Ethnic Factors in Health and Disease

Author: Cruickshank   J. K.;Beevers   D. G.  

Publisher: Elsevier Science‎

Publication year: 2013

E-ISBN: 9781483165417

P-ISBN(Paperback): 9780723609162

P-ISBN(Hardback):  9780723609162

Subject: R1 Preventive Medicine , Health

Keyword: 社会学

Language: ENG

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Description

Ethnic Factors in Health and Disease discusses ethnicity from a medical perspective. The book is comprised of 35 chapters that are grouped into four sections.
The text first covers the background issues concerning the relationship between ethnicity and health. The next part deals with topics related to epidemiology, such as the health of migrants and interethnic comparison of cardiovascular disease. Next, the book tackles the sociology of health; this part covers occupational status, housing, and racism. The last part discusses the specific medical aspects, including pregnancy, viral infections, and cardiovascular disease.
The book will be of great use to medical researchers and practitioners. Professionals dealing with ethnicity, such as sociologists, anthropologists, and psychologists will also benefit from this book.

Chapter

Table of Contents

Section I: Background issues

Chapter 1. Migration, ethnicity, health and disease

Historical background and origins

Limited vital statistics

Ethnic diversity and appropriate terminology

References

Chapter 2. The changing nature of populations: the British example

Sex and age structure

Geographical dispersal of Britain's black immigrants (Table 2.3)

Immigrants vs. ethnic minorities born in the UK

References

Chapter 3. General approaches to migrant studies: the relation between disease, social class and ethnic origin

Why study disease rates in migrants?

Influences on the disease rates of migrants

Age at migration and length of stay

Selection of migrants and the process of migration: the 'healthy migrant' effect

Social and cultural influences

Strategies to analyse genetic variation

Candidates for specific genetic mechanisms

Interactions

References

Chapter 5. Molecular markers of ethnic groups

Blood group and protein variants

Highly polymorphic antigenic variants

DNA markers

Genetic disorders and molecular markers

Prospects

References

Section II: Epidemiology

Chapter 6. The health of migrants in England and Wales: causes of death

Methods

Mortality from 'all causes'

Specific diseases (Table 6.1)

Pattern of mortaility in different immigrant groups

Various studies of immigrants from a common country of origin

References

Chapter 7. Epidemiological and clinical comparison of cardiovascular disease in blacks and whites in the USA

Introduction

Epidemiology

Specific studies: cohort studies

Angiographic studies

Conclusions

Risk factors

Lipids

Diabetes mellitus

Smoking

Obesity

ECG abnormalities

Left ventricular hypertrophy (LVH)

Serum creatine phosphokinase (CPK)

Thrombogenesis

Surgical intervention

Conclusion

References

Chapter 8. Blood pressure in urban and rural East Africa: the Kenyan Luo Migrant Study

Background

Pilot studies

Identification of a suitable low-blood pressure population

The Luo population in Nairobi

The longitudinal study

Results

Summary

Acknowledgements

References

Section III: Sociology

Chapter 9. Sociology of race and health

Racial inequalities in the risk of becoming ill

Racial inequalities in social and material conditions

Occupational status

Unemployment

Housing

Household structure

Racism as a source of stress

Becoming ill and seeking help: responses to illness

Undocumented or unmeasurable morbidity

Recognizing illness

The consultation

'Learning' to be a patient

The NHS - meeting whose needs?

What constitutes racial discrimination?

Racial equality: an item for the mainstream agenda

References

Section IV: Specific medical aspects

Chapter 10. Pregnancy

Conception

Complications of pregnancy

Physiological adaptation

Birthweight

Normal values and reference ranges

Cultural factors affecting outcome

Mortalities

Summary

References

Chapter 11. Viral infections of pregnancy and childhood

Differing susceptibility and vulnerability

Differing exposure and protection

General viral illnesses

Specific viral illnesses

Cytomegalovirus

Poliomyelitis

Herpes simplex

Hepatitis B

Conclusions and practical issues

References

Chapter 12. Haematological and clinical aspects of sickle cell disease in Britain

Introduction

Epidemiology

Haematological features of SCD in Britain

Clinical features of SCD in Britain

Clinical features in schoolchildren (aged 5-16 years)

Comparison of clinical features of SCD in Brent and Jamaica

Mortality in SCD

Conclusions

References

Chapter 13. Thalassaemia screening: ethics and practice

Community information - how to generate the request for testing?

