Seven women that identify as Muslim, Pakistani and Canadian in varying capacities participated in this qualitative research to discuss how their cultural and/or religious norms shaped their educational and career aspirations and overall decision-making. Areas of discussion included identity formation, understandings of culture and religion, familial influences on educational and career pursuits and overall experiences and interactions with faculty, peers and student service providers. This research brings together Chickering and Reisser’s (1993) Theory of Identity Development and feminist critical understandings of intersectionality (Collins, 1990; Knudson, 2005) and Orientalism (Said, 1978) in order to theoretically frame the students’ experiences. The research constitutes a major contribution from the Canadian perspective in terms of theory development as well as practical implications for faculty and campus services to ensure that students experience a learning environment that is supportive and inclusive.

Seven women that identify as Muslim, Pakistani and Canadian in varying capacities participated in this qualitative research to discuss how their cultural and/or religious norms shaped their educational and career aspirations and overall decision-making. Areas of discussion included identity formation, understandings of culture and religion, familial influences on educational and career pursuits and overall experiences and interactions with faculty, peers and student service providers. This research brings together Chickering and Reisser’s (1993) Theory of Identity Development and feminist critical understandings of intersectionality (Collins, 1990; Knudson, 2005) and Orientalism (Said, 1978) in order to theoretically frame the students’ experiences. The research constitutes a major contribution from the Canadian perspective in terms of theory development as well as practical implications for faculty and campus services to ensure that students experience a learning environment that is supportive and inclusive.

Yes / Introduction: Pregnant British Pakistani women have disproportionately poorer health than the wider population. Bradford has a strong Pakistani presence and a wide range of public health problems including high levels of gestational diabetes, high obesity rates and a high infant mortality rate, which is highest for babies of Pakistani origin. For women to be healthy, we need to know what concerns they have about their health so they can be addressed appropriately. The aim of this study, therefore, was to explore the health concerns of pregnant British Pakistani women living in deprived areas. Methods Semi-structured qualitative interviews were conducted with 21 pregnant Pakistani women in a hospital setting. Data were analysed using thematic analysis. Results Pakistani women identified safety issues, barriers to undertaking physical activity in the areas where they live, concerns surrounding exercising during pregnancy and cultural and religious constraints that prevented them from engaging in physical activity. They reported issues around food, concerns around a lack of culturally appropriate diet information, the cost of unhealthy food locally, and the lack of healthy food options in their residences. Women were unsure on where to obtain health promotion information and reported a lack of access in obtaining that information. Language barriers in accessing health promotion information were further reported as a concern. Discussion Researchers, midwives, health providers, local authority and policy makers interested in improving the health of pregnant Pakistani women may use these findings to develop further research and interventions to improve the poor health of this population. / National Institute for Health Research (NIHR) under its Applied Research Collaboration (ARC) Yorkshire and Humber [NIHR200166]; UK Prevention Research Partnership (UKPRP) [MR/S037527/1], the NIHR Clinical Research Network; and NIHR ARC Yorkshire and Humber

No / Lecturers Fiona Meddings and Jan Porter of the division of midwifery and women’s health at the School of Health Studies at the University of Bradford detail the difficulties faced by UK Pakistani women in making informed choices on breastfeeding.

This PhD submission constitutes a novel and accompanying critical commentary. My novel Nobody Killed Her provides an alternative history of the assassination of Pakistan's only female Prime Minister, Benazir Bhutto. The thesis questions the choices I made in order to develop the writing of this novel and the decisions I took in order for it to reach its readers. I discuss the issues of creative integrity and the role of the publisher as an enabler, and as a modern day censor. I examine the role of literary influences and publishing pressures on the multi-layered and shifting strains of the creative process and explore fiction as a powerful tool for communicating the paradoxical state of modern Pakistani women, which my novel draws upon. Accordingly, my research narrative is interspersed with personal vignettes that helped shape my writing. Reflecting upon the role of memory, history and politics, and literary influences that shape our writing, I try to interrogate the ‘flash-bulb’ moments of inspiration and argue that creative writing is actually a series of complex thought processes that shape our consciousness. I have also, during the compilation of this essay, looked critically at the role of the publisher in shaping an author’s creativity and the author’s desire for publication in influencing his or her creative choices. I have examined the role of the audience, by asking who the writer is writing for, concluding that the creative journey is more important than the destination i.e., the culmination of the writing into a published form. I conclude by contending that creative writing is above all communication, not just with the reader but also with one’s self. It is about self- expression and therefore must remain true to the self.

