References

Abdrabbo M, Birch C.M, Brandt M, Cicigoi K.A, Coffey S.J, Dolan C.C, Dvorak H, Gehrke A.C, Gerzema A.E.L, Hansen A, Henseler E.J, Huelsbeck A.C, LaBerge B, Leavens C.M, Le C.N, Lindquist A.C, Ludwig R.K, Reynolds J.H, Severson N.J, Sherman B.A, Sillman H.W, Smith M.A, Smith M.A, Snortheim M.J, Svaren L.M, Vanderpas E.C, Wackett M.J, Wozney A.J, Bhattacharyya S., Hati S. Vitamin D and COVID-19: A review on the role of vitamin D in preventing and reducing the severity of COVID-19 infection. Protein Science. 2021; 30:2206-2220 https://doi.org/10.1002/pro.4190

Al-Noumani H, Wu J.R, Barksdale D, Sherwood G, AlKhasawneh E., Knafl G. Health beliefs and medication adherence in patients with hypertension: A systematic review of quantitative studies. Patient Education and Counseling, patient ednucation and Counselling. 2019; 102:1045-1056

Braun V., Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006; 3:77-101 https://doi.org/10.1191/1478088706qp063oa

Burchell K, Rhodes L.E., Webb A.R. Public awareness and behaviour in Great Britain in the context of sunlight exposure and vitamin D: Results from the first large-scale and representative survey. International Journal of Environmental Research and Public Health. 2020; 17 https://doi.org/10.3390/ijerph17186924

Buttriss J.L, Lanham-New S.A, Steenson S, Levy L, Swan G.E, Darling A.L, Cashman K.D, Allen R.E, Durrant L.R, Smith C.P. Implementation strategies for improving vitamin D status and increasing vitamin D intake in the UK: Current controversies and future perspectives. Proceedings of the 2nd Rank Prize Funds Forum on Vitamin D. British Journal of Nutrition. 2021; 1-21

Buyukuslu N, Esin K, Hizli H, Sunal N, Yigit P., Garipagaoglu M. Clothing preference affects vitamin D status of young women. Nutrition Research. 2014; 34:688-693 https://doi.org/10.1016/j.nutres.2014.07.012

Clark B, Doyle J, Bull O, McClean S., Hill T. Knowledge and attitudes towards vitamin D food fortification. Nutrition and Food Science. 2019; 49:346-358 https://doi.org/10.1108/NFS-04-2018-0121

Darling A.L. Vitamin D deficiency in western dwelling South Asian populations: An unrecognised epidemic. Proceedings of the Nutrition Society. 2020; 79:259-271 https://doi.org/10.1017/S0029665120000063

Darling A.L, Blackbourn D.J, Ahmadi K.R., Lanham-New S.A. Vitamin D supplement use and associated demographic, dietary and lifestyle factors in 8024 South Asians aged 40–69 years: Analysis of the UK Biobank cohort. Public Health Nutrition. 2018; 21:2678-2688 https://doi.org/10.1017/S1368980018001404

Darling A.L, Blackbourn D.J, Ahmadi K.R., Lanham-New S.A. Very high prevalence of 25-hydroxyvitamin D deficiency in 6433 UK South Asian adults: Analysis of the UK Biobank Cohort. British Journal of Nutrition. 2021; 125:448-459 https://doi.org/10.1017/S0007114520002779

DeLuca H.F. Overview of general physiologic features and functions of vitamin D. American Journal of Clinical Nutrition. 2004; 80:(6)1689S-1696S https://doi.org/10.1093/ajcn/80.6.1689S

Engel B, Lee P, Bottle L, Cardew P., Lanham-New S.A. Impact of ethnicity and season on body composition: Results from the vitamin D, Food Intake, Nutrition and Exposure to Sunlight in Southern England. D-FINES. Study. Proceedings of the Nutrition Society. 2008; 67 https://doi.org/10.1017/S0029665108009956

