BackgroundTo conduct a meta-ethnographic analysis of qualitative studies to identify barriers to Black and Minority Ethnic (BME) individuals engaging in physical activity in the UK context.MethodsA qualitative synthesis using meta-ethnographic methods to synthesis studies of barriers to engaging in physical activity among BME groups in the UK. A comprehensive search strategy of multiple databases was employed to identify qualitative research studies published up to October 2012. The eleven searched databases included ASSIA, MEDLINE, EMBASE, CINAHL, Health Technology Assessment (HTA), NHS Scotland Library, Physical Activity Health Alliance (PAHA), PsyINFO, Social Services Abstract, Sport discuss and Web of Science. The Noblit and Hare’s meta-ethnographic approach was undertaken to develop an inductive and interpretive form of knowledge synthesis.ResultsFourteen papers met the inclusion criteria. The synthesis indicated that barriers to physical activity among BME individuals were influenced by four main concepts: perceptions; cultural expectations; personal barriers; and factors limiting access to facilities. BME individuals had different understandings of physical activity were influenced by migration history, experiences, cultural and health beliefs. This in turn may have a disempowering effect on BME individuals in terms of adopting or maintaining physical activity. These barriers to physical activity were explained at a higher conceptual level by a socio-ecological model. The social construct ‘individual perception and understanding of physical activity’ was particularly relevant to theoretical models and interventions.ConclusionInterventions to promote engagement with physical activity need to address perceptions of this behaviour. The elicited concepts and contexts could be used to enhance the development of tailored effective health promotion interventions for BME individuals.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-1893-0) contains supplementary material, which is available to authorized users.
Introduction and Objective: The lower physical activity levels in Black and Minority Ethnic (BME) groups as compared with general population in the United Kingdom (UK) could relate to barriers to engaging these groups in physical activity. Hence, the aim to conduct a review to examine UK primary studies reporting barriers to engaging BME groups in physical activity. Method: This is a narrative review of literature from 1970 to 2008. The search looked for English literature from five bibliographic databases (MEDLINE, Embase, CINAHL, PsyINFO, Ethnicity and Health). Broad search terms 'physical activity and minority' were used and views from BME groups were considered in this review.Results & Conclusion: The search yielded 391 studies and 18 were finally included in the review. Our review identified 20 barriers clustered among four broad themes of: (a) perceived personal barriers; (b) socio-economic barriers; (c) cultural barriers; and (d) environmental barriers. Overcoming these barriers in these broad areas is important in development of sensitive multicultural health promotion addressing physical inequalities.
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