Sally A Hull

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BACKGROUND Inequalities of service use across ethnic groups are important to policy makers, service providers and service users. AIMS To identify ethnic variations in pathways to specialist mental health care, continuity of contact, voluntary and compulsory psychiatric in-patient admissions; to assess the methodological strength of the findings. METHOD(More)
BACKGROUND The effect of ethnicity on the prevalence of diabetes mellitus (DM) and associated chronic kidney disease (CKD) is unknown. AIM To establish the impact of ethnicity on the prevalence and severity of diabetes mellitus and associated CKD. DESIGN Cross-sectional study of 34 359 adult diabetic patients in three primary care trusts in the UK. (More)
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,(More)
OBJECTIVE To determine whether ethnic group differences in glycated haemoglobin (HbA1c) changed over a 5-year period in people on medication for type 2 diabetes. DESIGN Open cohort in 2004-9. SETTING Electronic records of 100 of the 101 general practices in two inner London boroughs. PARTICIPANTS People aged 35 to 74 years on medication for type 2(More)
BACKGROUND The improvement of general practitioner (GP) availability has been suggested as a factor influencing the rise in attendance rates at accident and emergency departments (AEDs) in the United Kingdom, particularly in innercity areas. However, previous studies suggest that only 3-6% of patients attempt to contact their GP before attending the AED,(More)
OBJECTIVES To examine the contribution of general practice organisation, population characteristics and distance to practice attendance rates at four local accident and emergency departments. DESIGN Practice-based study examining variations in accident and emergency department attendance rates in 105 practices, using routine data from the Family Health(More)
OBJECTIVES The aim of this study was to examine the contribution of Asian ethnicity to the variation in rates of practice prescribing for antidepressant and anxiolytic medication, taking into account other population and practice organizational factors. METHODS A practice-based cross-sectional survey was carried out of the prescribing of antidepressants(More)
BACKGROUND Betel quid chewing, often combined with tobacco chewing, is a common habit in the Indian subcontinent. It is associated with the development of malignancy of the oral mucosa and foregut. Among Asian communities in the United Kingdom (UK), Bangladeshis are particularly likely to retain this habit. AIM To investigate the prevalence of betel quid(More)
BACKGROUND In spite of evidence from controlled trials and published guidelines, general practitioners prescribe antidepressants in lower doses and for shorter courses than are recommended [2]. However, these studies have not examined the effect of ethnicity on antidepressant prescribing by general practitioners. OBJECTIVES To compare the antidepressant(More)
BACKGROUND Immunisation against influenza is an effective intervention that reduces serologically confirmed cases by between 60% and 70%. Almost all influenza immunisation in the UK is done within general practice. Current evidence on the effectiveness of patient reminders for all types of immunisation programmes is largely based on North American studies.(More)