Minority Ethnic Communities Research Articles

Collaborative Approaches to Addressing Domestic and Sexual Violence among Black and Minority Ethnic Communities in Southampton: A Case Study of Yellow Door

Domestic and sexual abuse have been in the academic discourse for quite some time. In recent years in the United Kingdom, the government, non-governmental organisations (NGOs) and the charity sector have doubled their efforts to tackle this challenge through different approaches. One of these approaches is the establishment of specialist services. A case study of these specialist interventions is two advocacy services within a community-based domestic and sexual abuse charity in Southampton named Yellow Door (YD). In line with the specialist service approach (SSA), the diversity, inclusion and advocacy (DIA) service and the Black and minority ethnic Communities (BME) independent sexual violence advisory (ISVA) service were created to address the needs of the BME community. Through the adoption of the collaboration, prevention and education approach, these services support survivors from this community, professionals and community groups to encourage more disclosures and support clients holistically. Recommendations to encourage more reporting and better ways to improve the needs of clients from BME communities were proposed.

Health Communication and Inequalities in Primary Care Access during the COVID-19 Pandemic among Ethnic Minorities in the United Kingdom: Lived Experiences and Recommendations.

Health Communication is critical in the context of public health and this was highlighted during the COVID-19 pandemic. Ethnic minority groups were significantly impacted during the pandemic; however, communication and information available to them were reported to be insufficient. This study explored the health information communication amongst ethnic communities in relation to their experiences with primary health care services during the COVID-19 pandemic. The research used qualitative methodology using focus groups and semi-structured interviews with community members and leaders from three ethnic minority communities (African-Caribbean, Somali and South Asian) in Leicester, United Kingdom. The interviews were audio recorded, transcribed, and open-coded. Rigour was determined through methodological coherence, appropriate and sufficient sampling, and iterative data collection and analysis. Six focus groups and interviews were conducted with 42 participants. Four overarching themes were identified related to health communication, experiences, services and community recommendations to improve primary care communication. To address primary care inequalities effectively and improve future health communication strategies, experiences from the pandemic should be reflected upon, and positive initiatives infused into the healthcare strategies, especially for ethnic minority communities.

The tribal education in Indonesia: Detribalization challenges ofSamintribe

The exclusion of certain tribes in an educational system can be best understood from the context of national educational policy. The new national education policy in Indonesia causes the exclusion of minority tribes such as Samin community in Indonesia. This study investigates how the National Education law (SISDIKNAS) was implemented, the position of minority groups in the national education system, and the outcomes of the implementation of the national education system for minority groups. This study incorporates the qualitative method to describe the phenomenon that occurs within the minority groups. The results show that some articles of SISDIKAS indicate the detribalization of ethnic minority communities. This research is limited because of its site and scope; therefore, further research can be carried out on Samin community in responding to government policies with a broader research site and scope to produce more comprehensive analysis.

Communicating the move to individualized donor selection policy: Framing messages focused on recipients and safety.

Men-who-have-sex-with-men (MSM) have been deferred from donating blood. However, recent evidence supports the adoption of donor screening based on individuals' sexual behavior over population-based criteria. We explore how best to frame communications about adopting this change to minimize any potential negative consequences (e.g., reduced donor numbers). We examine the effectiveness of risk (emphasizing safety vs. emphasizing low risk), and focus (donor vs. recipient) frames on intentions to donate blood (approach) or feeling deterred from donating (avoid), and mechanisms linked to under-reporting sexual behavior. We conducted a 2 (risk frame: risk vs. safety) by 3 (focus: donor vs. recipient vs. both) between-subjects online experiment (n=2677). The main outcomes were intentions to donate and feelings of being put-off/deterred from donating (both for self and others). We also assessed the extent that forgetting, embarrassment/shame, and question irrelevance were perceived to be associated with under-reporting sexual behavior. Frames that focused on safety or a recipient resulted in people reporting being less deterred from donating. Regardless of frame, people from ethnic minorities were more likely to feel deterred. Embarrassment/shame followed by forgetting and perceived irrelevance were the main reasons for under-reporting sexual behaviors, especially in ethnic minorities, and smartphones were perceived as an acceptable memory aid for sexual behavior. Blood services moving to an individualized policy should frame donor selection in terms of safety and/or a recipient focus, explore sensitivities in ethnic minority communities, consider ways to normalize reporting sexual behavior, and use smartphones as a memory aid.

