The use of tobacco and related substances in ethnic minorities : the development of a culturally valid measure

Introduction. Meeting the needs of migrant groups in Europe requires cross-culturally valid questionnaires, a substantial challenge to researchers. The Rose Angina Questionnaire (RAQ) is an important measure of coronary heart disease prevalence. It consists of seven items that collectively yield a diagnosis of angina. It has been shown to perform inconsistently across some ethnic groups in Britain. This study aimed to assess the need for modifying the RAQ for cross-culturally valid use in the three main ethnic groups in Scotland.Methods. Interviews were carried out with Pakistani Punjabi speakers (n=26), Chinese Cantonese speakers (n=29) and European-origin English speakers (n=25). Bilingual project workers interviewed participants and provided translation and commentary to the English-speaking researcher. Participants were asked about general and cardiovascular health beliefs and behaviours, and about attitudes to pain and chest pain. They were also asked to comment on their understanding of an existing version of the RAQ in their language.Results. No dominant themes in the cultural construction of health, pain or cardiovascular knowledge emerged that may significantly influence RAQ response between language groups. Problems were encountered with the Punjabi and Cantonese translations of the RAQ. For example, the translation for &ldquo;chest&rdquo; was interpreted by some Pakistani and fewer Chinese women to mean &ldquo;breasts&rdquo;. &ldquo;Walking uphill&rdquo; was translated in Chinese as &ldquo;walking the hill&rdquo;, without stipulation of the direction, so that some Cantonese speakers interpreted the question as meaning walking downhill. In addition, many Chinese interpreted RAQ items to be referring to breathlessness rather than chest pain due to ambiguous wording.Conclusion. Existing Punjabi and Cantonese versions of the RAQ should be modified before being used in multi-ethnic surveys. Current versions are unlikely to be yielding data that is comparable across groups. Other language versions also require similar investigation to study the cardiovascular health of Europe&rsquo;s migrant groups.<br /

Conjunctive Use of Canal Water and Groundwater:An Analysis Based on Farmers’ Practices in Ravangaon, Maharashtra

This article examines what happens when canal water is combined with groundwater. It does so by documenting the complex web of practices that are emerging around accessing, storing and transferring water in the command area of irrigation systems in Ravangaon, a village in Maharashtra, India. From mainly accessing water through field channels that are fed by the public surface irrigation system, farmers have moved to using pumps and siphons to transport water from the canal either directly to their fields or to wells and ponds for storage. Their practices are shaped by hydrogeology – most notably the location and storage capacity of the aquifer in relation to canals and farmers’ plots - as well by the political economy – most notably their relative dependence on water-intensive crops like sugarcane. Access to water has largely become a function of one’s ability to invest in advanced pumping, transporting and storage facilities. In line with other scholars, we conclude that the conjunctive use of canal water and groundwater makes it difficult, if not impossible, to trace and monitor actual water use patterns. This means that water distribution increasingly escapes formal and public forms of regulation and control. The article ends with a reflection on what this means to the advancement of water sustainability and justice.</p