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"Pressure of life"
 — ethnicity as a mediating factor in mid-life and older peoples' experience of high blood pressure
Author(s)Gina Marie Awoko Higginbottom
Journal titleSociology of Health & Illness, vol 28, no 5, July 2006
Pagespp 583-610
Sourcehttp://www.blackwellpublishing.com
KeywordsBlack Caribbean ; Older people ; Middle aged ; Hypertension ; Qualitative Studies.
AnnotationHypertension is a common condition which disproportionately affects African Caribbean people in England. The meaning and consequences of hypertension for African Caribbean people living in England is explored through a qualitative study informed by the ethnographic tradition. Study methods include two focus group interviews with 10 participants, 21 in-depth interviews, and 5 vignette interviews. In all, 36 people (men and women aged 37-82, median age 59.9) from two English cities participated. The sample was generated by contacting GP surgeries, community groups and associations, and included economically active and retired people. The narrative accounts provided illuminate the personal biographies of the mid-life and older people in the study, providing evidence as to how issues such as ethnicity, migration, cultural adaptation, racism and discrimination may impact on the chronic illness experience. Participants' understandings of their self-defined condition of high blood pressure differed greatly from medical conceptualisations of the condition of hypertension. The implications of the study are that in order to provide effective health and social care for individuals of African Caribbean origin with hypertension, care providers require insight into how migration and cultural adaptation may create major disruption to an individual's life trajectory, to which the subsequent diagnosis of chronic illness are relative in terms of the individual's response and adaptation. (RH).
Accession NumberCPA-060922212 A
ClassmarkTKG: B: SE: CQQ: 3DP

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