Foley L, Larkin J, Lombard-Vance R, Murphy A.W, Hynes L, Galvin E., Molloy G.J. Prevalence and predictors of medication non-adherence among people living with multimorbidity: A systematic review and meta-analysis. BMJ Open. 2021; 11 https://doi.org/10.1136/bmjopen-2020-044987

Hirani V, Mosdøl A., Mishra G. Predictors of 25-hydroxyvitamin D status among adults in two British national surveys. British Journal of Nutrition. 2009; 101:760-764 https://doi.org/10.1017/S0007114508023416

Jin J. Screening for vitamin D deficiency in adults. JAMA. 2021; 325 https://doi.org/10.1001/jama.2021.4606

Kift R, Berry J.L, Vail A, Durkin M.T, Rhodes L.E., Webb A.R. Lifestyle factors including less cutaneous sun exposure contribute to starkly lower vitamin D levels in U.K. South Asians compared with the white population. British Journal of Dermatology. 2013; 169:1272-1278 https://doi.org/10.1111/bjd.12518

Kotta S, Gadhvi D, Jakeways N, Saeed M, Sohanpal R, Hull S, Famakin O, Martineau A., Griffiths C. ‘Test me and treat me’—Attitudes to vitamin D deficiency and supplementation: A qualitative study. BMJ Open. 2015; 5 https://doi.org/10.1136/bmjopen-2014-007401

Leyvraz M, Laillou A, Rahman S, Ahmed T, Rahman A.S, Alam N, Ireen S., Panagides D. An assessment of the potential impact of fortification of staples and condiments on micronutrient intake of young children and women of reproductive age in Bangladesh. Nutrients. 2015; 7:9960-9971 https://doi.org/10.3390/nu7125511

Lin L-Y, Smeeth L, Langan S, Warren-Gash C. Distribution of vitamin D status in the UK: a cross-sectional analysis of UK Biobank. BMJ Open. 2021; 11:(1) https://doi.org/https://bmjopen.bmj.com/lookup//10.1136/bmjopen-2020-038503

Lips P, Bilezikian J.P., Bouillon R. Vitamin D: Giveth to those who needeth. JBMR Plus. 2020; 4 https://doi.org/10.1002/jbm4.10232

Chapter 52 Worldwide vitamin D status. 2011. www.sciencedirect.com/science/article/pii/B9780123819789100526 (accessed 12 April 2020)

Lowe N.M., Bhojani I. Special considerations for vitamin D in the South Asian population in the UK. Therapeutic Advances in Musculoskeletal Disease. 2017; 9:137-144 https://doi.org/10.1177/1759720X17704430

Michie S, van Stralen M.M., West R. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science. 2011; 6 https://doi.org/10.1186/1748-5908-6-42

Ministry of Housing & Communities and Local Government. People Living in Deprived Neighbourhoods. People Living in Deprived Neighbourhoods – GOV.UK Ethnicity Facts and Figures. 2020. ethnicity-facts-figures.service.gov.uk

Vitamin D biofortification of pork may offer a food-based strategy to increase vitamin D intakes in the UK population. 2021. https://www.frontiersin.org/articles/10.3389/fnut.2021.777364 (accessed 10 July 2022)

Guidance on conditions for which over the counter items should not routinely be prescribed in primary care. 2022;

Management of Vitamin D Deficiency or Insufficiency.London: National Institute for Health and Care Excellence; 2022

Overview | Vitamin D: Supplement Use in Specific Population Groups | Guidance.London: National Institute for Health and Care Excellence; 2017

O'Connor C, Glatt D, White L., Revuelta Iniesta, R. Knowledge, attitudes and perceptions towards vitamin D in a UK adult population: A cross-sectional study. International Journal of Environmental Research and Public Health. 2018; 15 https://doi.org/10.3390/ijerph15112387

Vitamin D: Call for Evidence.London: Office for Health Improvement and Disparities; 2022

