Onyigbuo, C.; Alexis-Garsee, C.; van den Akker, O.

Predicting attitudes towards seeking medical care among Nigerian immigrants in the UK

Article

Onyigbuo, C., Alexis-Garsee, C. and van den Akker, O. 2018. Predicting attitudes towards seeking medical care among Nigerian immigrants in the UK. Mental Health, Religion and Culture. 21 (8), pp. 810-824. https://doi.org/10.1080/13674676.2018.1551343

Publication dates
Type	Article
Title	Predicting attitudes towards seeking medical care among Nigerian immigrants in the UK
Authors	Onyigbuo, C., Alexis-Garsee, C. and van den Akker, O.
Abstract	This study investigates the relationships between acculturation, religion, and coping styles; as well as their predictive potentials in relation to socio-demographic factors, on access to medical help among Nigerians in the UK. This is a cross-sectional study using questionnaires for data collection (N = 297). Results revealed negative correlations between assimilative behaviours and religious behaviours and between religious behaviours, denial and religious coping. High levels of religiosity and coping through behavioural disengagement and self-blame predicted poor attitudes to medical help; but those who used instrumental support, emotional support, and active coping showed more positive attitudes to medical help-seeking. No gender differences in medical help-seeking were found, but older people sought medical help more than those who were younger; while affiliation to the Christian religion predicted positive attitudes towards medical help seeking. These findings have implications for policy development towards tailored interventions that can enhance healthcare utilization among immigrants.
Keywords	Acculturation; religion; coping; immigration; Nigeria; health-seeking
Research Group	Applied Health Psychology group
Publisher	Taylor & Francis (Routledge)
Journal	Mental Health, Religion and Culture
ISSN	1367-4676
Electronic	1469-9737
Online	08 Feb 2019
Print	14 Sep 2018
Publication process dates
Deposited	26 Nov 2018
Accepted	19 Nov 2018
Output status	Published
Accepted author manuscript	PREDICTING ATTITUDES TO HEALTH CARE RESUBMISSION (2).docx PREDICTING_ATTITUDES_TO_HEALTH_CARE_RESUBMISSION_(2).pdf
Accepted author manuscript	Table 4.docx Table4_PearsonProduct-momentCorrelationBetweenMeasures.pdf
Copyright Statement	This is an Accepted Manuscript of an article published by Taylor & Francis in Mental Health, Religion and Culture on 08/02/2019, available online: http://www.tandfonline.com/10.1080/13674676.2018.1551343
Digital Object Identifier (DOI)	https://doi.org/10.1080/13674676.2018.1551343
Web of Science identifier	WOS:000485538300005
Language	English

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Redshaw, M. and van den Akker, O. 2008. Beliefs and attitudes during pregnancy and post natally [Editorial]. Journal of Reproductive and Infant Psychology. 26 (3), pp. 155-156. https://doi.org/10.1080/02646830802224432

The nature of relationships: maltreatment, mothering and migration [Editorial]

Redshaw, M. and van den Akker, O. 2006. The nature of relationships: maltreatment, mothering and migration [Editorial]. Journal of Reproductive and Infant Psychology. 24 (3), pp. 183-185. https://doi.org/10.1080/02646830600821215

Pregnancy and postnatal states and support: the effects of the partner [Editorial]

Redshaw, M. and van den Akker, O. 2007. Pregnancy and postnatal states and support: the effects of the partner [Editorial]. Journal of Reproductive and Infant Psychology. 25 (3), pp. 171-172. https://doi.org/10.1080/02646830701470243

Factors influencing attitudes towards potential oocyte donation for research

Purewal, S. and van den Akker, O. 2008. Factors influencing attitudes towards potential oocyte donation for research. Annual Conference of the British Psychological Society.. The Royal Dublin Society, Ireland.

Contribution of generalized negative affect to elevated menstrual cycle symptom reporting

van den Akker, O., Sharifian, N., Packer, A. and Eves, F. 1995. Contribution of generalized negative affect to elevated menstrual cycle symptom reporting. Health Care for Women International. 16 (3), pp. 263-272. https://doi.org/10.1080/07399339509516177

British women's attitudes towards oocyte donation: ethnic differences and altruism

Purewal, S. and van den Akker, O. 2006. British women's attitudes towards oocyte donation: ethnic differences and altruism. Patient Education and Counseling. 64 (1), pp. 43-49. https://doi.org/10.1016/j.pec.2005.11.007

The feasibility of nursing patients with sickle cell crisis at home

Smith-Wynter, L. and van den Akker, O. 1999. The feasibility of nursing patients with sickle cell crisis at home. British Journal of Community Nursing. 4 (10), pp. 531-537.

