D Clark ^d   Watson, P J ^e  

^a UNIVERSITY OF WARWICK   (United Kingdom)

^b MILTON KEYNES UNIVERSITY HOSPITAL NHS FOUNDATION TRUST   (United Kingdom)

^c KEELE UNIVERSITY SCHOOL OF MEDICINE   (United Kingdom)

^d STAFFORDSHIRE UNIVERSITY   (United Kingdom)

^e UNIVERSITY OF LEICESTER   (United Kingdom)

Author keywords

Chronic pain; Ethnicity; General practice; Primary care; Qualitative research

Indexed keywords

ADULT; ARTICLE; CHRONIC PAIN; COMMUNITY CARE; CONSULTATION; CULTURAL FACTOR; FEMALE; GENERAL PRACTITIONER; HUMAN; INTERPERSONAL COMMUNICATION; LANGUAGE; MALE; PATIENT ATTITUDE; PERSONAL EXPERIENCE; PRIMARY MEDICAL CARE; PSYCHOSOMATIC DISORDER; QUALITATIVE RESEARCH; SELF CARE; SEMI STRUCTURED INTERVIEW; SOUTH ASIA; SYMPTOM;

ADULT; ASIA; CHRONIC DISEASE; CULTURAL DIVERSITY; ENGLAND; FEMALE; HUMANS; INTERVIEWS AS TOPIC; MALE; MIDDLE AGED; PAIN; PHYSICIANS, FAMILY; REFERRAL AND CONSULTATION; STATE MEDICINE;

EID: 44449172457     PISSN: 02632136     EISSN: 14602229     Source Type: Journal    
DOI: 10.1093/fampra/cmn012     Document Type: Article

References (23)

1. Office for National Statistics. Census April 2001. http://www.statistics.gov.uk/CCI/nugget.asp?ID=6 (accessed on May 21, 2007).
2. Helman CG. Culture, Health and Illness, 5th edn. London: Hodder Arnold, 2007.
3. Ali N, Atkin K, Neal R. The role of culture in the general practice consultation process. Ethn Health 2006; 11: 389-408.
4. Wright C. Language and communication problems in an Asian community. J R Coll Gen Pract 1983; 33: 101-104.
5. Roberts C, Moss B, Wass V, Sarangi S, Jones R. Misunderstandings: A qualitative study of primary care consultations in multi-lingual settings, and educational implications. Med Educ 2005; 39: 465-475.
6. Hussain-Gambles M, Leese B, Atkin K, Brown J, Mason S. Involving South Asian patients in clinical trials. Health Technol Assess 2004; 8 (42): 1-124.
7. Elliott AE, Smith BH, Penny KI, Smith WC, Chambers WA. The epidemiology of chronic pain in the community. Lancet 1999; 354:1248-1252.
8. Smith BH, Elliott AM, Hannaford PC. Is chronic pain a distinct diagnosis in primary care? Evidence arising from the Royal College of General Practitioners' Oral Contraception study. Fam Pract 2004; 21: 66-74.
9. Smith BH, Hopton JL, Chambers WA. Chronic pain in primary care. Fam Pract 1999; 16: 475-482.
10. Njobvu P, Hunt I, Pope D, MacFarlane G. Pain amongst ethnic minority groups of South Asian origin in the United Kingdom: A review. Rheumatology 1999; 38: 1184-1187.
11. Morris S, Sutton M, Gravelle H. Inequity and inequality in the use of health care in England: An empirical investigation. Soc Sci Med 2005; 60: 1251-1266.
12. Strauss A, Corbin J. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. 2nd edn. Thousand Oaks, CA: Sage, 1998.
13. Macfarlane GJ, Palmer B, Roy D, Afzal C, Silman AJ, O'Neill T. An excess of widespread pain among South Asians: Are low levels of vitamin D implicated? Ann Rheum Dis 2005; 64: 1217-1219.
14. Breen A, Austin H, Champion-Smith C, Carr E, Mann E. "You feel so hopeless": A qualitative study of GP management of acute back pain. Eur J Pain 2007; 11: 21-29.
15. Racy J, Psychiatry in the Arab East. Acta Psychiatr Scand 1970; 21: 1-171.
16. Palmer B, Macfarlane G, Afzal C, Esmail A, Silman A, Lunt M. Acculturation and the prevalence of pain amongst South Asian minority ethnic groups in the UK. Rheumatology 2007; 46: 1009-1014.
17. Jabber LA, Brown MB, Hammad A, Zhu Q, Herman WH. Lack of acculturation is a risk factor for diabetes in Arab immigrants in the US. Diabetes Care 2003; 26: 2010-2014.
18. Williams R, Hunt K. Psychological distress among British South Asians: the contribution of stressful situations and subcultural differences in the West of Scotland. Twenty-07 study. Psychol Med 1997; 27 1173-1181.
19. Husain N, Creed F, Tomenson B. Adverse social circumstances and depression in people of Pakistani origin in the UK. Br J Psychiatry 1997; 171: 434-438.
20. Rogers A, Allison T. What if my back breaks? Making sense of muculoskeletal pain among South Asian and African-Caribbean people in the North West of England. J Psychosom, Res 2004; 57: 79-87.
21. Fenton S, Sadiq-Sangster A. Culture, relativism and the expression of mental distress: South Asian women in Britain. Sociol Health Illn 1996; 18: 66-95.
22. Wilson M, MacCarthy B, Consultation as a factor in the low rate of mental health service use by Asians. J Psychol Med 1994; 20: 113-119.
23. Chew-Graham C, May C. Chronic low back pain in general practice: The challenges of the consultation. Fam Pract 1999, 16: 46-49.