Ojah R.C.I., Welch J.M. Vitamin D and musculoskeletal status in Nova Scotian women who wear concealing clothing. Nutrients. 2012; 4:399-412 https://doi.org/10.3390/nu4050399

Vitamin D testing and treatment: a narrative review of current evidence. 2019. https://ec.bioscientifica.com/view/journals/ec/8/2/EC-18-0432.xml

Pludowski P, Takacs I, Boyanov M, Belaya Z, Diaconu C.C, Mokhort T, Zherdova N, Rasa I, Payer J., Pilz S. Clinical practice in the prevention, diagnosis and treatment of vitamin D deficiency: A Central and Eastern European expert consensus statement. Nutrients. 2022; 14 https://doi.org/10.3390/nu14071483

Rahman U. Bangladesh. London: Kuperard. Culture Smart!. 2015;

Vitamin D and Bone Health in Adults.London: Royal Osteoporosis Society; 2020

Vitamin D deficiency and cultural influences among Muslim women in Southern Illinois. Vitamin D Deficiency and Cultural Influences Among Muslim Women in Sou by Durar Kassim Shakir. 2012. siu.edu

Sutherland J.P, Zhou A, Leach M.J., Hyppönen E. Differences and determinants of vitamin D deficiency among UK Biobank participants: A cross-ethnic and socioeconomic study. Clinical Nutrition. 2021; 40:3436-3447 https://doi.org/10.1016/j.clnu.2020.11.019

Tong A, Sainsbury P., Craig J. Consolidated criteria for reporting qualitative research. COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007; 19:349-357 https://doi.org/10.1093/intqhc/mzm042

Webb AR, Aseem S, Kift RC, Rhodes LE, Farrar MD. Target the message: a qualitative study exploring knowledge and cultural attitudes to sunlight and vitamin D in Greater Manchester, U.K. British Journal of Dermatology. 2016; 175:(6)1401-1403 https://doi.org/10.1111/bjd.14800

Woodford H.J, Barrett S., Pattman S. Vitamin D: Too much testing and treating?. Clinical Medicine. 2018; 18:196-200

A qualitative study to explore the knowledge and perceptions of vitamin D deficiency in women of Bengali origin living in the UK

02 May 2024
Volume 35 · Issue 5

Abstract

A study into the determinants influencing Vitamin D supplementation among women of Bengali descent in the UK

Background:

The prevalence of Vitamin D deficiency is widespread, particularly among South Asian women residing in temperate climates such as the United Kingdom. Contributory factors encompass dietary habits and conservative dressing practices.

Aims:

This study aims to delineate the knowledge, perceptions, and determinants influencing Vitamin D supplementation among women of Bengali descent in the UK.

Methods:

The study employed semi-structured interviews with women of Bengali origin at a general practice in London. A deductive thematic analysis was conducted utilizing the COM-B model to identify behavioural determinants. The study was approved by the Health Research Authority.

Findings:

Key determinants to behaviours associated with Vitamin D supplementation encompassed awareness, cultural practices, healthcare advice, and personal convictions. Notwithstanding awareness of its criticality, actual intake was minimal due to factors like forgetfulness, cultural norms, and perceptions regarding the necessity of supplementation.

Conclusion:

Although there is an overarching recognition of the significance of Vitamin D, adherence to supplementation regimens remains erratic. This study underscores the imperative for tailored health interventions that account for these elements to enhance Vitamin D supplementation among high-risk populations.

Vitamin D is critical for bone, teeth and muscle health (Pilz et al 2019); it also has an impact on immunity and the severity of Covid-19 (Deluca 2004; Burchell et al. 2020; Abdrabbo et al. 2021).

Vitamin D deficiency is highly prevalent worldwide (Lips & Van Schoor 2011; Pludowski et al. 2022) and the UK (Hirani et al. 2009; Lips et al. 2020). South Asians are known to have much lower vitamin D levels compared to the white population (Kift et al. 2013; Darling et al. 2018; Darling 2020), with women being at much higher risk (Kift et al. 2013; NICE 2014; Darling 2020).

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