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This study explored the factors that contribute to the health experience of Nigerian students in the United Kingdom. Challenges faced by international students include dietary issues, isolation, stress, depression and others. Nine semi-structured interviews were conducted combination of purposive sampling and snowball sampling techniques were used to recruit participants for the study. Interviews were audio recorded, transcribed and analysed using thematic content analysis and Interpretative phenomenological analysis (IPA) to interpret themes. Two major themes from our findings were discussed under broad headings: Transitional changes and financial capability. These findings have practical implications for Nigerian students' well being in a U.K. university. Cultural dimension is needed to reduce culture shock experience among international students during sojourning.

Type 2 diabetes (T2DM) prevalence is three times higher among West African Immigrants compared to the general population in the UK. The challenges of managing T2DM among this group have resulted in complications. Reports have highlighted the impact of migration on the health of the immigrant population, and this has contributed to the need to understand the influence of living in West Africa, and getting diagnosed with T2DM, in the management of their condition in the UK. Using a qualitative constructivist grounded theory approach, thirty-four West African immigrants living in the UK were recruited for this study. All participants were interviewed using Semi-structured interviews. After coding transcripts, concepts emerged including noticing symptoms, delayed diagnosis, affordability of health services, beliefs about health, feelings at diagnosis, and emotions experienced at diagnosis all contribute to finding out about diagnosis T2DM. These factors were linked to living in West Africa, among participants, and played significant roles in managing T2DM in the UK. These concepts were discussed under finding out as the overarching concept. Findings from this study highlight important aspects of T2DM diagnosis and how lived experiences, of living in West Africa and the UK, contribute to managing T2DM among West African immigrants. The findings of this study can be valuable for healthcare services supporting West African immigrants living in the UK.

The increasing prevalence and poorer management of Type 2 diabetes among West African immigrants in the UK is a public health concern. This research explored the experiences of West African immigrants in the management of Type 2 diabetes in the UK using a constructivist grounded theory approach. In-depth individual interviews were conducted with thirty-four West African immigrants living with Type 2 diabetes in the London area. Fifteen male and nineteen female adult West African immigrants with age range from 33–82 years participated in the study. Participants were recruited from five diabetes support groups and community settings. Initial, focused and theoretical coding, constant comparison and memos were used to analyse collected data. Three concepts emerged: Changing dietary habits composed of participants’ experiences in meeting dietary recommendations, improving physical activity concerned with the experience of reduced physical activity since moving to the UK and striving to adapt which focus on the impact of migration changes in living with Type 2 diabetes in the UK. These address challenges that West African immigrants experience in the management of Type 2 diabetes in the UK. The findings of this research provide a better understanding of the influencing factors and can be used to improve the support provided for West Africans living with Type 2 diabetes in the UK, presenting a deeper understanding of socio-cultural factors that contribute to supporting individuals from this population.

The prevalence of stroke in Nigeria has continued to be a major public health challenge. Recovery from a stroke episode can be a long-impacting process with reduced quality of life outcomes. Past studies have explored the quality of life (QoL) of stroke survivors. However, none have explored the QoL of stroke survivors in Southeastern Nigeria. This study therefore describes the QoL of Nigerian stroke survivors in Southeastern Nigeria. One hundred and one participants (44 male and 58 female) were recruited into the study. QoL domains were assessed using the stroke-specific Health-Related Quality of Life in Stroke Patients (HRQOLISP). The physical domain was significantly lower than other domains measured (mean = 2.52, SD = 0.76), contributing to poor quality of life. On the other hand, the spiritual domain had the greatest positive influence on QoL (mean = 3.70, SD = 0.50). We found the physical domain was the poorest part of stroke survivors’ stroke experience. The spiritual domain had a positive impact on improving QoL. There is a need for research on interventions relating to the physical rehabilitation of stroke survivors and a review of how the spiritual domain can be enhanced to improve QoL.

Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder impacting women’s health and quality of life. This scoping review explores the use of the Internet of Things (IoT) in PCOS management. Results were grouped into six domains of the IoT: mobile apps, social media, wearables, machine learning, websites, and phone-based. A further domain was created to capture participants’ perspectives on using the IoT in PCOS management. Mobile apps appear to be useful for menstrual cycle tracking, symptom recording, and education. Despite concerns regarding the quality and reliability of social media content, these platforms may play an important role in disseminating PCOS-related information. Wearables facilitate detailed symptom monitoring and improve communication with healthcare providers. Machine learning algorithms show promising results in PCOS diagnosis accuracy, risk prediction, and app development. Although abundant, PCOS-related content on websites may lack quality and cultural considerations. While patients express concerns about online misinformation, they consider online forums valuable for peer connection. Using text messages and phone calls to provide feedback and support to PCOS patients may help them improve lifestyle behaviors and self-management skills. Advancing evidence-based, culturally sensitive, and accessible IoT solutions can enhance their potential to transform PCOS care, address misinformation, and empower women to better manage their symptoms.

