‘Cost, culture and circumstances’: Barriers and enablers of health behaviours in South Asian immigrants of Australia
The health behaviours related to chronic diseases experienced by South Asian immigrants are interrelated with their culture and socioeconomic conditions. South Asian immigrants experience a disproportionate burden of chronic disease compared with non‐immigrants Australian‐born general population. Th...
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Veröffentlicht in: | Health & social care in the community 2022-09, Vol.30 (5), p.e3138-e3149 |
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description | The health behaviours related to chronic diseases experienced by South Asian immigrants are interrelated with their culture and socioeconomic conditions. South Asian immigrants experience a disproportionate burden of chronic disease compared with non‐immigrants Australian‐born general population. The primary aim of this study was to gain an in‐depth understanding of health behaviours and healthcare access in the South Asian immigrant population of Australia. Five focus group discussions (FGDs) were conducted with South Asian immigrants (n = 29; 18 females) aged 27–50 years in Brisbane, Australia. Separate FGDs were conducted for males and females in the English language. Semi‐structured guided questions related to the perception, barriers and facilitators of health behaviours. Data were analysed with Nvivo‐12 following a thematic analysis. A conceptual model is proposed to provide a summarised understanding of barriers and facilitators of health behaviours in South Asian immigrants. The major reported constraints for participating in physical activity were cultural beliefs, lack of time, work stress and high fees of fitness activities, while parks and peer modelling were mentioned as a strong motivator for walking, cycling and participating in group sports activities. The cultural and religious connections, cost of cigarettes and drink driving penalties were the most mentioned facilitators for a healthy lifestyle. The important factors related to unhealthy eating habits were the traditional cooking methods, social interactions and the high cost of fruits and vegetables. Community perceptions and language barriers were also acknowledged as the main factors for the decrease in accessing health care services. This study illustrates that cultural beliefs, high cost of healthy food and facilities and social circumstances are mainly linked with the health behaviours and healthcare access in South Asian immigrant's lifestyles. |
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South Asian immigrants experience a disproportionate burden of chronic disease compared with non‐immigrants Australian‐born general population. The primary aim of this study was to gain an in‐depth understanding of health behaviours and healthcare access in the South Asian immigrant population of Australia. Five focus group discussions (FGDs) were conducted with South Asian immigrants (n = 29; 18 females) aged 27–50 years in Brisbane, Australia. Separate FGDs were conducted for males and females in the English language. Semi‐structured guided questions related to the perception, barriers and facilitators of health behaviours. Data were analysed with Nvivo‐12 following a thematic analysis. A conceptual model is proposed to provide a summarised understanding of barriers and facilitators of health behaviours in South Asian immigrants. The major reported constraints for participating in physical activity were cultural beliefs, lack of time, work stress and high fees of fitness activities, while parks and peer modelling were mentioned as a strong motivator for walking, cycling and participating in group sports activities. The cultural and religious connections, cost of cigarettes and drink driving penalties were the most mentioned facilitators for a healthy lifestyle. The important factors related to unhealthy eating habits were the traditional cooking methods, social interactions and the high cost of fruits and vegetables. Community perceptions and language barriers were also acknowledged as the main factors for the decrease in accessing health care services. This study illustrates that cultural beliefs, high cost of healthy food and facilities and social circumstances are mainly linked with the health behaviours and healthcare access in South Asian immigrant's lifestyles.