Yes / British South Asians have a higher prevalence of overweight and obesity than the wider population. Bradford (UK), with its high Pakistani presence and levels of economic deprivation, has exceptionally high instances, especially in deprived areas where many Pakistanis reside. British Pakistani women in Bradford are more likely to be overweight and obese. There is uncertainty on how these women can be aided to manage their weight. Therefore, the objective of this study was to explore the obesity concerns of Pakistani women living in deprived inner-city areas of Bradford. Three focus groups interviews were carried out with 23 Pakistani women living in deprived areas of Bradford. Data were analysed thematically. This exploratory study identified a wide range of concerns that women had around managing their weight. Participants disclosed distrust in information given around medication, conflicting dietary information and reported low levels of trust in women-only organized physical activities. Cultural barriers were identified, which included the gender role of the woman, the lack of culturally appropriate dietary advice, cultural misunderstandings of what constitutes a healthy diet and healthy weight, the lack of culturally suitable exercise facilities and conforming to family and community expectations. Other concerns were language barriers around a lack of understanding, the inability to read Urdu and reliance on others to translate information. These findings have implications for researchers, local authorities, policy makers and others with an interest in reducing the rates of obesity in this population. Recommendations include training health practitioners to be culturally aware of the diet and eating practices of this community, exploring different ways to support socially isolated women to be more physically active at home, addressing physical activity and diet misconceptions and designing obesity management information materials appropriate for a range of literacy levels. Public contributors were involved in the development of the interview guide and design of the research. A pilot focus group with participants not included in the present paper was used to help test and refine the focus group questions. Interview transcripts were member checked by participants, and participants assisted with data analysis. / UKPRP. Grant Number: MR/S037527/1 NIHR. Grant Number: NIHR200166

Introduction: British Pakistani women have exceptionally high rates of obesity and yet are seldom heard in a research priority setting concerning weight management. The objectives of this study were (i) to ascertain what multisectoral professionals perceive to be the most pressing unmet obesity needs or topic areas that need more research in relation to Pakistani women living in deprived areas of Bradford and (ii) to determine the top 10 obesity health priorities for this group to develop an obesity research agenda. Methods: A two‐step process was adopted using the following: (i) a survey of a wide range of multisectoral professional stakeholders (n= 159) and (ii) a ranking exercise involving Pakistani women living in deprived areas of Bradford (n= 32) to select and prioritize their top 10 obesity health concerns and unmet needs from a list of 31statements identified in the survey and previous research. Survey data were analysed using inductive content analysis and themes were identified. Themes were translated into statements to be ranked by Pakistani women. The ranking exercise was conducted by telephone either via voice or video call. Data were analysed using a reverse scoring system. Results: Survey responses were grouped into statements reflecting the following three categories: education needs; healthy behaviour barriers and mental well‐being. The highest rankings were given by Pakistani women to statements on mental health and the need for education. The top 10 prioritized statements were developed with members of the public into an obesity research agenda that reflected the target population. Conclusion: Actively engaging British Pakistani women in setting research priorities provided a unique opportunity to understand the key areas they think are important for future research. The culminating research agenda can be used by researchers to advance the field of obesity research in Pakistani communities, thus producing research outputs that are relevant to and have impact in this population. Patient or Public Contribution: Participants in the ranking exercise collected data. Public contributors were involved in developing the prioritized statements into are search agenda. / NIHR, Grant/Award Number: NIHR200166;UKPRP, Grant/Award Number:MR/S037527/1

Background: Obesity disproportionately affects Pakistani women and rates of obesity related conditions are high in Bradford. Research priority setting can guide the development of policy and practice, resulting in more relevant research. There are no research prioritisation exercises targeted at obesity in Pakistani women. Aim: To develop an obesity research agenda with Pakistani women living in deprived inner-city areas of Bradford. Methods: Using a feminist participatory action research design, a five stage process was adopted involving the following: (i) A systematic review to identify the gaps in knowledge (ii) face-to-face interviews with 21 Pakistani women to generate their health concerns (iii) focus groups to explore the obesity concerns of 23 Pakistani women (iv) survey to identify unmet obesity needs of Pakistani women according to 160 local, multisectoral stakeholders (v) adapted consensus method involving 32 Pakistani women to rank their identified concerns and unmet needs in order of importance. Results: The study identified needs related to cultural and language constraints, including barriers in obtaining health promotion information and the social isolation of women. Education needs and misconceptions surrounding diet and physical activity were also identified. Highest rankings were given to concerns and needs surrounding the mental health of Pakistani women, education needs for a healthy diet, and the benefits of physical activity. Conclusion: Pakistani women’s unmet obesity needs highlight the existence of wider determinants of health that are structural in nature. Considering these barriers, a research agenda was developed from the findings and reflect the obesity health needs of this population. / Funding through Born in Bradford / The full text will be available at the end of the embargo: 21st Sept 2022

