Title:
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Beliefs about stroke and rehabilitation of Bangladeshi Muslims in Tower Hamlets
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Background Successful prevention and aftercare of stroke requires an
understanding of people's health behaviours and ways of changing them.
Compared to the general population, South Asian people have an increased
incidence of, and mortality from, stroke. The london borough of Tower
Hamlets has a long history of migration and a large proportion of ethnic
minorities, including Bangladeshis, which is reflected in the use of local health
services. Methods The study employed a qualitative approach to its data
analysis. The data was collected through semi-structured interviews with
Bangladeshi Muslim stroke patients (n=10) and their carers (n=7), with the
help of an interpreter. The interview transcripts were coded and analysed
using Braun and Clarke's (2006) contextual thematic analysis. Findings The
current study found that participants' knowledge and beliefs about stroke, and
its causes, risk factors and treatment, were varied, and that people held
individual, social and spiritual explanatory models simultaneously. The current
study also suggested that stroke had a major impact on participants' lives and
that partiCipants' extended family and religion were important facilitators in
recovery. A number of barriers to rehabilitation were identified, including
structural and material factors. Conclusion The study suggested that health
professionals should enquire about patients' beliefs about their illness and
rehabilitation, and challenge them if necessary. Health profeSSionals should
also recognise the important role of religion in the lives' of their Muslim
patients. The study suggested that religion could provide additional support,
which can be utilised in health education and rehabilitation in different ways,
including working collaboratively with the religious sector.
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