Perspectives on enhancing physical activity and diet for health promotion among at-risk urban UK South Asian communities: a qualitative study
Perspectives on enhancing physical activity and diet for health promotion among at-risk urban UK South Asian communities: a qualitative study
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DOI：
10.1136/bmjopen-2014-007317
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发表时间：
2015-01-01
期刊：
影响因子：
2.9
通讯作者：
Kai, Joe
中科院分区：
文献类型：
--
作者：
Cross-Bardell, Laura;George, Tracey;Kai, Joe
目标：探讨在慢性病高风险城市贫困社区中加强南亚人身体活动和饮食的观点，并为制定文化上适当的健康促进干预措施提供信息。设计：使用半结构化一对一访谈和家庭小组访谈进行数据专题分析的定性研究。背景：英国东米德兰兹城市贫困社区。参与者：45 名受访者，其中 34 名南亚裔（16 名高危个体，6 个家庭群体涉及18 名亲属），主要是巴基斯坦和印度裔，其中 16 名不会说英语；以及 11 名在当地与相关社区合作的卫生专业人员。结果：南亚参与者强调了要求几代人的家庭成员参与改变饮食行为的挑战，以及共同食用传统“亚洲”食物在其文化生活中的核心作用。增加身体活动的障碍包括成本、人身安全以及长时间工作和照顾者承诺之外缺乏时间。然而，社区和健康专业参与者都认为增加步行活动是可行的。受访者强调使用社会方法进行潜在的干预，与家人或朋友以及双语社区同龄人一起开展活动，以促进参与、激励和支持。口头内容和干预方式受到青睐，包括个人故事和多语言视听信息；在当地非正式环境而非提供者环境中，包括家庭；结论：在这个贫困的南亚社区，通过增加步行来关注身体活动可能有望促进健康。值得进一步发展干预措施，探索所建议的社会方法和要素的可行性和可接受性。
Objectives: To explore perspectives on enhancing physical activity and diet among South Asians in urban deprived communities at high risk of chronic disease and to inform development of culturally appropriate health promotion intervention.Design: Qualitative study using semistructured one-to-one and family group interviews with thematic analysis of data.Setting: Urban disadvantaged communities in the East Midlands of the UK.Participants: 45 respondents, including 34 people of South Asian origin (16 at-risk individuals, six family groups involving 18 relatives), of mainly Pakistani and Indian origin, including 16 non-English speakers; and 11 health professionals working locally with communities of concern.Results: South Asian participants underlined the challenges of requiring family members across generations to engage in modifying dietary behaviours, and the central role of communal eating of traditional 'Asian' food in their cultural lives. Barriers to increasing physical activity included cost, personal safety and lack of time outside of long working hours and carer commitments. However, increasing walking activity was regarded as feasible by both community and health professional participants. Respondents emphasised using a social approach for potential interventions, undertaking activity with family or friends and with bilingual community peers to facilitate engagement, motivation and support. Spoken content and delivery of interventions was favoured, including personal stories and multilingual audio-visual information; within local informal rather than provider settings, including the home; and aided by pedometers for self-monitoring.Conclusions: Focusing on physical activity by increasing walking may hold promise as health promotion in this deprived South Asian community context. Further intervention development, with exploration of feasibility and acceptability of the social approach and elements suggested, is merited.