Laboratory testing for thalassaemia carriers: screening for genetic counselling

Incidental screening for thalassaemia

Genetic risk of thalassaemia trait

Genetic counselling for the haemoglobinopathies

Screening British Pakistanis for thalassaemia traits

Ethical aspects

References

Chapter 14. Running a sickle cell centre: community counselling

Introduction

Case study

Identification of counselling services required

Brent Sickle Cell Centre activities

Counselling patients with SCD

Conclusion

References

Appendix 1

Appendix 2

Chapter 15. Sickle cell screening and its value in Jamaica

Procedure of cord blood screening

Choice of method

Prevalence of genotypes in Jamaica

Sickle cell cohort study

Timing of screening

References

Chapter 16. Rheumatic disorders and systemic lupus erythematosus

Rheumatic fever

Rheumatoid arthritis

Systemic lupus erythematosus (SLE)

Other collagen vascular disorders

Spondylarthropathies

Sickle cell arthropathies

Degenerative joint disease

Summary

References

Chapter 17. Cancer in migrant populations: a study in Singapore

Evidence from the USA and other countries

Migrant studies in Singapore

Ethnic group variation in Singapore

Singapore Chinese and other Chinese migrants

Singapore Indians and other Indian populations

Relative risks, comparing locally born Singaporeans with respective foreign-born migrants

Implications of cancer trends

References

Chapter 18. Human retroviruses: human T-cell leukaemia lymphoma virus (HTLV-I) and disease

HTLV-I and its transmission

Ethnic factors

AIDS and HIV

References

Chapter 19. HTLV-I-associated lymphomas/leukaemias:the Jamaican experience

Prevalence of NHL and CLL in Jamaica

HTLV-I

HTLV-I and NHL

HTLV-I, NHL and ATLL in Jamaica

HTLV-I and CLL

Acknowledgements

References

Chapter 20. Tropical myeloneuropathies. The Jamaican experience

Introduction

Diagnostic criteria and patients studied

Clinical features

Laboratory data

Methods

Oligoclonal bands - isoelectric focusing

Viral isolation

Electrophysiology

Discussion

References

HTLV-I and tropical spastic papaparesis in Britain

References

Chapter 21. Psychiatric practice and ethnic minorities

Introduction

Physical illness, social conditions and psychological status

Racism and its effects

Child development and adolescent adjustment

A study of child-care decision making

Behaviour disturbance in adolescents and adults

Limitations of epidemiology: race and mental illness

Epidemiological findings

The cultural dimension

Conclusion

References

Chapter 22. Ethnic factors in psychoses

Part A. A picture from Birmingham, UK

References

Part B. A perspective from Nottingham, UK Glynn Harrison

Acknowledgements

References

Part C. Psychiatric hospital admissions in North London Gyles R. Glover

Introduction

Data

Age/sex patterns - a cohort effect

A cohort effect?

How reliable are the data?

Discussion

References

Chapter 23. Tuberculosis

Natural history

Measures of incidence

Race and tuberculosis

Genetic studies

Conclusion

References

Chapter 24. Sarcoidosis

Diagnostic criteria

Sarcoidosis in North American and West Indian black populations

Sarcoidos in North American and West Indian black populetions

Possible genetic associations

Conclusion

References

Chapter 25. Nutritional patterns and deficiencies

Introduction

Migrant origins

Methods of assessing incidence or prevalence

Nutritional deficiencies

Vitamin B12 and folate deficiency

Vitamin D and calcium

Summary

Conclusions

References

Chapter 26. Features of Gujarati, Punjabi and Muslim diets in the UK

Particular diseases

References

Chapter 27. Diets and food habits in the Indian subcontinent

References

Chapter 28. Nutrition of Asian children: fetus and newborn

Food customs of pregnant mothers

Nutrient intakes

Nutritional problems

Acknowledgements

References

Chapter 29. Nutrition of Asian children: infants and toddlers

Introduction

Patterns of infant feeding

Breast and bottle

Introduction to solids (Table 29.2)

Types of solids used

Use of cow's milk

Vitamins

Specific nutritional problems

Rickets

Conclusions

References

Chapter 30. Food type preferences and trends among Afro-Caribbeans in Britain

Introduction

Present dietary practices of Afro-Caribbeans in the UK

Infant feeding practices

Social and economic factors influencing food choice

Religious factors influencing food choice

Traditional beliefs about diet and health

Conclusion

References

Chapter 31. Cardiovascular disease in black and Indian origin populations outside the USA

