Experiences and understandings of social and emotional distress in the postnatal period among Bangladeshi women living in Tower Hamlets

被引:26
作者
Parvin, A
Jones, CE
Hull, SA
机构
[1] Barts & London, Queen Marys Sch Med & Dent, Dept Gen Practice & Primary Care, London E1 4NS, England
[2] Barts & London, Queen Marys Sch Med & Dent, Tower Hamlets Primary Care Trust, London E1 4NS, England
关键词
Bangladeshi; general practice; postnatal depression;
D O I
10.1093/fampra/cmh307
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective. The purpose of this study was to explore first-generation Bangladeshi women's understandings and experiences of postnatal distress, and to describe coping strategies during the postnatal period. Methods. This was a qualitative study using focus groups. Subjects were drawn from three existing community groups in Tower Hamlets, a multiethnic, socially deprived borough in east London. Thematic content analysis was used to explore and present the data. Results. Many women received little practical or emotional support once home from hospital with a new baby, because of the lack of extended family networks; this contrasts with the 40 day rest period common in Bangladesh. These women understood emotional distress as separate from physical symptoms or illness, and recognized that one may influence or cause the other. Distinctive language was used to describe these thoughts and feelings. The roles of health visitors, midwives and GPs were understood solely in terms of physical care. Accordingly, they did not access professionals for emotional or psychological problems. Lack of language support services contributed to the women not seeking help. Conclusions. Information about services, and professional roles in the postnatal period should be extended to include key family members such as husbands and mothers-in-law. Dialogue with Bangladeshi women may ensure that women understand the extended roles of GPs, health visitors and midwives in providing help for emotional distress, alongside their role in physical health care. More language support and advocacy is needed if women are to access the full range of health services.
引用
收藏
页码:254 / 260
页数:7
相关论文
共 20 条
[1]  
Beliappa J., 1991, ILLNESS DISTRESS ALT
[2]  
Cornwell J, 1998, FAM PRACT, V15, pS16
[3]  
Cox J.L., 1986, POSTNATAL DEPRESSION
[4]  
DOBSON S, 1988, RECENT ADV NURS, V20, P61
[5]   ETHNIC-DIFFERENCES IN CONSULTATION RATES IN URBAN GENERAL-PRACTICE [J].
GILLAM, SJ ;
JARMAN, B ;
WHITE, P ;
LAW, R .
BRITISH MEDICAL JOURNAL, 1989, 299 (6705) :953-957
[6]   Health beliefs and folk models of diabetes in British Bangladeshis: A qualitative study [J].
Greenhalgh, T ;
Helman, C ;
Chowdhury, AM .
BRITISH MEDICAL JOURNAL, 1998, 316 (7136) :978-983
[7]   Prescribing rates for psychotropic medication amongst east London general practices: low rates where Asian populations are greatest [J].
Hull, SA ;
Cornwell, J ;
Harvey, C ;
Eldridge, S ;
Bare, PO .
FAMILY PRACTICE, 2001, 18 (02) :167-173
[8]   AFFECTIVE-DISORDER IN ASIAN IMMIGRANTS [J].
HUSSAIN, MF ;
GOMERSALL, JD .
PSYCHIATRIA CLINICA, 1978, 11 (02) :87-89
[9]   THE MENTAL-HEALTH OF ASIANS IN BRITAIN [J].
INEICHEN, B .
BRITISH MEDICAL JOURNAL, 1990, 300 (6741) :1669-1670
[10]  
JACOBSON B, 1996, E LONDON CITY PUBLIC