Physical Activity in Culturally and Linguistically Diverse Migrant Groups to Western Society A Review of Barriers, Enablers and Experiences
Physical Activity in Culturally and Linguistically Diverse Migrant Groups to Western Society A Review of Barriers, Enablers and Experiences
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DOI：
10.2165/00007256-200939030-00001
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发表时间：
2009-01-01
期刊：
影响因子：
9.8
通讯作者：
Mummery, W. Kerry
中科院分区：
文献类型：
--
作者：
Caperchione, Cristina M.;Kolt, Gregory S.;Mummery, W. Kerry
对流行病学数据的仔细研究揭示了文化和语言多样性（CALD）移民特有的疾病负担，因为这些人适应了文化和现代化的差距。尽管高血压、糖尿病、超重/肥胖和心血管疾病的风险增加，但CALD群体的个人不太可能积极主动地获得医疗保健或采取预防措施，以确保最佳的健康结果。本文的目的是回顾文献，概述了最近迁移到西方社会的CALD群体中身体活动的障碍，挑战和推动因素，并确定增加这些人身体活动参与的关键策略。使用电子和手动文献检索识别出57篇符合纳入标准的出版物。审查结果表明，移民到西方社会对CALD群体的健康状况和健康行为产生了不利影响，因为他们融入了新的环境，探索了不同的文化和习俗，并接受了新的生活方式。特别是，有证据表明，缺乏身体活动在CALD移民群体中很常见，是这些人患慢性病的关键危险因素。限制CALD群体参与体育活动的挑战和障碍包括：文化和宗教信仰，社会关系问题，社会经济挑战，环境障碍以及对健康和伤害的看法。可能有助于克服这些挑战和障碍的战略包括需要文化敏感性，提供关于健康行为的教育课程，鼓励来自同一文化的个人参与，探索就业情况变量，以及在CALD社区实施“健康行动区”。这些信息将为制定文化上适当的方案提供信息和支持，这些方案旨在积极影响CALD人群中个人的体育活动行为。
A close examination of epidemiological data reveals burdens of disease particular to culturally and linguistically diverse (CALD) migrants, as these individuals adjust to both culture and modernization gaps. Despite the increased risk of hypertension, diabetes mellitus, overweight/obesity and cardiovascular disease, individuals from CALD groups are less likely to be pro-active in accessing healthcare or undertaking preventative measures to ensure optimal health outcomes. The purpose of this paper is to review literature that outlines the barriers, challenges and enablers of physical activity in CALD groups who have recently migrated to Western society, and to identify key strategies to increase physical activity participation for these individuals. Electronic and manual literature searches were used to identify 57 publications that met the inclusion criteria. Findings from the review indicate that migration to Western societies has a detrimental effect on the health status and health behaviours of CALD groups as they assimilate to their new surroundings, explore different cultures and customs, and embrace a new way of life. In particular, there is evidence that physical inactivity is common in migrant CALD groups, and is a key contributing risk factor to chronic disease for these individuals. Challenges and barriers that limit physical activity participation in CALD groups include: cultural and religious beliefs, issues with social relationships, socioeconomic challenges, environmental barriers, and perceptions of health and injury. Strategies that may assist with overcoming these challenges and barriers consist of the need for cultural sensitivity, the provision of education sessions addressing health behaviours, encouraging participation of individuals from the same culture, exploration of employment situational variables, and the implementation of 'Health Action Zones' in CALD communities. This information will inform and support the development of culturally appropriate programmes designed to positively influence the physical activity behaviours of individuals from CALD populations.