Sarah Salway

Sarah Salway
The University of Sheffield | Sheffield · Department of Sociological Studies

BA(Hons) Oxon, MSc (London), PhD (London)

About

165
Publications
43,319
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Introduction
Interested in tackling health service inequities? Go to our website for useful resources and tools: www.eeic.org.uk

Publications

Publications (165)
Article
Full-text available
The health-care commissioning cycle is an increasingly powerful determinant of the health services on offer and the care that patients receive. This study focuses on the mobilisation and use of evidence relating to ethnic diversity and inequality. Objective To describe the patterns and determinants of evidence use relating to ethnic diversity and...
Article
Full-text available
Background: There is substantial evidence that health and health-care experiences vary along ethnic lines and the need to understand and tackle ethnic health inequalities has repeatedly been highlighted. Research into ethnicity and health raises ethical, theoretical and methodological issues and, as the volume of research in this area grows, so to...
Article
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While social and spatial determinants of biomarkers have been reported, no previous study has examined both together within an intersectional perspective. We present a novel extension of quantitative intersectional analyses using cross-classified multilevel models to explore how intersectional positions and neighbourhood deprivation are associated...
Conference Paper
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Background Migrant women in the UK are at increased risk of maternal morbidity and mortality compared to UK-born women, in part due to inequalities in healthcare access. Health navigation is a person-centred intervention delivered by lay or professional workers (‘health navigators’), addressing individualised barriers to accessing healthcare. Despi...
Article
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Community initiatives aiming to reduce health inequalities are increasingly common in health policy. Though diverse many such initiatives aim to support residents of disadvantaged places to exercise greater collective control over decisions/actions that affect their lives - which research suggests is an important determinant of health – and some se...
Article
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This paper – third in a series of three – uses theoretical frameworks described in Part 1, and empirical markers reported in Part 2, to present evidence on how power dynamics shifted during the early years of a major English community empowerment initiative. We demonstrate how the capabilities disadvantaged communities require to exercise collectiv...
Article
In the health field there is great interest in the role empowerment might play in reducing social inequalities in health. Empowerment is understood here as the processes of developing capabilities that individuals and/or communities need to exercise control over decisions and actions impacting on their lives and health. There is a fundamental probl...
Research
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Globally, with some exceptions, modern slavery has been addressed primarily as a criminal justice issue, focussed on the detection and prosecution of criminal perpetrators and often tied to issues of migration status. Multiple commentators have argued this approach limits support and protection for victims and the adoption of preventative measures....
Article
Objectives: Modern slavery is a human rights violation and a global public health concern. To date, criminal justice approaches have dominated attempts to address it. Modern slavery has severe consequences for people's mental and physical health, and there is a pressing need to identify and implement effective preventative measures. As such, a pub...
Article
Access to Caesarean section (C-section) remains inadequate for some groups of women while others have worryingly high rates. Understanding differential receipt demands exploration of the socio-cultural, and political economic, characteristics of the health systems that produce them. This extensive institutional ethnography investigated under- and o...
Article
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Objectives (1) To explore professional and lay stakeholder views on the design and delivery of services in the area of consanguinity and genetic risk. (2) To identify principles on which there is sufficient consensus to warrant inclusion in a national guidance document. (3) To highlight differences of opinion that necessitate dialogue. (4) To ident...
Article
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Purpose The purpose of this paper is to explore the emergence of “Roma health and wellbeing” as a focus of attention in European research and in policy and the possible detrimental consequences of action founded on a generic representation of “Roma health” Design/methodology/approach Based on discussions with and research conducted by scholars who...
Article
Modern slavery is crime of extreme exploitation. It includes the use of coercion, force, deception and abuse of vulnerability for such purposes as trafficking, labour, sexual exploitation, forced criminal activity and domestic servitude. It is a topic of growing interest in the UK and beyond as it has emerged as an issue of considerable scale and c...
Article
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Background People with intellectual disabilities (ID) may not be able to access and respond to uniformly delivered health interventions. Public bodies have a legal duty to make ‘reasonable adjustments’ to policies and practices to provide fair access and treatment for people with ID. This study aimed to identify adjustments to the Slimming World we...
Article