Leveraging Public-Private Partnerships with Community to Increase Health Equity: Building Sustainable Models Guided by Data, Policy, and Practice.

Leveraging Public-Private Partnerships with Community to Increase Health Equity:Building Sustainable Models Guided by Data, Policy, and Practice Roslyn Holliday Moore, MS (bio), Juliet Bui, MPA, MSW (bio), Rachel R. Ouellette, PhD (bio), Bridget Kerner, MS (bio), Michael N. Awad, PhD (bio), Alexis F. Leal, MPH, CPHQ (bio), Yanique Edmond, PhD, MPA (bio), Stacey L. Williams (bio), and Derrick M. Gordon, PhD (bio) The nation's quest to dismantle persistent health disparities is marked by policy innovations to promote equitable health. Approaches to interpreting, translating, and monitoring health-related policies can activate key multisectoral partnerships between the federal, state, local governments, and private organizations to foster and sustain community-centered health care and health equity. In these partnerships, the federal government provides funding, strategic direction, logistical support, and encourages further collaborations based on the synthesis of national and local data as part of a singular strategic vision. Through these strategic visions, state and local governments allocate resources, disseminate best practices, and implement localized policies to amplify opportunities for facilitating equitable health outcomes and engaging community-based organizations. Community-based organizations, as trusted messengers, are essential partners for delivering culturally and linguistically appropriate health care. For these layered partnerships to be successful, they must be collaborative, bidirectional, and collectively focused on improving and achieving equitable health care access, use, and outcomes. [End Page 138] Racial and ethnic minority, low-income, and other socially vulnerable populations have experienced long-standing health disparities in the access, use, and outcomes of health care during and prior to the COVID-19 pandemic. Data from the coronavirus disease 2019 (COVID-19) pandemic have highlighted higher exposure, infection, hospitalization, and death rates among racial and ethnic minority populations in comparison with the non-Hispanic White population.1–7 This pattern has been seen with other outbreaks, including the H1N1 pandemic,8 the HIV/AIDS epidemic,9 and even the seasonal flu outbreaks.10 These patterns are due in part to racial and ethnic minority and poor populations being at higher risk for pre-existing health conditions (including diabetes, hypertension, obesity, and coronary heart disease) that increase their likelihood of contracting severe forms of COVID-19.11–13 Consistent inequitable outcomes across health conditions and outbreaks indicate root causes that extend beyond biological issues to include social, systemic, and structural factors.14 Influencers of health, including policies and social determinants of health, provide a lens for understanding patterns of inequity across health outcomes. Two key influencers in the context of COVID-19 are social determinants of health and social vulnerability, which are respectively defined as "the conditions in the places where people live, learn, work, and play that affect a wide range of health risks and outcomes."15[unpaginated] and "the characteristics of a person or community that affect their capacity to anticipate, confront, repair, and recover from the effects of a disaster," such as socioeconomic status and minority status.16[p.1] Understanding their influence can inform policy direction. For instance, systemic inequities in access to health insurance and high-quality care make it difficult to connect racial and ethnic minority and low-income populations with COVID-19 services, likely contributing to sometimes lower rates of testing and vaccination.17–19 Racial and ethnic minority and low-income individuals have also experienced a long-standing history of bias and discrimination in medical settings.20–21 Specific to the pandemic, data revealed that providers were less likely to offer COVID-19 testing to Black patients experiencing the same symptoms as White patients, contributing to medical distrust and vaccine hesitancy.22 Black and Hispanic/Latino individuals have indicated, however, that they would be more likely to consider getting the vaccine if they heard information or experiences from same-race medical professionals and community members, than if they heard it from others.23 These findings suggest that disparate outcomes and community context cannot be addressed without an equity lens or without policies that promote partnerships across sectors. Specifically, pandemic response efforts that integrate alliances with entities that are based in or led by racial and ethnic minority and low-income communities can help bridge access and trust gaps while improving engagement and participation in mitigation efforts. We begin this...

Use of social media platforms by migrant and ethnic minority populations during the COVID-19 pandemic: a systematic review

ObjectiveMigrants and ethnic minority groups have been disproportionately impacted by COVID-19 and have lower levels of vaccine uptake in some contexts. We aimed to determine the extent and nature of...

Vital Signs: Influenza Hospitalizations and Vaccination Coverage by Race and Ethnicity-United States, 2009-10 Through 2021-22 Influenza Seasons.

