{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T19:50:19Z","timestamp":1791316219350,"version":"4.3.1"},"reference-count":53,"publisher":"Royal College of General Practitioners","issue":"755","license":[{"start":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T00:00:00Z","timestamp":1549929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Gen Pract"],"accepted":{"date-parts":[[2024,11,4]]},"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People with long-term physical conditions are more likely to experience distress, depression, or anxiety. Physical\u2013mental comorbidity is associated with lower quality of life, poorer clinical outcomes, and increased mortality than physical conditions alone. People of South Asian origin are the largest minority group in the UK, and more likely to have long-term conditions (LTCs) such as diabetes and heart disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore how men of South Asian origin with LTCs understand and experience emotional distress as well as the experiences of GPs supporting them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and setting<\/jats:title>\n                    <jats:p>A UK qualitative study interviewing South Asian men with diabetes or coronary heart disease, and GPs working at practices with higher proportions than average in the UK of people of South Asian origin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Online semi-structured interviews with South Asian men and GPs were undertaken. Data were analysed via reflexive thematic analysis. Topic guides were modified iteratively as data collection and analysis progressed. An ethnically appropriate patient advisory group of South Asian men was involved in all stages of the research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventeen South Asian men with LTCs and 18 GPs were interviewed. Participants described contextualising distress, including LTCs influencing distress and the intersections of social determinants of distress including ethnicity, poverty, and perceptions of prejudice. Participants understood distress as different from depression with the need to negotiate multiple identities as well as integrative paradigms of health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the influence of social determinants of distress in South Asian men with LTCs. It provides an insight into how primary care has the potential to address health inequalities by considering the intersection of these factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgp.2024.0386","type":"journal-article","created":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T13:05:15Z","timestamp":1731071115000},"page":"e397-e405","source":"Crossref","is-referenced-by-count":5,"title":["Social determinants of distress in South Asian men with long-term conditions: a qualitative study in primary care"],"prefix":"10.3399","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8025-0426","authenticated-orcid":false,"given":"Hassan","family":"Awan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6758-9513","authenticated-orcid":false,"given":"Nadia","family":"Corp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9179-2303","authenticated-orcid":false,"given":"Tom","family":"Kingstone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9722-9981","authenticated-orcid":false,"given":"Carolyn A","family":"Chew-Graham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2024,11,8]]},"reference":[{"issue":"7874","key":"2026100608351722000_75.755.e397.1","doi-asserted-by":"crossref","first-page":"5559","DOI":"10.1136\/bmj.e5559","article-title":"Managing patients with mental and physical multimorbidity","volume":"345","author":"Mercer","year":"2012","journal-title":"BMJ"},{"key":"2026100608351722000_75.755.e397.2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0103120"},{"key":"2026100608351722000_75.755.e397.3","unstructured":"MacMahon S Calverley P Chaturvedi N (2018) Multimorbidity: a priority for global health research, https:\/\/acmedsci.ac.uk\/file-download\/82222577 . accessed 24 Apr 2025."},{"key":"2026100608351722000_75.755.e397.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30941-3"},{"key":"2026100608351722000_75.755.e397.5","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-014-0820-7"},{"key":"2026100608351722000_75.755.e397.6","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-015-3524-y"},{"key":"2026100608351722000_75.755.e397.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m693"},{"key":"2026100608351722000_75.755.e397.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60240-2"},{"key":"2026100608351722000_75.755.e397.9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.cct.2019.01.004","article-title":"Synthesis of researcher reported strategies to recruit adults of ethnic minorities to clinical trials in the United Kingdom: a systematic review","volume":"78","author":"Masood","year":"2019","journal-title":"Contemp Clin Trials"},{"issue":"3","key":"2026100608351722000_75.755.e397.10","first-page":"333","article-title":"Representation of blacks, women, and the very elderly (aged > or = 80) in 28 major randomized clinical trials","volume":"9","author":"Hall","year":"1999","journal-title":"Ethn Dis"},{"key":"2026100608351722000_75.755.e397.11","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.162.15.1682"},{"key":"2026100608351722000_75.755.e397.12","unstructured":"Villatoro AP (2014) Perceived need for mental health care among racial\/ethnic minorities and non-Latino whites in the United States, https:\/\/escholarship.org\/content\/qt76b8660n\/qt76b8660n.pdf . accessed 24 Apr 2025."},{"key":"2026100608351722000_75.755.e397.13","unstructured":"Miyasato MS (2016) Attitudes towards mental health services among Southeast Asian, South Asian, and East Asian Americans (John F. 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