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Background: The Equal North network was developed to take forward the implications of the Due North report of the Independent Inquiry into Health Equity. The aim of this exercise was to identify how to reduce health inequalities in the north of England. Methods: Workshops (15 groups) and a Delphi survey (3 rounds, 368 members) were used to consu...
Article
There is a need for greater conceptual clarity in place-based initiatives that seek to give residents of disadvantaged neighbourhoods more control over action to address the social determinants of health inequalities at a local level. In this article, we address this issue as it relates to the concepts of participation and inclusion. We draw on qua...
Article
Full-text available
There is a need for greater conceptual clarity in place-based initiatives that seek to give residents of disadvantaged neighbourhoods more control over action to address the social determinants of health inequalities at a local level. In this article, we address this issue as it relates to the concepts of participation and inclusion. We draw on qua...
Article
Recent UK welfare reforms have been less successful than expected by the Government in supporting unemployed people with long‐term illness into work. Frontline workers remain a core element of the new welfare‐to‐work machinery, but operate within a changed organisational and policy landscape. These changes raise important questions regarding whethe...
Article
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Aim To develop a simple health literacy intervention aimed at supporting informed reproductive choice among members of UK communities practising customary consanguineous marriage. Background The contribution of ‘health literacy’ to reducing health inequalities and improving primary health-care efficiency is increasingly recognised. Enhancing genet...
Article
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Purpose: The purpose of this paper is to explore the perceived usefulness of a diabetes economic model as a potential tool for aiding evidence-based decision-making in public health practice. Methods: Fifteen semi-structured interviews and two focus groups with four participants each were conducted with health and management professionals working i...
Research
Paper published by Public Health England on the case for public health engagement in dealing with modern slavery https://www.gov.uk/government/publications/modern-slavery-and-public-health/modern-slavery-and-public-health
Article
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Background Global migration from hepatitis B endemic countries poses a significant public health challenge in receiving low-prevalence countries. In the UK, Chinese migrants are a high risk group for hepatitis B. However, they are an underserved population that infrequently accesses healthcare. This study sought to increase understanding of the det...
Poster
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Abstract Introduction: Modern slavery - encompassing slavery, servitude, forced labour and human trafficking - is a complex and pernicious crime. The Modern Slavery Act 2015 has significantly raised the profile of this issue in public and policy arenas, and there is a need for greater clarity regarding its implications for public health. This resea...
Article
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Over the past decade, the need for greater diversity and inclusion across research systems has received greater emphasis from policymakers, funders, universities and stakeholders. Strategies in support of diversity and inclusion need to be underpinned by the best available evidence. As a contribution to this, a multidisciplinary research team from...
Article
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This Guardian article accompanies the launch of a new review of the evidence for a positive relationship between diversity, inclusion and the qualities and impacts of biomedical research.
Article
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Over the past decade, the need for greater diversity and inclusion across research systems has received greater emphasis from policymakers, funders, universities and stakeholders. Strategies in support of diversity and inclusion need to be underpinned by the best available evidence. This short briefing paper is a summary of a larger review carried...
Article
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Background There is growing consensus on the importance of identifying age-related inequities in the receipt of public health and healthcare interventions, but concerns regarding conceptual and methodological rigour in this area of research. Establishing age inequity in receipt requires evidence of a difference that is not an artefact of poor measu...
Article
\textbf{Background:}$ There is growing consensus on the importance of identifying age-related inequities in the receipt of public health and healthcare interventions, but concerns regarding conceptual and methodological rigour in this area of research. Establishing age inequity in receipt requires evidence of a difference that is not an artefact of...
Article
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This paper explores how commissioners working in an English local government authority (LA) viewed a health economic decision tool for planning services in relation to diabetes. We conducted 15 interviews and 2 focus groups between July 2015 and February 2016, with commissioners (including public health managers, data analysts and council members)....
Article
A growing body of research attests to the impact of welfare regimes on health and health equity. However, the mechanisms that link different kinds of welfare entitlement to health outcomes are less well understood. This study analysed the accounts of 29 older adults in England to delineate how the form of entitlement to welfare and other resources...
Article
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\textbf{BACKGROUND}$: older people may be less likely to receive interventions than younger people. Age bias in national guidance may influence entire public health and health care systems. We examined how English National Institute for Health & Care Excellence (NICE) guidance and guidelines consider age. $\textbf{METHODS}$: we undertook a document...
