Factors Affecting Health-Promoting Lifestyle Behaviors Among Arab American Women

Hardan-Khalil, Kholoud

doi:10.1177/1043659619859056

Cited by 19 publications

(19 citation statements)

References 33 publications

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“…They had health insurance and had significant annual income. 35 Additionally, results of studies by Hsiao et al was conducted on Vietnamese female immigrants in Taiwan were in agreement with present study. Immigrant women who adapted to the culture of the host country, had a better lifestyle.…”

Section: Discussionsupporting

confidence: 92%

“Determining a Health-promoting Lifestyle among Afghan Immigrants Women in Iran”

Ahmadi

Amini

Haghani

2020

J Prim Care Community Health

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Background Health-promoting lifestyle is an effective strategy for maintaining and controlling health, especially in immigrant women as a vulnerable group. Regarding this, the present study was conducted to determine the health promoting lifestyle and its associated factors in Afghan migrant women in Iran. Method This was a population based cross-sectional study in which 255 Afghan women of reproductive age. The study population was selected using the continuous sampling method from all Afghan women who referred to health centers of southwest of Tehran in 2018. The data were collected through the socio-demographic and Health Promoting Lifestyle Profile-II (HPLP-II) questionnaire. Results The total HPLP-II mean score of women was (124.05 ± 17.28). The lowest score was related to physical activity dimension (14.70 ± 3.78) and the highest score was related to spiritual growth (24.56 ± 5.06). Although some factors such as age, duration of education, income level, ability to speak Persian, education level of husband, and number of children significantly related factors to participant’s lifestyle ( P <.05), but multiple regression model showed that income level and ability to speak Persian are final statistically related factors to Afghan women health promoting lifestyle in Iran. Conclusion Familiarization of the individual with the Persian language and the promotion of employment status should be considered due to the low socio-economic level and the fact that most women participating in the study are housewives.

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Section: Discussionsupporting

confidence: 92%

“Determining a Health-promoting Lifestyle among Afghan Immigrants Women in Iran”

Ahmadi

Amini

Haghani

2020

J Prim Care Community Health

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“…Interventions to reduce body weight, increase activity, and other measures that can help achieve and maintain a healthy weight status are critical to controlling the obesity epidemic. A study of 267 Arab-American women in California found very low rates of self-reported physical activity, suggesting that this area of health promotion may benefit this population in particular [ 16 ]. Another systematic review suggests that knowledge of healthy behaviors, including the benefits of physical activity is increasing in Arab-Americans, but longitudinal data are still lacking, as is the methodology to capture the diversity within the Arab-American population [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Characteristics and distribution of obesity in the Arab-American population of southeastern Michigan

et al. 2020

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Background Arab-Americans constitute ~ 5% of Michigan’s population. Estimates of obesity in Arab-Americans are not up-to-date. We aim to describe the distribution of and factors associated with obesity in an Arab-American population in Southeastern Michigan (SE MI). Methods Retrospective medical record review identified n = 2363 Arab-American patients seeking care at an Arab-American serving clinic in SE MI, located in a city which is home to a large proportion of Arab-Americans in the United States (US). Body mass index (BMI) was the primary outcome of interest. Distribution of BMI was described using percentages, and logistic regression models were constructed to examine the association between obesity, other comorbid conditions and health behaviors. This cohort was compared to Michigan’s Behavioral Risk Factor Surveillance System (BRFSS) data from 2018 (n = 9589) and to a cohort seeking care between 2013 and 2019 from a free clinic (FC) located in another city in SE MI (n = 1033). Results Of the 2363 Arab-American patients, those who were older or with HTN, DM or HLD had a higher prevalence of obesity than patients who were younger or without these comorbidities (all p-value < 0.001). Patients with HTN were 3 times as likely to be obese than those without HTN (95% CI: 2.41–3.93; p < 0.001). Similarly, the odds of being obese were 2.5 times higher if the patient was diabetic (95% CI: 1.92–3.16; p < 0.001) and 2.2 times higher if the patient had HLD (95% CI: 1.75–2.83; p < 0.001). There was no significant difference in obesity rates between Arab-Americans (31%) and the BRFSS population (32.6%). Compared to Arab-Americans, patients seen at the FC had a higher obesity rate (52.6%; p < 0.001) as well as significantly higher rates of HTN, DM and HLD (all p < 0.001). Conclusion Overall obesity rates in Arab-Americans were comparable to the population-based BRFSS rates, and lower than the patients seen at the FC. Further studies are required to understand the impact of obesity and the association of comorbidities in Arab-Americans.

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“…Acculturation appears to be an influential factor on the physical activity levels of Arab migrant populations. Many studies among Arab-Americans have reported that higher levels of acculturation is associated with higher levels of physical activity [18][19][20][21]. Similarly, other studies in the context of Australia [16] and the US [22] have shown that being born outside the host country was a predictor for lower levels of physical activity among Arab migrant populations.…”

Section: Introductionmentioning

confidence: 93%

“…Furthermore, a study among Tunisian migrant men to France reported that those who had distant social ties to their origin country were engaging in lower levels of physical activity in comparison to those who had moderate and closer ties to their country of origin [23]. Among Arab-Americans, other factors that are reported to influence levels of physical activity include self-efficacy [18,20,22,24], social support [18,20], age, education [20], stress levels [20,24], lack of motivation, familial responsibilities, and competing priorities [24].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of qualitative studies exploring the factors influencing the physical activity levels of Arab migrants

Masri

Kolt

George

2021

Int J Behav Nutr Phys Act

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Background Evidence suggests that Arab migrant populations engage in low levels of physical activity. To our knowledge, there are no reviews that explore the perspectives of Arab migrant populations on the factors influencing physical activity. The aim of this systematic review was to thematically synthesise qualitative literature on the factors influencing physical activity among Arab migrant populations. Methods Five electronic databases (CINAHL, SPORTDiscus, PsychoInfo, MEDLINE, Embase) were searched in July 2018 and searched again in April 2020. A manual search in Google Scholar was also performed using keywords and the reference lists of included studies were also screened to identify further articles. The eligibility criteria for inclusion were studies that sampled adult (≥18 years) Arab migrant populations, used qualitative methodology, explored the factors influencing physical activity as a primary aim, and were published in English. The 10-item Critical Appraisal Skills Programme (CASP) checklist was used to assess methodological quality of individual studies. The results of the studies were thematically synthesised using the qualitative software Quirkos v1.6. Results A total of 15 studies were included, with the largest proportion of studies conducted in Australia, followed by the United States, Netherlands, Sweden, and then Canada. Five studies exclusively sampled Arab migrant populations in their study. A total of 7 major themes influencing physical activity among Arab migrants emerged from the synthesis: culture and religion, competing commitments and time, social factors, health-related influences, accessibility issues, outdoor environment, and the migratory experience. Conclusions The findings of this review highlighted the various factors influencing the physical activity levels of Arab migrant adults. While many of the factors influencing physical activity are shared with those experienced by other populations (e.g., time constraints), for Arab migrant populations there are other more unique factors closely associated with culture and religion that appear to influence their levels of physical activity. The findings of this review could be used to inform the design of physical activity interventions targeting Arab migrant populations.

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Factors Affecting Health-Promoting Lifestyle Behaviors Among Arab American Women

Cited by 19 publications

References 33 publications

“Determining a Health-promoting Lifestyle among Afghan Immigrants Women in Iran”

“Determining a Health-promoting Lifestyle among Afghan Immigrants Women in Iran”

Characteristics and distribution of obesity in the Arab-American population of southeastern Michigan

A systematic review of qualitative studies exploring the factors influencing the physical activity levels of Arab migrants

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