Life Stage Influences on US South Asian Women's Physical Activity
Life Stage Influences on US South Asian Women's Physical Activity
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DOI：
10.4278/ajhp.130415-qual-175
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发表时间：
2015-01-01
影响因子：
2.7
通讯作者：
Kandula, Namratha R.
中科院分区：
文献类型：
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作者：
Dave, Swapna S.;Craft, Lynette L.;Kandula, Namratha R.
目的。与其他少数民族女性相比，美国南亚女性的休闲时间体育活动（PA）比例极低。本研究探讨了SA女性在不同人生阶段对PA的看法。这是一个以社区为基础的参与性研究，使用焦点小组。研究背景是伊利诺斯州芝加哥市的一个社区组织，该组织为SA移民提供社会服务。研究小组对42名年龄在18岁至71岁之间的南非妇女进行了六个焦点小组（英语和印地语）。采用半结构化访谈指南来促进对PA项目的看法、障碍/促进因素和建议的讨论。讨论由两位审稿人使用主题内容分析进行转录和独立编码，并在优先开发的编码方案指导下进行编码。参与者表示，不同的人生阶段对他们的PA有很大的影响。在结婚生子后，PA下降。慢性疾病限制了老年妇女更积极的PA。年轻女性接受私人护理的障碍是家庭的反对，以及认为如果你“很瘦”，就不需要私人护理。“妇女们一致认为，PA在文化中不是优先考虑的，干预措施必须考虑到文化、宗教和家庭背景。”社会文化规范、家庭约束和缺乏对PA益处的认识强烈影响了SA妇女的PA。文化上显著的干预策略可能包括在值得信赖的社区环境中开展的项目，在那里，妇女可以在只有女性的课堂上与她们的孩子一起锻炼，以及有针对性的教育活动，以提高人们对PA在整个生命阶段的益处的认识。
Purpose. South Asian (SA) women in the United States report extremely low rates of leisure time physical activity (PA) compared with women in other ethnic minority groups. This study explored SA women's perspectives on PA during different life stages.Design. This is a community-based participatory research study that used focus groups.Setting. The study setting was a community-based organization that provides social services to SA immigrants in Chicago, Illinois.Participants. The study team conducted six focus groups (in English and Hindi) with 42 SA women, ages 18 to 71 years.Method. A semistructured interview guide was used to foster discussion about perceptions of, barriers to/facilitators of, and suggestions for PA programs. Discussions were transcribed and independently coded by two reviewers using thematic content analysis and guided by a coding scheme that was developed a priori.Results. Participants said that different life stages strongly influenced their PA. PA decreased after marriage and having children. Chronic diseases constrained older women from more vigorous PA. Barriers to PA among younger women were family disapproval and perceptions that PA is unnecessary if you are "skinny.'' Women agreed that PA is not a priority within the culture, and that interventions must take into account cultural, religious, and family context.Conclusion. Sociocultural norms, family constraints, and lack of awareness about the benefits of PA strongly influenced PA among SA women. Culturally salient intervention strategies might include programs in trusted community settings where women can exercise in women-only classes with their children, and targeted education campaigns to increase awareness about the benefits of PA across life stages.