Article
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Migrant Chinese populations in Western countries have a high prevalence of chronic hepatitis B but often experience poor access to healthcare and late diagnosis. This systematic review aimed to identify obstacles and supports to timely and appropriate health service use among these populations. Systematic searches resulted in 48 relevant studies pu...
Article
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Background: older people may be less likely to receive interventions than younger people. Age bias in national guidance may influence entire public health and health care systems. We examined how English National Institute for Health & Care Excellence (NICE) guidance and guidelines consider age. Methods: we undertook a documentary analysis of NI...
Article
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Background: Physical activity (PA) levels are lower among some UK Black and minority ethnic (BME) groups than the majority White British population and a variety of tailored interventions have emerged. This study documents the characteristics and logic of local adaptations, a vital first step in evaluating such innovations. Methods: An English P...
Article
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It is now widely accepted that context matters in evaluations of the health inequalities impact of community-based social initiatives. Systems thinking offers a lens for uncovering the dynamic relationship between such initiatives and their social contexts. However, there are very few examples that show how a systems approach can be applied in prac...
Article
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Background Immigration rates have increased recently in the UK. Migrant patients may have particular needs that are inadequately met by existing primary care provision. In the absence of national guidance, local adaptations are emerging in response to these new demands. Aim To formatively assess the primary care services offered to new migrants an...
Article
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Background Part of the rationale for transferring public health responsibilities from the NHS to local government in 2013, was that it would give renewed focus to “upstream” preventive interventions, to improve population health and tackle inequalities more effectively. However there is a risk of potential unintended consequences in terms of the im...
Article
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Populations practising customary consanguineous marriage have a higher incidence of autosomal recessive genetic disorders than those in which reproductive partners are usually unrelated. In the absence of any national-level response, English service developments to address the additional needs of families living with or at risk of such disorders ha...
Article
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Poverty, stress, low level anxiety and depression are associated in some way, but the exact nature of these relationships has not been clearly articulated. This report aims to provide further understanding of these relationships, and the influences which mediate and moderate these. Key points: - The relationships between poverty, stress, low level...
Article
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Background The Government of Malawi is seeking evidence to improve implementation of its flagship quality of care improvement initiative—the Standards Based Management-Recognition for Reproductive Health (SBM-R(RH)). Objective This implementation study will assess the quality of maternal healthcare in facilities where the SBM-R(RH) initiative has...
Article
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Missed appointments are an avoidable cost and resource inefficiency which impact upon the health of the patient and treatment outcomes. Health care services are increasingly utilizing reminder systems to manage these negative effects. This study explores the effectiveness of reminder systems for promoting attendance, cancellations, and rescheduling...
Article
This paper reports on an action-oriented research study providing decision support to three local authorities in England on the prioritisation of public health investment and disinvestment decisions. We adopted a political science perspective, using the multiple streams framework to investigate the use of prioritisation tools in public health spend...
Research
Maternity outcomes remain poor for many migrant/minority groups, particularly new arrivals. Socioeconomic and ethnic disparities in low birth weight, perinatal and maternal mortality remain great (NICE, 2010). With the aim of identifying key action points both in terms of service development and areas requiring new research, a workshop was recently...
Article
Full-text available
Inequitable healthcare access, experiences and outcomes across ethnic groups are of concern across many countries. Progress on this agenda appears limited in England given the apparently strong legal and policy framework. This disjuncture raises questions about how central government policy is translated into local services. Healthcare commissionin...
Article
Full-text available
Inequitable healthcare access, experiences and outcomes across ethnic groups are of concern across many countries. Progress on this agenda appears limited in England given the apparently strong legal and policy framework. This disjuncture raises questions about how central government policy is translated into local services. Healthcare commissionin...
Chapter
Full-text available
Using a memory based approach to habitus, this chapter seeks to illuminate the role of own fathers in context of systematic 'minoritisation', in British South Asian fathering practises. Drawing on 59 fathers' narratives of their childhood and current fathering practises; the chapter examines the conscious and unconscious enactment of their present...