{"id":{"repo_id":"uwtsd","oai_identifier":"oai:repository.uwtsd.ac.uk:3838"},"canonical_url":"https://search.dev.ndltd.org/etd/uwtsd/oai:repository.uwtsd.ac.uk:3838","repository":{"repo_id":"uwtsd","name":"University of Wales Trinity Saint David","base_url":"https://repository.uwtsd.ac.uk/cgi/oai2"},"display":{"title":"Aggravating Factors, Migraine Severity, and Healthcare Access among UK South Asians: A Systematic Review","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.","abstract_html":"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.","abstract_has_math":false,"creators":["Zia, Samina"],"institution":"University of Wales Trinity Saint David","degree_name":"msc","degree_level":"masters","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025-05","date_published":"2025-05","updated_at":"2026-07-24T05:53:05Z","subjects":["HT Cymunedau. Dosbarthiadau cymdeithasol. Hil","RC Meddygaeth fewnol"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier.grantnumber","label":"Dc Identifier Grantnumber","values":["UWTSD"],"render_values":[{"text":"UWTSD","href":null,"code":true}]}]},"links":{"outbound_url":"https://doi.org/10.82227/repository.uwtsd.ac.uk.00003838","outbound_label":"DOI","outbound_source":"dc:identifier.doi"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.sponsor","label":"Sponsor","values":["University of Wales Trinity Saint David"]},{"key":"dc:creator","label":"Author","values":["Zia, Samina"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2025-05-19"]},{"key":"dc:date.issued","label":"Date","values":["2025-05"]},{"key":"dc:publisher.commercial","label":"Dc Publisher Commercial","values":["University of Wales Trinity Saint David"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Traethodau Meistr","Institute of Inner City Learning"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Wales Trinity Saint David"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["https://repository.uwtsd.ac.uk/id/eprint/3838/"]},{"key":"dc:type","label":"Dc Type","values":["Gosodiad"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["masters"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["msc"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["HT Cymunedau. Dosbarthiadau cymdeithasol. Hil","RC Meddygaeth fewnol"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.doi","label":"DOI","values":["10.82227/repository.uwtsd.ac.uk.00003838"]},{"key":"dc:identifier.grantnumber","label":"Dc Identifier Grantnumber","values":["UWTSD"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://repository.uwtsd.ac.uk/id/eprint/3838/1/Zia_S_MSc_Thesis.pdf"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["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."]},{"key":"dc:format","label":"Dc Format","values":["text"]},{"key":"dc:title","label":"Title","values":["Aggravating Factors, Migraine Severity, and Healthcare Access among UK South Asians: A Systematic Review"]}]}],"canonical_facts":{"dc:contributor.sponsor":["University of Wales Trinity Saint David"],"dc:creator":["Zia, Samina"],"dc:date":["2025-05-19"],"dc:date.issued":["2025-05"],"dc:description.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."],"dc:format":["text"],"dc:identifier.doi":["10.82227/repository.uwtsd.ac.uk.00003838"],"dc:identifier.grantnumber":["UWTSD"],"dc:identifier.uri":["https://repository.uwtsd.ac.uk/id/eprint/3838/1/Zia_S_MSc_Thesis.pdf"],"dc:publisher.commercial":["University of Wales Trinity Saint David"],"dc:publisher.department":["Traethodau Meistr","Institute of Inner City Learning"],"dc:publisher.institution":["University of Wales Trinity Saint David"],"dc:relation.isreferencedby":["https://repository.uwtsd.ac.uk/id/eprint/3838/"],"dc:subject":["HT Cymunedau. Dosbarthiadau cymdeithasol. 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