CDC estimates that influenza resulted in 9-41 million illnesses, 140,000-710,000 hospitalizations, and 12,000-52,000 deaths annually during 2010-2020. Persons from some racial and ethnic minority groups have historically experienced higher rates of severe influenza and had lower influenza vaccination coverage compared with non-Hispanic White (White) persons. This report examines influenza hospitalization and vaccination rates by race and ethnicity during a 12-13-year period (through the 2021-22 influenza season). Data from population-based surveillance for laboratory-confirmed influenza-associated hospitalizations in selected states participating in the Influenza-Associated Hospitalization Surveillance Network (FluSurv-NET) from the 2009-10 through 2021-22 influenza seasons (excluding 2020-21) and influenza vaccination coverage data from the Behavioral Risk Factor Surveillance System (BRFSS) from the 2010-11 through 2021-22 influenza seasons were analyzed by race and ethnicity. From 2009-10 through 2021-22, age-adjusted influenza hospitalization rates (hospitalizations per 100,000 population) were higher among non-Hispanic Black (Black) (rate ratio [RR]=1.8), American Indian or Alaska Native (AI/AN; RR=1.3), and Hispanic (RR=1.2) adults, compared with the rate among White adults. During the 2021-22 season, influenza vaccination coverage was lower among Hispanic (37.9%), AI/AN (40.9%), Black (42.0%), and other/multiple race (42.6%) adults compared with that among White (53.9%) and non-Hispanic Asian (Asian) (54.2%) adults; coverage has been consistently higher among White and Asian adults compared with that among Black and Hispanic adults since the 2010-11 season. The disparity in vaccination coverage by race and ethnicity was present among those who reported having medical insurance, a personal health care provider, and a routine medical checkup in the past year. Racial and ethnic disparities in influenza disease severity and influenza vaccination coverage persist. Health care providers should assess patient vaccination status at all medical visits and offer (or provide a referral for) all recommended vaccines. Tailored programmatic efforts to provide influenza vaccination through nontraditional settings, along with national and community-level efforts to improve awareness of the importance of influenza vaccination in preventing illness, hospitalization, and death among racial and ethnic minority communities might help address health care access barriers and improve vaccine confidence, leading to decreases in disparities in influenza vaccination coverage and disease severity.

‘Sauté Urbanisation’

Abstract In the last 20 years of economic reforms, China has embraced an explicit policy of urbanisation. In the literature, space and place-making are often perceived as distinct or conflicting dimensions of urban change, whereby the former is severed from or dominates the latter. By focusing on the multi-ethnic south-western frontier of Yunnan, this paper explores the effects of recent urbanisation on Tai ethnic minority communities in the expanding border city of Jinghong. It suggests that we need to conceptualise urbanisation in dialectic terms rather than as a dichotomy. Drawing on Massey (2005), it analyses space through the prism of ‘multiplicity’, ‘interrelation’, and ‘openness’ and place through its interconnection with the broader power geometries of space. Specifically, the paper argues that urbanisation can produce a two-way dynamic whereby space co-opts place and place permeates space through consensus, in the guise of ‘ethnic modernity’. The resulting ‘sauté urbanisation’ captures these mutually informing practices of space construction and place-making.

Enablers and barriers associated with high MMR uptake among the Finnish Somali population

Abstract Introduction In Finland, the Somali-speaking community is the fourth largest migrant group after Russian, Estonian, and Arabic-speaking communities. Finland is home to 21,000 Somali-speaking individuals, with around 70 % of them living in the capital region. Even though vaccine uptake in most ethnic minority communities is usually lower, MMR coverage in Finnish Somali children is partly higher than that of ethnic Finns. Methods We interviewed 30 Somali-origin mothers living in the capital region of Finland in terms of childhood vaccination acceptance, and in specific, issues affecting their children's MMR vaccine uptake. All interviews were conducted by a Somali researcher either in Somali or Finnish language. The interviews were recorded, transcribed, translated, and analysed using thematic analysis of the transcripts. To understand the enablers presented by the health care system in Finland, 10-15 public health nurses working in maternal and child health clinics in the capital region will be interviewed. Results and discussion Preliminary results show that trust in the health care system is the main enabler of high MMR vaccine coverage in the Somali population - even when mother's knowledge of the vaccine was very limited. In terms of information sources, mothers indicated that they ask, and trust maternal and child health clinics in all vaccine-related information- often more than any other source, including the internet. Conclusions This study enhances our understanding of system level enablers in the Finnish Somali community regarding MMR vaccination. The results of this study are applicable to improve vaccine uptake in other underserved minority communities throughout Europe.