Background: Diabetes has become a global burden with Type 2 diabetes accounting for most of the burden of diabetes. Immigrant populations, especially African immigrants, are faced with a double burden of the condition, due to the high prevalence of Type 2 diabetes and the poorer management outcomes among this population. Although studies have explored Type 2 diabetes management among ethnic minority groups, there is a lack of research in the area of West African immigrants living with Type 2 diabetes. As a result, there is a need to explore the management process and experiences of these individuals living in Western countries. This study aims to contribute to addressing the gap in the literature by highlighting issues that are specific to this group. Methods: A qualitative approach was used to explore the experiences of thirty-four West African individuals living with diabetes in boroughs of the London area. A constructivist grounded theory approach was adopted to construct the meaning of managing Type 2 diabetes to these individuals. Participants were recruited through Type 2 diabetes support groups and within the community using purposive and snowball sampling techniques. Findings: A substantive theory of normality: adapting to the new in managing Type 2 diabetes among West African immigrants emerged. Three major categories striving to adapt’, ‘finding out’ and ‘living with it’ from experiences of living with Type 2 diabetes were developed. These major categories influence their framing of normality in the process of Type 2 diabetes management in the UK. Cultural beliefs and practices stand out as important aspects of managing Type 2 diabetes among this population in the UK. It is important that previous experiences of living in West Africa should not be separated from their current management of Type 2 diabetes in the UK. Conclusion: The findings highlight the importance of centring the management of Type 2 diabetes on the cultural influences on lifestyle choices of these individuals as evidenced by their adapted strategies to living with diabetes in the UK. Understanding normality for these individuals and how to support them in improving their Type 2 diabetes management is an important aspect for healthcare professionals to incorporate in management regime recommendations.

A recent commentary in The Lancet emphasised the effect of mental health on diabetes. 1 We would particularly like to highlight the mental health issues of black and minority ethnic (BME) populations with diabetes in the UK, owing to the considerably higher prevalence of diabetes and mental illness among BME populations compared with the national average. 2

This study explored the factors that contribute to the health experience of Nigerian students in the United Kingdom. Challenges faced by international students include dietary issues, isolation, stress, depression and others. Nine semi-structured interviews were conducted combination of purposive sampling and snowball sampling techniques were used to recruit participants for the study. Interviews were audio recorded, transcribed and analysed using thematic content analysis and Interpretative phenomenological analysis (IPA) to interpret themes. Two major themesfrom our findings were discussed under broad headings: Transitional changes and financial capability. These findings have practical implications for Nigerian students’ well being in a U.K. university. Cultural dimension is needed to reduce culture shock experience among international students during sojourning

Background : Globally, the number of people living with Diabetes Mellitus (DM) has increased four-fold since 1980. South Asia houses one- fifth of the world's population living with diabetes, and it was the 8th leading cause of deaths in 2013 for South Asians. Aim : To review and discuss the context of diabetes in South Asia, with a particular focus on, a) contributing factors and impact; b) national health policies around non-communicable diseases in the region, and c) to o ffer recommendations for prevention and management of diabetes. Method : We assessed relevant publications using PubMed, Scopus and OvidSP. Similarly, the World health Organization (WHO) and relevant ministries of each South Asian country were searched for reports and policy documents. Results : Emerging evidence supports that the prevalence of diabetes (ranging from 3.3% in Nepal up to 8.7% in India) in South Asia follows the global trend over the past decades. Urban populations in the region demonstrate a higher prevalence of diabetes, although is also a public health concern for rural areas. Changes in the pattern and types of diet, together with increasingly sedentary, lifestyles are major causes of diabetes. The overall agenda of health promotion to prevent diabetes has not yet been established in the region, and the majority of the countries in the region are inadequately prepared for the therapeutic services for diabetes. Conclusions : The early onset of the diabetes, longevity of morbidity and early mortality may have a significant impact on people's health expenditure and health systems, as well as on the region's demographic composition. There is an urgent need to reduce the prevalence of diabetes in the region through evidence-based interventions ranging from prevention and early detection to appropriate treatment and care. We suggest that a multi-sectorial collaboration across all stakeholders is necessary to raise awareness about diabetes, its prevention, treatment and care in the region.