Saudi Cultural Missions Theses & Dissertations

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    Understanding the influence of ethnicity on medicines adherence
    (Newcastle University, 2025-05) Asiri, Rayah; Husband, Andy; Todd, Adam; Robinson-Barella, Anna
    Diabetes is a significant global public health issue, resulting in serious and costly complications and reduced life expectancy. Adherence to prescribed medication is an essential component of diabetes management to obtain optimal outcomes. Understanding the factors influencing adherence is key to optimising adherence to antidiabetic medication. One factor that has yet to be studied in this context is ethnicity and given the increased incidence of diabetes in certain ethnic groups, it is important to establish if or how adherence to diabetes medication varies by ethnic group (Chapter 1). A systematic review of the existing quantitative literature was conducted to explore whether medication adherence to antidiabetic medications in people with diabetes varied by ethnicity (Chapter 2). Most of the included studies showed statistically significant disparities in adherence among different ethnic groups, with minority ethnic groups in high-income countries often reporting the lowest rates. A second systematic review (meta ethnography) was undertaken to synthesise the existing qualitative data to explore the barriers to and facilitators of adherence to antidiabetic medications experienced by people from minority ethnic communities in high-income countries (Chapter 3), revealing a gap in the literature concerning ethnicity-related factors from the perspectives of both minority ethnic communities and the majority within the context of socioeconomic deprivation. Chapters 4 and 5 detail two qualitative studies conducted in socioeconomically deprived settings in the United Kingdom and Saudi Arabia. The UK study (Chapter 4) explored the perspectives of people from South Asian and White British ethnic backgrounds in the North East of England. The results identified a range of barriers and facilitators, with some shared by both groups and others unique to the South Asian participants, including a preference for alternative medicine, certain religious-related beliefs and practices, social stigma associated with the condition, and unawareness of free prescription availability. The Saudi Arabian study (Chapter 5) involved participants from South Asian and Saudi Arabian backgrounds, highlighting a range of barriers and facilitators—some shared across both groups and others unique to each ethnic community. This research identified several factors influencing adherence, including ethnicity related and socioeconomic influences, as well as personal and healthcare system-related factors; these findings should inform the development of tailored interventions (Chapter 6).
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    Exploring Publication Bias across the Department of Brain Sciences.
    (Imperial College London, 2024) ALobaid, Nada; Jackson, Johanna; Hillary, Topazian
    Background There are few females and authors from minoritised ethnic groups in the Science, Technology, Engineering & Mathematics (STEM) fields. This disparity is sustained by various factors, including social and historical influences. Females often have lower publication rates due to a lack of recognition from their colleagues and the disproportionate burden of childcare and domestic responsibilities that women are expected to shoulder. Similarly, people belonging to minoritised ethnic backgrounds also face challenges which result in low publication rates. Furthermore, the intersectionality of gender and ethnicity makes this gap worse in the publication rate disparity. Therefore, it is necessary to address these problems if we want diversity, equality and inclusion in (STEM). Aims: To explore gender and ethnicity bias in publishing within the Department of Brain Sciences at Imperial College London. Objectives: Analyze how publication output varies across genders, ethnicities, or job levels within this department; investigate if the intersectionality of gender and ethnicity affects publication bias; establish whether authorship order changes with respect to differentiating factors like job level, ethnicity, or gender. Methods This quantitative study used a dataset containing 14,043 published papers. Publication rates were analysed using negative binomial mixed-effect regression models and logistic mixed-effects models to assess the likelihood of being in which authorship position, while citation counts were subjected to t-test and ANOVA tests to determine their relationship with job level, gender, and ethnicity. Results The analysis identifies some significant findings regarding publication rates and author positionings. Men tend to have higher publication rates than women, whereas there is no significant difference in publication rates between non-minoritised and minoritised ethnic groups. The intersectionality analysis indicates no compounded effect of gender and ethnicity on publication rates. Recent years also show a decreased likelihood of being in the first or last author position, with no significant differences across job level, gender or ethnicity. However, middle author positions are more likely in recent years than before, a change that is not dependent on job level, gender and ethnicity. The citation analysis revealed significant disparities influenced by gender, ethnicity, and job level, with men and non-minoritized ethnic groups receiving higher citation counts, and Senior Lecturers/Readers showing higher citation counts compared to other job levels. Conclusions The study reveals significant variations in publication rates based on gender and job level, illustrated by men and professors showing higher publishing rates. For the overall publication rate in recent years, the year of publication was a significant predictor. The intersectionality analysis indicates no compounded effect of gender and ethnicity on publication rates. These results underscore the need for continual efforts to address gender biases and ensure fair publishing chances at all job levels at universities worldwide.
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