Introduction

Background to vascular mortality: ethnic contrasts in Britain

References

Part A. Ischaemic heart disease in people of Indian subcontinent origin

Worldwide

In Britain

Risk factors similar or lower than in whites

Diabetes and IHD

Northwick Park Study in England

Role of insulin and C-peptide

References

Part B. Continuing rarity of ischaemic heart disease in Afro-Caribbeans in the West Indies and the UK, and in West Africa

The West Indies

Rarity

Pathology

Evidence from West Africa

References

Part C. An outline of cerebrovascular and renal disease J. K. Cruickshank

Cerebrovascular disease

Renal disease

References

Part D. The natural history of blood pressure in black populations in the West Indies, West Africa and the UK:a comparison with the USA J. K. Cruickshank

West Indies

The St James' Cardiovascular Survey

West Africa

UK

The Northwick Park Heart Study (NPHS)

The Birmingham Factory Study

UK/US comparison

Prognosis of blood pressure in blacks compared with whites

Low renin status and poor response of blacks to several antihypertensive drugs

References

Present comparative evidence on racial differences in the incidence of sarcoidosis

Chapter 32. Ethnicity, lipoproteins and haemostatic factors

Plasma lipoproteins

Adulthood

Haemostatic factors

Relation of factor VII clotting activity to plasma lipoproteins and dietary fat

Ethnicity, lipopreteins and haemostatic factors

References

Chapter 33. Diabetes: contrasts between peoples of black (West African), Indian and white European origin

Background

Mortality

Indian migrants

Black Americans

Prevalence

In the West Indies

The Indian subcontinent and its migrants elsewhere

In Britain

Black Americans

Genetic studies

IDDM

NIDDM and MRDM

Clinical disease

IDDM (or Type I)

Body mass

Complications

Indian subcontinent and its migrants

Among black Americans

Future management and prevention

References

Chapter 34. Management of hypertension in the Caribbean: the Jamaican perspective

Introduction

Aetiological considerations

Clinical aspects

Regional perspective

Blood pressure levels and patient risks

Treatment of hypertension

Drug therapy

Public health considerations in management

References

Chapter 35. Diabetes mellitus and its management in the Caribbean

References

Index

Table of Contents

Section I: Background issues

Chapter 2. The changing nature of populations: the British example

Chapter 3. General approaches to migrant studies: the relation between disease, social class and ethnic origin

Chapter 5. Molecular markers of ethnic groups

Section II: Epidemiology

Chapter 7. Epidemiological and clinical comparison of cardiovascular disease in blacks and whites in the USA

Chapter 8. Blood pressure in urban and rural East Africa: the Kenyan Luo Migrant Study

Section III: Sociology

Section IV: Specific medical aspects

Chapter 11. Viral infections of pregnancy and childhood

Chapter 12. Haematological and clinical aspects of sickle cell disease in Britain

Chapter 13. Thalassaemia screening: ethics and practice

Chapter 14. Running a sickle cell centre: community counselling

Chapter 15. Sickle cell screening and its value in Jamaica

Chapter 16. Rheumatic disorders and systemic lupus erythematosus

Chapter 17. Cancer in migrant populations: a study in Singapore

Chapter 18. Human retroviruses: human T-cell leukaemia lymphoma virus (HTLV-I) and disease

Chapter 19. HTLV-I-associated lymphomas/leukaemias:the Jamaican experience

Chapter 20. Tropical myeloneuropathies. The Jamaican experience

Chapter 21. Psychiatric practice and ethnic minorities

Chapter 22. Ethnic factors in psychoses

Chapter 23. Tuberculosis

Chapter 24. Sarcoidosis

Chapter 25. Nutritional patterns and deficiencies

Chapter 26. Features of Gujarati, Punjabi and Muslim diets in the UK

Chapter 27. Diets and food habits in the Indian subcontinent

Chapter 28. Nutrition of Asian children: fetus and newborn

Chapter 29. Nutrition of Asian children: infants and toddlers

Chapter 30. Food type preferences and trends among Afro-Caribbeans in Britain

Chapter 31. Cardiovascular disease in black and Indian origin populations outside the USA

Chapter 32. Ethnicity, lipoproteins and haemostatic factors

Chapter 33. Diabetes: contrasts between peoples of black (West African), Indian and white European origin

Chapter 34. Management of hypertension in the Caribbean: the Jamaican perspective

Chapter 35. Diabetes mellitus and its management in the Caribbean

Index

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