The use of social media platforms by migrant populations during the COVID-19 pandemic

Abstract Background The rapid expansion of internet and social media use has meant that both useful and potentially harmful health information can spread rapidly. Groups experiencing barriers to health systems may be more reliant on social media as a source of health information. We did a systematic review to determine the extent and nature of social media use in migrant and ethnic minority communities for COVID-19 information, and implications for preventative health measures including vaccination intent and uptake. Methods We reviewed published and grey literature following PRISMA guidelines (PROSPERO registered CRD42021259190). Global research was included that reported on the use of social media by migrants and/or ethnic minority groups in relation to COVID-19. Results 1849 unique records were screened, and 21 data sources included in our analysis involving studies from the UK, US, China, Jordan, Qatar, and Turkey. We found evidence of consistent use of a range of social media platforms for COVID-19 information in some migrant and ethnic minority populations (including WeChat, Facebook, WhatsApp, Instagram, Twitter, YouTube), which may stem from difficulty in accessing COVID-19 information in their native languages or from trusted sources. There were positive and negative associations with social media use reported, with some evidence suggesting circulating misinformation and social media use may be associated with lower participation in preventative health measures, including vaccine intent and uptake, findings of which are likely relevant to multiple population groups. Conclusions Urgent actions and further research are now needed to better understand the use of social media platforms for accessing health information by groups who may be marginalised from health systems, effective approaches to tackling circulating misinformation, and to seize on opportunities to make better use of social media platforms to support public health communication. Key messages

What Do Service Providers’ Understand About Cross-Cultural Differences In The ‘Stranger Danger’ Myth?

The paucity of research on cross-cultural diversity in the psychosocial experience of child sexual abuse can affirm biases toward universality. However, belief of the myth that most perpetrators are strangers may be higher in ethnic minority communities because of collectivist norms that view extended family as primary providers of child safety, maintained by prohibitive social norms discussing any sexual matters to protect female and family honour. A program addressing these issues was delivered across Australia and evaluated over six months using a mixed-methods design. The results show that the program fulfilled its intention, with service providers more deeply engaging with this possible cross-cultural difference. They also show the program: safely allows white practitioners to acknowledge their awareness of this possible difference; eases judgment of this difference among ethnic minority practitioners in light of the multiple oppressions migrant communities negotiate; and raises attunement among all practitioners to ‘quiet’ child-safe parenting that may be occurring to help ensure risk-of-harm assessments are more accurate. Overall, there appears a need for persistent national awareness-raising campaigns against the myth of ‘stranger danger’ because this myth serves a protective function in all cultures (to greater or lesser extents) about perceptions of where children are/are not safe.

Community voices on factors influencing COVID-19 concerns and health decisions among racial and ethnic minorities in the school setting.

Racial and ethnic minority communities have been disproportionately affected by COVID-19, but the uptake of COVID-19 mitigation strategies like vaccination and testing have been slower in these populations. With the continued spread of COVID-19 while in-person learning is a priority, school-aged youth and their caregivers must make health-related decisions daily to ensure health at school. It is critical to understand factors associated with COVID-related health decisions such as vaccination, testing, and other health behaviors (e.g., wearing masks, hand washing). Community-engaged campaigns are necessary to overcome barriers to these health behaviors and promote health equity. The aim of this study was to examine COVID-19-related concerns and influences on health decisions in middle and high schools serving primarily racial and ethnic minority, low-income families. Seven focus groups were conducted with school staff, parents, and students (aged 16 years and older). Qualitative data were analyzed using a general inductive approach. Factors related to COVID-19 concerns and health decisions centered on (1) vaccine hesitancy, (2) testing hesitancy, (3) developmental stage (i.e., ability to engage in health behaviors based on developmental factors like age), (4) cultural and family traditions and beliefs, (5) compatibility of policies and places with recommended health behaviors, (6) reliability of information, and (7) perceived risk. We explore sub-themes in further detail. It is important to understand the community's level of concern and identify factors that influence COVID-19 medical decision making to better address disparities in COVID-19 testing and vaccination uptake.

