Attitudes to lifestyle risk factors for coronary heart disease amongst South Asians in Leicester: a focus group study

Farooqi, Azhar; Nagra, Davinder; Edgar, Tony; Khunti, Kamlesh

doi:10.1093/fampra/17.4.293

Cited by 106 publications

(189 citation statements)

References 14 publications

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“…Just as dietary behaviours were reported as having different associations and practices in the homeland compared with the UK, physical activity also had a different purpose and association 'back home', where every-day activity such as housework or river bathing was the norm and vigorous exercise was seen as unnecessary, or unacceptable (Darr et al 2008; Rai & Finch 1997;Grace et al 2008;Farooqi et al 2000; Khanam & Costarelli 2008;Carroll et al 2002).…”

Section: ; Mcewen Et Al 2009) Traditional Dietary Practices Wermentioning

confidence: 99%

“…Authors used the terms 'separate' and 'integral' to describe these two approaches to physical activity (Rai & Finch 1997), with 'separate' activity typically incurring travel and attendance costs as well as having further potential barriers regarding access to venues, lack of childcare facilities and cultural insensitivity in the organisation of classes and facilities (Darr et al 2008; Rai & Finch 1997;Farooqi et al 2000;Grace et al 2008; Khanam & Costarelli 2008; Netto et al 2007;Carroll et al 2002).…”

Section: ; Mcewen Et Al 2009) Traditional Dietary Practices Wermentioning

confidence: 99%

“…However, health promotion activities must not conflict with religious teachings (Grace et al 2008 ;Khanam & Costarelli 2008 ;Farooqi et al 2000 ;Rai & Finch 1997 ;Carroll et al 2002 ).…”

Section: Religious Influences Identified Barriers and Facilitators Tomentioning

confidence: 99%

“…Where women-only sessions were available, these were often at difficult times of the day or week for women with families, or sessions were still visible to male members of staff, which conflicted with cultural and religious norms (Carroll et al 2002). Some South Asian men also found attendance at mixed gender sessions uncomfortable (Farooqi et al 2000;Grace et al 2008). …”

mentioning

confidence: 99%

“…However, some South Asian women are beginning to cook traditional meals in more healthy ways, such as reducing the amount of fat (Netto et al 2007). Women from Zimbabwe were not used to cooking for themselves as in Africa maids had done the cooking; having to cook in the UK was seen as time consuming (Lawrence et al 2007).Just as dietary behaviours were reported as having different associations and practices in the homeland compared with the UK, physical activity also had a different purpose and association 'back home', where every-day activity such as housework or river bathing was the norm and vigorous exercise was seen as unnecessary, or unacceptable (Darr et al 2008; Rai & Finch 1997;Grace et al 2008;Farooqi et al 2000; Khanam & Costarelli 2008;Carroll et al 2002).Swimming and slow walking were preferred ways to remain active (Rai & Finch 1997; Khanam & Costarelli 2008). In the UK, organised activities such as attendance at swimming or dance classes or membership of a gym are the typical method of exercise (Khanam & Costarelli 2008; Rai & Finch 1997; Kopp 2009;Carroll et al 2002).…”

mentioning

confidence: 99%

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What are the barriers to primary prevention of type 2 diabetes in black and minority ethnic groups in the UK? A qualitative evidence synthesis