Patient perceptions of crisis pain management in sickle cell disease: a cross-cultural study

Smith-Wynter, L. and van den Akker, O. 2000. Patient perceptions of crisis pain management in sickle cell disease: a cross-cultural study. Nursing Times Research. 5 (3), pp. 204-213. https://doi.org/10.1177/136140960000500307

A review of psychosocial and family functioning following assisted reproductive treatment

Segev, J. and van den Akker, O. 2006. A review of psychosocial and family functioning following assisted reproductive treatment. Clinical Effectiveness in Nursing. 9 (Supple), pp. e162-e170. https://doi.org/10.1016/j.cein.2006.08.002

Psychological adaptation and symptom distress in bone marrow transplant recipients

Molassiotis, A., van den Akker, O., Milligan, D., Goldman, J. and Boughton, B. 1996. Psychological adaptation and symptom distress in bone marrow transplant recipients. Psycho-Oncology. 5 (1), pp. 9-22. https://doi.org/10.1002/(SICI)1099-1611(199603)5:1<9::AID-PON198>3.0.CO;2-4

Organizational selection and assessment of women entering a surrogacy agreement in the UK

van den Akker, O. 1999. Organizational selection and assessment of women entering a surrogacy agreement in the UK. Human Reproduction. 14 (1), pp. 262-266. https://doi.org/10.1093/humrep/14.1.262

Genetic and environmental factors in premenstrual symptom reporting and its relationship to depression and a general neuroticism trait

van den Akker, O., Eves, F., Stein, G. and Murray, R. 1995. Genetic and environmental factors in premenstrual symptom reporting and its relationship to depression and a general neuroticism trait. Journal of Psychosomatic Research. 39 (4), pp. 477-487. https://doi.org/10.1016/0022-3999(94)00152-U

Coping, quality of life and psychological symptoms in three groups of sub-fertile women

van den Akker, O. 2005. Coping, quality of life and psychological symptoms in three groups of sub-fertile women. Patient Education and Counseling. 57 (2), pp. 183-189. https://doi.org/10.1016/j.pec.2004.05.012

A longitudinal pre-pregnancy to post-delivery comparison of genetic and gestational surrogate and intended mothers: confidence and genealogy

van den Akker, O. 2005. A longitudinal pre-pregnancy to post-delivery comparison of genetic and gestational surrogate and intended mothers: confidence and genealogy. Journal of Psychosomatic Obstetrics and Gynecology. 26 (4), pp. 277-284. https://doi.org/10.1080/01674820500165745

Genetic and gestational surrogate mothers' experience of surrogacy

van den Akker, O. 2003. Genetic and gestational surrogate mothers' experience of surrogacy. Journal of Reproductive and Infant Psychology. 21 (2), pp. 145-161. https://doi.org/10.1080/0264683031000124091

The acceptable face of parenthood: the relative status of biological and cultural interpretations of offspring in infertility treatment

van den Akker, O. 2001. The acceptable face of parenthood: the relative status of biological and cultural interpretations of offspring in infertility treatment. Psychology, Evolution & Gender. 3 (2), pp. 137-153. https://doi.org/10.1080/14616660110067366

Leisure activities and adolescent sexual behaviour

van den Akker, O. and Lees, S. 2001. Leisure activities and adolescent sexual behaviour. Sex Education. 1 (2), pp. 137-147. https://doi.org/10.1080/14681810120052560

Adoption in the age of reproductive technology

van den Akker, O. 2001. Adoption in the age of reproductive technology. Journal of Reproductive and Infant Psychology. 19 (2), pp. 147-159. https://doi.org/10.1080/02646830125231

A review of family donor constructs: current research and future directions

van den Akker, O. 2006. A review of family donor constructs: current research and future directions. Human Reproduction Update. 12 (2), pp. 91-101. https://doi.org/10.1093/humupd/dmi038

Surrogate motherhood: demystifying the controversies

van den Akker, O. 1998. Surrogate motherhood: demystifying the controversies. British Journal of Midwifery. 6 (12), pp. 768-770.