Experiences of ethnic minority personnel in the armed forces: A systematic review

LAY SUMMARY An armed forces consisting of personnel from diverse and ethnic minority backgrounds offers considerable benefits, not just in terms of reflecting society but for improving the effectiveness of military operations. Many ethnic minority individuals serve for long periods, during which they experience personal growth and benefit from military service. However, little research has explored the impact these experiences might have on ethnic minority communities within the Armed Forces, who report higher levels of bullying, harassment, and discrimination. Given the lack of empirical research into armed forces ethnic minority personnel, this systematic review aimed to provide insight into and understanding of existing international research, relevant reports, and policy. The review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and included articles written in English since 2010. The review identified three themes — cultural identity, health status and health utilization, and trauma and discrimination — and indicated that ethnic minority personnel experience greater disadvantage than their native counterparts, both during and after service.

Disparities in Spatial Access to Emergency Surgical Services in the US

Hospitals with emergency surgical services provide essential care for a wide range of time-sensitive diseases. Commonly used measures of spatial access, such as distance or travel time, have been shown to underestimate disparities compared with more comprehensive metrics. To examine population-level differences in spatial access to hospitals with emergency surgical capability across the US using enhanced 2-step floating catchment (E2SFCA) methods. A cross-sectional study using the 2015 American Community Survey data. National census block group (CBG) data on community characteristics were paired with geographic coordinates of hospitals with emergency departments and inpatient surgical services, and hospitals with advanced clinical resources were identified. Spatial access was measured using the spatial access ratio (SPAR), an E2SFCA method that captures distance to hospital, population demand, and hospital capacity. Small area analyses were conducted to assess both the population with low access to care and community characteristics associated with low spatial access. Data analysis occurred from February 2021 to July 2022. Low spatial access was defined by SPAR greater than 1.0 SD below the national mean (SPAR <0.3). In the 217 663 CBGs (median [IQR] age for CBGs, 39.7 [33.7-46.3] years), there were 3853 hospitals with emergency surgical capabilities and 1066 (27.7%) with advanced clinical resources. Of 320 million residents, 30.8 million (9.6%) experienced low access to any hospital with emergency surgical services, and 82.6 million (25.8%) to advanced-resource centers. Insurance status was associated with low access to care across all settings (public insurance: adjusted rate ratio [aRR], 1.21; 95% CI, 1.12-1.25; uninsured aRR, 1.58; 95% CI, 1.52-1.64). In micropolitan and rural areas, high-share (>75th percentile) Hispanic and other (Asian; American Indian, Alaska Native, or Pacific Islander; and 2 or more racial and ethnic minority groups) communities were also associated with low access. Similar patterns were seen in access to advanced-resource hospitals, but with more pronounced racial and ethnic disparities. In this cross-sectional study of access to surgical care, nearly 1 in 10 US residents experienced low spatial access to any hospital with emergency surgical services, and 1 in 4 had low access to hospitals with advanced clinical resources. Communities with high rates of uninsured or publicly insured residents and racial and ethnic minority communities in micropolitan and rural areas experienced the greatest risk of limited access to emergency surgical care. These findings support the use of E2SFCA models in identifying areas with low spatial access to surgical care and in guiding health system development.

Advancing global health and the sustainable development goals through transdisciplinary research and equitable publication practices

Advancing global health and the sustainable development goals through transdisciplinary research and equitable publication practices

The mental health experiences of ethnic minorities in the UK during the Coronavirus pandemic: A qualitative exploration.

BackgroundWorldwide, the Coronavirus pandemic has had a major impact on people's health, lives, and livelihoods. However, this impact has not been felt equally across various population groups. People from ethnic minority backgrounds in the UK have been more adversely affected by the pandemic, especially in terms of their physical health. Their mental health, on the other hand, has received less attention. This study aimed to explore the mental health experiences of UK adults from ethnic minorities during the Coronavirus pandemic. This work forms part of our wider long-term UK population study “Mental Health in the Pandemic.”MethodsWe conducted an exploratory qualitative study with people from ethnic minority communities across the UK. A series of in-depth interviews were conducted with 15 women, 14 men and 1 non-binary person from ethnic minority backgrounds, aged between 18 and 65 years old (mean age = 40). We utilized purposefully selected maximum variation sampling in order to capture as wide a variety of views, perceptions and experiences as possible. Inclusion criteria: adults (18+) from ethnic minorities across the UK; able to provide full consent to participate; able to participate in a video- or phone-call interview. All interviews took place via MS Teams or Zoom. The gathered data were transcribed verbatim and underwent thematic analysis following Braun and Clarke carried out using NVivo 12 software.ResultsThe qualitative data analysis yielded seven overarching themes: (1) pandemic-specific mental health and wellbeing experiences; (2) issues relating to the media; (3) coping mechanisms; (4) worries around and attitudes toward vaccination; (5) suggestions for support in moving forward; (6) best and worst experiences during pandemic and lockdowns; (7) biggest areas of change in personal life. Generally, participants' mental health experiences varied with some not being affected by the pandemic in a way related to their ethnicity, some sharing positive experiences and coping strategies (exercising more, spending more time with family, community cohesion), and some expressing negative experiences (eating or drinking more, feeling more isolated, or even racism and abuse, especially toward Asian communities). Concerns were raised around trust issues in relation to the media, the inadequate representation of ethnic minorities, and the spread of fake news especially on social media. Attitudes toward vaccinations varied too, with some people more willing to have the vaccine than others.ConclusionThis study's findings highlight the diversity in the pandemic mental health experiences of ethnic minorities in the UK and has implications for policy, practice and further research. To enable moving forward beyond the pandemic, our study surfaced the need for culturally appropriate mental health support, financial support (as a key mental health determinant), accurate media representation, and clear communication messaging from the Governments of the UK.