</description><identifier>ISSN: 0966-0410</identifier><identifier>EISSN: 1365-2524</identifier><identifier>DOI: 10.1111/hsc.13759</identifier><identifier>PMID: 35181973</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Australia ; Barriers ; Bicycles ; Chronic illnesses ; Cigarettes ; Conceptual models ; Cooking ; Costs ; Cultural groups ; Cultural values ; Culture ; Disease ; Driving under the influence ; Drunk driving ; DUI ; English language ; Food preparation ; Habits ; Health behavior ; health behaviours ; Health care ; Health care access ; Health care expenditures ; Health services ; healthcare access ; Healthy food ; Immigrants ; Lifestyles ; Males ; Occupational stress ; Penalties ; Physical activity ; Social interaction ; Socioeconomic factors ; South Asian cultural groups ; South Asians ; Sports ; Time use ; Vegetables</subject><ispartof>Health & social care in the community, 2022-09, Vol.30 (5), p.e3138-e3149</ispartof><rights>2022 The Authors. in the Community published by John Wiley & Sons Ltd.</rights><rights>2022 The Authors. 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South Asian immigrants experience a disproportionate burden of chronic disease compared with non‐immigrants Australian‐born general population. The primary aim of this study was to gain an in‐depth understanding of health behaviours and healthcare access in the South Asian immigrant population of Australia. Five focus group discussions (FGDs) were conducted with South Asian immigrants (n = 29; 18 females) aged 27–50 years in Brisbane, Australia. Separate FGDs were conducted for males and females in the English language. Semi‐structured guided questions related to the perception, barriers and facilitators of health behaviours. Data were analysed with Nvivo‐12 following a thematic analysis. A conceptual model is proposed to provide a summarised understanding of barriers and facilitators of health behaviours in South Asian immigrants. The major reported constraints for participating in physical activity were cultural beliefs, lack of time, work stress and high fees of fitness activities, while parks and peer modelling were mentioned as a strong motivator for walking, cycling and participating in group sports activities. The cultural and religious connections, cost of cigarettes and drink driving penalties were the most mentioned facilitators for a healthy lifestyle. The important factors related to unhealthy eating habits were the traditional cooking methods, social interactions and the high cost of fruits and vegetables. Community perceptions and language barriers were also acknowledged as the main factors for the decrease in accessing health care services. This study illustrates that cultural beliefs, high cost of healthy food and facilities and social circumstances are mainly linked with the health behaviours and healthcare access in South Asian immigrant's lifestyles.</description><subject>Australia</subject><subject>Barriers</subject><subject>Bicycles</subject><subject>Chronic illnesses</subject><subject>Cigarettes</subject><subject>Conceptual models</subject><subject>Cooking</subject><subject>Costs</subject><subject>Cultural groups</subject><subject>Cultural values</subject><subject>Culture</subject><subject>Disease</subject><subject>Driving under the influence</subject><subject>Drunk driving</subject><subject>DUI</subject><subject>English language</subject><subject>Food preparation</subject><subject>Habits</subject><subject>Health behavior</subject><subject>health behaviours</subject><subject>Health care</subject><subject>Health care access</subject><subject>Health care expenditures</subject><subject>Health services</subject><subject>healthcare access</subject><subject>Healthy food</subject><subject>Immigrants</subject><subject>Lifestyles</subject><subject>Males</subject><subject>Occupational stress</subject><subject>Penalties</subject><subject>Physical activity</subject><subject>Social interaction</subject><subject>Socioeconomic factors</subject><subject>South Asian cultural groups</subject><subject>South Asians</subject><subject>Sports</subject><subject>Time use</subject><subject>Vegetables</subject><issn>0966-0410</issn><issn>1365-2524</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kc0uBEEQxztCWMvBC8gkLiSG_piemXZbG6xE4oBzp6c_bMt80D2NvXkMXs-T6N3FQaIular65Z-q-gOwg-ARinE89fIIkYKyFTBAJKcppjhbBQPI8jyFGYIbYNP7BwgRwbBYBxuEohKxggzA6-fb-7jz_WEiQ90HpxPRqkRaJ0Pje9FK7T_fPk6SU-Gc1c4vxroVVT0vOpNMtaj7aVLpqXi2XYhN2yY3XYi9kbeiTWzT2Hsn2n6Bj4Lvnait2AJrRtReb3_nIbg7P7sdT9Kr64vL8egqlaQsWSplRmFBVC5LXTADpVKCsdzEOwyhFAtpVAVFWSiiKSOIMU2QNLhSWGFjMjIE-0vdR9c9Be173lgvdV2LVnfBc5wTyHCZl3N07w_6EA9q43YcFxBmZQEpjdTBkpKu895pwx-dbYSbcQT53A4e7eALOyK7-60YqkarX_Ln_xE4XgIvttaz_5X45Ga8lPwCxx2W6w</recordid><startdate>202209</startdate><enddate>202209</enddate><creator>Nisar, Mehwish</creator><creator>Khan, Asaduzzaman</creator><creator>Kolbe‐Alexander, Tracy L.