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Table 3 Example of the analysis process

From: Substance use and help-seeking barriers: a qualitative study of East African migrants’ experiences of access to Norwegian healthcare services

Quotation

Experiential statements

Personal experiential theme

Group experiential theme

I have spoken about it with other Somalis, friends, and people the same age, and absolutely, there is a substance use problem in our community among older men […] there have been times where mom spoke about women who use khat and these women were described as people who have, like, left their faith, culture, disregarded their families. They were much harsher against them than their husbands, brothers and fathers, so yeah, I definitely experience shame because I get high. If I had told this to my mom, then I would be left with a feeling of shame, guilt and extreme uneasiness, like… I must prove that I am Somali, prove that I am Muslim and that I haven’t left all that behind. (Claire)

Increasingly aware of substance use also being a problem in her own community

Substance use among Somali women is more shameful and judged more harshly than among men

A need to maintain an image as a good Somali and Muslim

Prejudice against substance use and mental health in community

Fear of exclusion from family and ethnic community