Zia, Samina (2025) Aggravating Factors, Migraine Severity, and Healthcare Access among UK South Asians: A Systematic Review. Masters thesis, University of Wales Trinity Saint David.
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Abstract
Background: Migraines are among the leading causes of disability worldwide, with an estimated 10 million people affected in the UK. Despite this, South Asians, comprising over 9% of the UK population, remain underrepresented in migraine research. Cultural stigma, language barriers, limited health literacy, and structural inequalities in healthcare access contribute to disparities in diagnosis and treatment for this population. Methods: A systematic literature review was conducted using databases such as PubMed, EBSCOhost, ScienceDirect, and Google Scholar. A total of 10 studies published between 2014 and 2023 were selected using a PICO-guided search strategy. Studies were critically appraised using the CASP and MMAT tools, and a thematic synthesis was performed, informed by the Levesque Health Access Model. Results: The review identified four main themes: cultural stigma and traditional health beliefs; language and communication challenges; socioeconomic stressors; and systemic healthcare barriers. South Asians in the UK commonly experience delayed diagnoses, limited access to specialist services, and low engagement with preventive care. The lack of disaggregated data and culturally tailored services further exacerbates health disparities. Conclusion: This review highlights a pressing need for culturally competent healthcare policies and targeted interventions that address the specific barriers faced by South Asian communities in migraine care. Improved representation in clinical research, enhanced provider training, and community-based education are essential for equitable and effective migraine management.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | H Social Sciences > HT Communities. Classes. Races R Medicine > RC Internal medicine |
| Divisions: | Theses and Dissertations > Masters Dissertations |
| Depositing User: | Victoria Hankinson |
| Date Deposited: | 22 Jul 2025 10:18 |
| Last Modified: | 22 Jul 2025 10:20 |
| URI: | https://repository.uwtsd.ac.uk/id/eprint/3838 |
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