Functions and responsibilities of organizations dealing with surrogate motherhood in the UK

van den Akker, O. 1998. Functions and responsibilities of organizations dealing with surrogate motherhood in the UK. Human Fertility. 1 (1), pp. 10-13. https://doi.org/10.1080/1464727982000198031

Adolescent sexual behaviour and knowledge

van den Akker, O., Andre, J., Lees, S. and Murphy, T. 1999. Adolescent sexual behaviour and knowledge. British Journal of Midwifery. 7 (12), pp. 765-769.

Psychosocial aspects of surrogate motherhood

van den Akker, O. 2007. Psychosocial aspects of surrogate motherhood. Human Reproduction Update. 13 (1), pp. 53-62. https://doi.org/10.1093/humupd/dml039

Something old, something new, something borrowed, and something taboo

van den Akker, O. 1994. Something old, something new, something borrowed, and something taboo. Journal of Reproductive and Infant Psychology. 12 (3), pp. 179-188. https://doi.org/10.1080/02646839408408884

Psychophysiological responses in women reporting severe premenstrual symptoms

van den Akker, O. and Steptoe, A. 1989. Psychophysiological responses in women reporting severe premenstrual symptoms. Psychosomatic Medicine: Journal of Biobehavioral Medicine. 51 (3), pp. 319-328.

Menstrual cycle symptom reporting in three British ethnic groups

van den Akker, O., Eves, F., Service, S. and Lennon, B. 1995. Menstrual cycle symptom reporting in three British ethnic groups. Social Science & Medicine. 40 (10), pp. 1417-1423. https://doi.org/10.1016/0277-9536(94)00265-U

The retrospective diagnosis of postnatal depression by questionnaire

Stein, G. and van den Akker, O. 1992. The retrospective diagnosis of postnatal depression by questionnaire. Journal of Psychosomatic Research. 36 (1), pp. 67-75. https://doi.org/10.1016/0022-3999(92)90115-I

Comparison of the overall quality of life in 50 long-term survivors of autologous and allogeneic bone marrow transplantation

Molassiotis, A., Boughton, B., Burgoyne, T. and van den Akker, O. 1995. Comparison of the overall quality of life in 50 long-term survivors of autologous and allogeneic bone marrow transplantation. Journal of Advanced Nursing. 22 (3), pp. 509-516. https://doi.org/10.1046/j.1365-2648.1995.22030509.x

Symptom distress, coping style and biological variables as predictors of survival after bone marrow transplantation

Molassiotis, A., van den Akker, O., Milligan, D. and Goldman, J. 1997. Symptom distress, coping style and biological variables as predictors of survival after bone marrow transplantation. Journal of Psychosomatic Research. 42 (3), pp. 275-285. https://doi.org/10.1016/S0022-3999(96)00298-X

Perceived social support, family environment and psychosocial recovery in bone marrow transplant long-term survivors

Molassiotis, A., van den Akker, O. and Boughton, B. 1997. Perceived social support, family environment and psychosocial recovery in bone marrow transplant long-term survivors. Social Science & Medicine. 44 (3), pp. 317-325. https://doi.org/10.1016/S0277-9536(96)00101-3

The quality of life of renal dialysis patients: trying to find the missing measurement

Killingworth, A. and van den Akker, O. 1996. The quality of life of renal dialysis patients: trying to find the missing measurement. International Journal of Nursing Studies. 33 (1), pp. 107-120. https://doi.org/10.1016/0020-7489(95)00040-2

Dysmenorrhoea, mental attitude and GP consultation

Hewison, A. and van den Akker, O. 1996. Dysmenorrhoea, mental attitude and GP consultation. British Journal of Nursing. 5 (8), pp. 480-484.

Service provision for sickle-cell disease: school-based education

Eboh, W. and van den Akker, O. 1996. Service provision for sickle-cell disease: school-based education. British Journal of Nursing. 5 (1), pp. 30-33.

eHealth as a challenge to ‘expert’ power: a focus group study of internet use for health information and management

Donnelly, L., Shaw, R. and van den Akker, O. 2008. eHealth as a challenge to ‘expert’ power: a focus group study of internet use for health information and management. Journal of the Royal Society of Medicine. 101 (10), pp. 501-506. https://doi.org/10.1258/jrsm.2008.080156

Developing a Year 9 safe-sun programme: adolescents form a particularly high-risk group, in need of specific skin-protective information and advice

Colley, K. and van den Akker, O. 1998. Developing a Year 9 safe-sun programme: adolescents form a particularly high-risk group, in need of specific skin-protective information and advice. Education and Health. 16 (3), pp. 42-47.

Predicting attitudes towards seeking medical care among Nigerian immigrants in the UK

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