Despite a plethora of empirical evidence on the work-family interface in 'the West', very little research has been carried out on the experiences of women in the context of Pakistan. Gender inequalities persist in the Pakistani labour market and women's employment is skewed towards agriculture and 'respectable' professions, such as academia and medicine. However, following the privatisation of the banking industry, women have been gaining visibility in this profession despite societal pressures to either conform to the homemaker role or remain in 'women's work'. What makes the Pakistani context unique is the interplay between gender, culture, religion, class and family structure. This affects reconciliation of work and family roles among working women. This thesis contributes to an understanding of the experiences of working women in a gendered, patriarchal, Muslim society. It offers an indigenous conceptualisation of the contours, causes, consequences and coping strategies (Four C's) of work-family conflict (WFC) among women working in Pakistani banks through a multi-layered, feminist, intersectional approach that gives voice to women. The study foregrounds women's experiences at the individual-level; however, it also considers the broader structures such as the extended family system, the male-dominated banking industry and the contradiction of Islamic teachings with the societal norms regarding women's paid employment. Consequently, the conceptual model of Four C's of WFC offers a systematic and coherent categorisation of the causes, consequences and coping strategies of WFC in a context-sensitive, multi-level, intersectional, feminist approach framework. Such indigenous manifestations of WFC in the Pakistani context can inform research in similar contexts. Based on a mixed method approach the fieldwork collected empirical evidence through 280 scoping questionnaires and 47 in-depth, semi-structured, face-to-face interviews in four different banks in Punjab province of Pakistan. The study reveals the most extreme, yet masked, forms of oppression and the subtleties of agency in the context of religious, patriarchal and cultural understandings of 'work' that also impact the salience of other social categories, e.g. class and family structure. In the main, the findings suggest a gendered culture of silence in Pakistan in which women working in Pakistani banks lack opportunities to vocalise their subjugated positions in the work and family spheres. More specifically, the thesis points to the fact that these women are subject to, sometimes conflicting, organisational and societal pressures to conform to the respective images of 'ideal worker' and 'good woman' simultaneously. This, of course, has implications for the intensity. In doing so the study extends the existing WFC theoretical framework to include and consider not just the Four C's of WFC but the intensity, duration and types experienced by women in particular contexts. However, the research also revealed that women in Pakistani banks are not passive victims, but active agents, making context dependent constrained choices to prevent or cope with WFC. For policymakers, the findings suggest the need for the formulation of context-specific initiatives to address work-family issues in patriarchal Muslim societies.

Yes / Participation of community stakeholders in health research priority setting is an emerging trend. Despite this, the involvement of marginalised groups in research prioritisation is limited and where they are involved, sample sizes are small, where individuals are merely consulted with, rather than coproducing the research agenda. Without addressing power dynamics inherent in research prioritisation with marginalised groups, their engagement in the research process can be tokenistic and the resulting research agenda unreflective of their needs. This article, therefore, aims to generate knowledge on how feminist participatory action research was used to co-produce an obesity research agenda with British Pakistani women, a seldom heard population, living in deprived areas. The methodology enabled Pakistani women to be involved in all stages of the project, culminating in the co-production of an obesity research agenda that accurately reflects their unmet needs. Women’s engagement in the project led to their increased confidence, the formation of relationships that lasted beyond the research project, improvements to their lifestyles, and engagement in further research. Feminist participatory action research may be used by researchers as a guiding methodology due to its ability to improve women’s lives and develop research agendas for women’s health. / National Institute for Health Research (NIHR) under its Applied Research Collaboration (ARC) Yorkshire and Humber [NIHR200166], the UK Prevention Research Partnership (UKPRP) - [MR/S037527/1], the NIHR Clinical Research Network, NIHR ARC Yorkshire and Humber / Research Development Fund Publication Prize Award winner, Jul 2023.