A community-partnered approach for diversity in COVID-19 vaccine clinical trials.

Communities of color have faced disproportionate morbidity and mortality from COVID-19, coupled with historical underrepresentation in US clinical trials, creating challenges for equitable participation in developing and testing a safe and effective COVID-19 vaccine. To increase diversity, including racial and ethnic representation, in local Los Angeles County NIH-sponsored Phase 3 SARS-CoV-2 vaccine clinical trials, we used deliberative community engagement approaches to form a Community Consultant Panel (CCP) that partnered with trial research teams. Thirteen members were recruited, including expertise from essential workers, community-based and faith-based organizations, or leaders from racial and ethnic minority communities. Working closely with local investigators for the vaccine studies, the CCP provided critical insight on best practices for community trust building, clinical trial participation, and reliable information dissemination regarding COVID-19 vaccines. Modifying recruitment, outreach, and trial protocols led to majority-minority participants (55%-78%) in each of the three vaccine clinical trials. CCP's input led to cultural tailoring of recruitment materials, changes in recruitment messaging, and supportive services to improve trial accessibility and acceptability (transportation, protocols for cultural competency, and support linkages to care in case of an adverse event). Barriers to clinical trial participation unable to be resolved included childcare, requests for after-hours appointment availability, and mobile locations for trial visits. Using deliberative community engagement can provide critical and timely insight into the community-centered barriers to COVID-19 vaccine trial participation, including addressing social determinants of health, trust, clinical trial literacy, structural barriers, and identifying trusted messenger and reliable sources of information.

In Conversation with the Welsh Government’s Black, Asian and Minority Ethnic Communities, Contributions and Cynefin in the New Curriculum Working Group: Final Report Chaired by Professor Charlotte Williams OBE (2021)

In Conversation with the Welsh Government’s Black, Asian and Minority Ethnic Communities, Contributions and Cynefin in the New Curriculum Working Group: Final Report Chaired by Professor Charlotte Williams OBE (2021)

HIV Prevention Programs for Racial and Ethnic Minority Communities: Do The Right Thing 4LIFE: An African American Prevention/Outreach Program Utilizing Barbershops and Beauty Salons.

Using the Popular Opinion Leader Model to develop and implement new creative, innovative, and effective programs reaching the African American community.

A Mixed-Methods Evaluation of “The Quest,” A Health and Well-Being Intervention for British-Based Black, Asian and Minority Ethnic Gay and Bisexual Men

ABSTRACT This article provides an evaluation of a health and well-being workshop-based intervention, “The Quest” for gay and bisexual men from British Black Asian and Minority Ethnic (BAME) communities. A quantitative component assessed reported and intended sexual risk, drugs and alcohol use alongside measures of psychological well-being with pre and post-program data collected from 26 men. Fourteen men participated in focus groups that discussed experiences of the intervention. Significant improvements were found on measures of internalized homophobia, self-esteem and self-efficacy but not for health behaviors including safer sex or substance use. Qualitative feedback was generally positive especially around enhanced psychological well-being, identity integration, and enhanced self-awareness. There were some concerns over group size and whether non-BAME gay men were appropriate as facilitators. Theoretically informed, culturally competent interventions can demonstrate significant potential in enhancing the well-being of BAME gay and bisexual men but follow-up data are needed to show longer-term benefits.