</creator><general>Hindawi Limited</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>7U4</scope><scope>ASE</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1650-9840</orcidid></search><sort><creationdate>202209</creationdate><title>‘Cost, culture and circumstances’: Barriers and enablers of health behaviours in South Asian immigrants of Australia</title><author>Nisar, Mehwish ; Khan, Asaduzzaman ; Kolbe‐Alexander, Tracy L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3889-cc45073d6c8e79f0cdda996f207f3552acfdb0a87d3e593199e31cf2bd2d2ff43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Australia</topic><topic>Barriers</topic><topic>Bicycles</topic><topic>Chronic illnesses</topic><topic>Cigarettes</topic><topic>Conceptual models</topic><topic>Cooking</topic><topic>Costs</topic><topic>Cultural groups</topic><topic>Cultural values</topic><topic>Culture</topic><topic>Disease</topic><topic>Driving under the influence</topic><topic>Drunk driving</topic><topic>DUI</topic><topic>English language</topic><topic>Food preparation</topic><topic>Habits</topic><topic>Health behavior</topic><topic>health behaviours</topic><topic>Health care</topic><topic>Health care access</topic><topic>Health care expenditures</topic><topic>Health services</topic><topic>healthcare access</topic><topic>Healthy food</topic><topic>Immigrants</topic><topic>Lifestyles</topic><topic>Males</topic><topic>Occupational stress</topic><topic>Penalties</topic><topic>Physical activity</topic><topic>Social interaction</topic><topic>Socioeconomic factors</topic><topic>South Asian cultural groups</topic><topic>South Asians</topic><topic>Sports</topic><topic>Time use</topic><topic>Vegetables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nisar, Mehwish</creatorcontrib><creatorcontrib>Khan, Asaduzzaman</creatorcontrib><creatorcontrib>Kolbe‐Alexander, Tracy L.</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Health & social care in the community</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nisar, Mehwish</au><au>Khan, Asaduzzaman</au><au>Kolbe‐Alexander, Tracy L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>‘Cost, culture and circumstances’: Barriers and enablers of health behaviours in South Asian immigrants of Australia</atitle><jtitle>Health & social care in the community</jtitle><addtitle>Health Soc Care Community</addtitle><date>2022-09</date><risdate>2022</risdate><volume>30</volume><issue>5</issue><spage>e3138</spage><epage>e3149</epage><pages>e3138-e3149</pages><issn>0966-0410</issn><eissn>1365-2524</eissn><abstract>The health behaviours related to chronic diseases experienced by South Asian immigrants are interrelated with their culture and socioeconomic conditions. South Asian immigrants experience a disproportionate burden of chronic disease compared with non‐immigrants Australian‐born general population. The primary aim of this study was to gain an in‐depth understanding of health behaviours and healthcare access in the South Asian immigrant population of Australia. Five focus group discussions (FGDs) were conducted with South Asian immigrants (n = 29; 18 females) aged 27–50 years in Brisbane, Australia. Separate FGDs were conducted for males and females in the English language. Semi‐structured guided questions related to the perception, barriers and facilitators of health behaviours. Data were analysed with Nvivo‐12 following a thematic analysis. A conceptual model is proposed to provide a summarised understanding of barriers and facilitators of health behaviours in South Asian immigrants. The major reported constraints for participating in physical activity were cultural beliefs, lack of time, work stress and high fees of fitness activities, while parks and peer modelling were mentioned as a strong motivator for walking, cycling and participating in group sports activities. The cultural and religious connections, cost of cigarettes and drink driving penalties were the most mentioned facilitators for a healthy lifestyle. The important factors related to unhealthy eating habits were the traditional cooking methods, social interactions and the high cost of fruits and vegetables. Community perceptions and language barriers were also acknowledged as the main factors for the decrease in accessing health care services. 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subjects | Australia Barriers Bicycles Chronic illnesses Cigarettes Conceptual models Cooking Costs Cultural groups Cultural values Culture Disease Driving under the influence Drunk driving DUI English language Food preparation Habits Health behavior health behaviours Health care Health care access Health care expenditures Health services healthcare access Healthy food Immigrants Lifestyles Males Occupational stress Penalties Physical activity Social interaction Socioeconomic factors South Asian cultural groups South Asians Sports Time use Vegetables |
title | ‘Cost, culture and circumstances’: Barriers and enablers of health behaviours in South Asian immigrants of Australia |
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