A glossary published in the "Journal of Epidemiology and Community Health" with the intention of stimulating debate about the development of better and more internationally applicable terms to describe ethnicity and race, suggests a definition of Afro-Caribbean/African Caribbean as, "A person of African ancestral origins whose family settled in the Caribbean before emigrating and who self identifies, or is identified, as Afro-Caribbean (in terms of racial classifications, this population approximates to the group known as Negroid or similar terms)". A survey of the use of terms to describe people of African descent in medical research notes that: "The term African Caribbean/Afro-Caribbean when used in Europe and North America usually refers to people with African ancestral origins who migrated via the Caribbean islands". It suggests that use of the term in the UK is inconsistent, with some researchers using it to describe people of Black and of Caribbean descent, whereas others use it to refer to those of either West African or Caribbean background. Furthermore, as immigration to the United Kingdom from Africa increased in the late 20th century, the term has sometimes been used to include British residents solely of African origin or as a term to define all Black British residents, though the phrase African and Caribbean has more often been used to cover such a broader grouping.