Johnson

Everson-Hock

Jones

et al. 2011

Diabetes Research and Clinical Practice

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This review aimed to synthesise available qualitative evidence on barriers and facilitators to the implementation of community based lifestyle behaviour interventions to reduce the risk of diabetes in black and minority ethnic (BME) groups in the UK. Methods:A search of medical and social science databases was carried out and augmented by hand-searching of reference lists and contents of key journals. Qualitative evidence was synthesised thematically. Results:A total of 13 papers varying in design and of mainly good quality were included in the review. A limited number of intervention evaluations highlighted a lack of resources and communication between sites. A lack of understanding by providers of cultural and religious requirements, and issues relating to access to interventions for users was reported. Behaviour change was impeded by cultural and social norms, and resistance to change. There were variations in the way dietary change and physical activity was approached by different groups and contrasting practices between generations. Conclusions:Qualitative data provided insight into the ways that providers might improve or better design future interventions. Acknowledgement of the way that different groups approach lifestyle behaviours may assist acceptability of interventions. 3 IntroductionIn the UK 100,000 people are diagnosed with type 2 diabetes every year and many more may have the condition (Diabetes UK 2006). Impaired Fasting Glucose (IFG) and Impaired Glucose Tolerance (IGT) are risk factors for type 2 diabetes which together are often described as hyperglycaemia, or Impaired Glucose Regulation (IGR). Between 33% and 66% of people with such risk factors will go on to develop type 2 diabetes over a period of 3-6 years (Diabetes Prevention Programme Research Group 2002;Lindstrom et al. 2003;Pan et al. 1997;Ramachandran et al. 2006). Therefore, identifying and intervening with those at risk could reduce the prevalence of T2DM in the long term (US DPP 2002; Tuomilehto et al 2001). Whilst major international trials have focussed on prevention in populations that already have impaired glucose levels, groups at higher risk due to ethnicity, and / or low socio-economic circumstances may also benefit from targeted intervention.A systematic review of UK literature was carried out to identify available evidence on community promotion of healthy lifestyle behaviours among adults aged 18-74 from black and minority ethnic (BME) groups in the UK. Data for this review was limited to that produced within the UK to increase feasibility in terms of resources, as well as applicability to UK practice. A review of reviews that assesses non-UK evidence on interventions for high-risk groups (low socio-economic groups and BME) is available online (O'Mara et al 2010). This paper reports on the synthesis of this evidence, focussing on barriers and facilitators to the implementation of interventions and behaviour change relating to preventing diabetes and pre-diabetes. A range of study designs was considered including ev...

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Section: ; Mcewen Et Al 2009) Traditional Dietary Practices Wermentioning

confidence: 99%

Section: ; Mcewen Et Al 2009) Traditional Dietary Practices Wermentioning

confidence: 99%

“…However, health promotion activities must not conflict with religious teachings (Grace et al 2008 ;Khanam & Costarelli 2008 ;Farooqi et al 2000 ;Rai & Finch 1997 ;Carroll et al 2002 ).…”

Section: Religious Influences Identified Barriers and Facilitators Tomentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

What are the barriers to primary prevention of type 2 diabetes in black and minority ethnic groups in the UK? A qualitative evidence synthesis

Johnson

Everson-Hock

Jones

et al. 2011

Diabetes Research and Clinical Practice

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Communicating Risk and Risk Statistics for Preventing Chronic Disease

Hill

Edwards

Lowe

2011

The Knowledgeable Patient

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Self‐management strategies used during flares of rheumatoid arthritis in an ethnically diverse population

Kett

Flint

Openshaw

et al. 2010

Musculoskeletal Care

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This study identified a link between causal attribution of flares and the resultant self-management strategies. A perceived trigger of the flare in some patients formed a focus for their self-management strategies, whereas those who could not identify a cause aimed mainly to alleviate symptoms. A better understanding of patients' perspective in the context of disease flares will allow the development of educational programmes to facilitate more effective self-management of this important manifestation of disease.

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Attitudes to lifestyle risk factors for coronary heart disease amongst South Asians in Leicester: a focus group study

Cited by 106 publications

References 14 publications

What are the barriers to primary prevention of type 2 diabetes in black and minority ethnic groups in the UK? A qualitative evidence synthesis

What are the barriers to primary prevention of type 2 diabetes in black and minority ethnic groups in the UK? A qualitative evidence synthesis

Communicating Risk and Risk Statistics for Preventing Chronic Disease

Self‐management strategies used during flares of rheumatoid arthritis in an ethnically diverse population

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