Effective heart disease prevention: Lessons from a qualitative study of user perspectives in Bangladeshi, Indian and Pakistani communities

Netto, Gina; McCloughan, Lucy; Bhatnagar, Aarushi

doi:10.1016/j.puhe.2006.11.001

Cited by 33 publications

(72 citation statements)

References 12 publications

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“…To our knowledge no study has investigated young South Asians' knowledge of NCD risk factors but in one study on this topic among adult South Asians living in the United Kingdom 30 , many participants knew that lack of exercise and an unhealthy diet were risk factors for heart disease. The participating students in our focus groups did not believe that expensive food is necessarily healthier than cheap food.…”

Section: Discussionmentioning

confidence: 99%

Physical activity and diet among adolescents of Kathmandu, Nepal: Knowledge and attitudes

Pahlm

Svensson

Joshi

et al. 2014

J. Kathmandu Med. Coll.

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Background: Non-communicable diseases are becoming more prevalent in Nepal and many risk factors attributing to these diseases are behaviour-related and therefore preventable. Objective: The aim of this study was to investigate the attitudes among students of grade eight and nine in Kathmandu toward physical activity and diet and their knowledge about how it affects their health. Methods: We conducted four focus groups that included 24 students to explore knowledge and attitudes toward physical activity among them. Focus groups were recorded and transcribed verbatim later. Method described by K. Malterud, inspired by Giorgi's phenomenological method was used to analyze the transcribed material. Results: Participants considered physical activity to be benefi cial for health in many ways. They also believed that healthy food is important to avoid diseases. Several participants mentioned that a balanced lifestyle is essential for a healthy life. Conclusion: Though the students saw the importance of physical activity and a healthy diet to avoid diseases and stay healthy, most of them did not connect a lack of physical activity and unhealthy diet to possible noncommunicable diseases in the future.

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Section: Discussionmentioning

confidence: 99%

Physical activity and diet among adolescents of Kathmandu, Nepal: Knowledge and attitudes

Pahlm

Svensson

Joshi

et al. 2014

J. Kathmandu Med. Coll.

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“…Qualitative work carried out with diverse minority ethnic groups shows preference for informal support that is, a strong reliance on self and family members in managing and alleviating mental illness, in non-White minority ethnic groups (Ansari and Skinner 2004;Netto 2007). This, probably in combination with low awareness of the services available, dissatisfaction with appropriateness and cultural sensitivity of available services (Glasgow Association for Mental Health 2008) and cultural and educational barriers to accessing services, result in delayed medical help, sought only when informal methods prove ineffective, or when the situation becomes unmanageable and desperate (Ansari and Skinner 2004;Netto, McCloughan, and Bhatnagar 2007). This is clearly reflected in our very low rates of overall psychiatric disorders and mood (affective) disorders, but not for psychotic disorders, in these groups, suggesting the need for earlier intervention.…”

Section: Ethnicity and Health 227mentioning

confidence: 99%

Disparate patterns of hospitalisation reflect unmet needs and persistent ethnic inequalities in mental health care: the Scottish health and ethnicity linkage study

Bansal¹,

Bhopal²,

Netto³

et al. 2013

Ethnicity & Health

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Our data show disparate patterns of psychiatric hospitalisations by ethnic group in Scotland providing new observations concerning the mental health care experience of Chinese, Mixed background and White subgroups not fully explained by socioeconomic indicators. For South Asian and Chinese groups in particular, our data indicate under and late utilisation of mental health services. These data call for monitoring and review of services.

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“…Yet some South Asians in western countries have reported that dietary advice does not take into account how their food practices are shaped by culture or migration 14,15 . Many programmes attempt to rectify 'deficiencies' in knowledge or 'incorrect' dietary practices, rather than building on the beliefs, attitudes and behaviours that already exist within communities to promote healthier lifestyles and improve quality of life 15,16 .…”

Section: Introductionmentioning

confidence: 99%

Meanings of food, eating and health in Punjabi families living in Vancouver, Canada

Chapman

Ristovski-Slijepcevic

Beagan

2010

Health Education Journal

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Objective: South Asians living in western countries have increased risk for developing diet-related chronic disease compared to Caucasians of European heritage. To increase understanding of social and cultural factors associated with their food habits, this study examined the meanings of food, health and well-being embedded in the food practices of families of Punjabi heritage living in Metro Vancouver, Canada. Design: Qualitative research design. Setting: Metro Vancouver, British Columbia, Canada. Method: Data collection included individual interviews with 39 members of 12 families of Punjabi Sikh origin (ages 13 to 70 years) and participant observation of a grocery shopping trip and family meal. Themes were generated through constant comparative analysis of transcripts to describe, organize and interpret influences on participants' food decision-making in families. Findings: Participants' descriptions of their eating habits were characterized by contrasts between elders' reliance on traditional Indian foods and young people's desire for their diets to include at least some 'western' food. Participants articulated two different understandings of how food habits affect physical health: a scientific approach that related specific food components (eg, fat, cholesterol, vitamins) to risk of chronic disease, and a view based on centuries of traditional knowledge about food. Food choice was also shaped by concerns for the psychosocial well-being of individual family members, exemplified by women's attention to food preferences of individuals in the family. Conclusion: These findings add to understanding of the varied ways food practices are implicated in constructing ethnic identities, and provide insight into cultural influences on health behaviours.

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Effective heart disease prevention: Lessons from a qualitative study of user perspectives in Bangladeshi, Indian and Pakistani communities

Cited by 33 publications

References 12 publications

Physical activity and diet among adolescents of Kathmandu, Nepal: Knowledge and attitudes

Physical activity and diet among adolescents of Kathmandu, Nepal: Knowledge and attitudes

Disparate patterns of hospitalisation reflect unmet needs and persistent ethnic inequalities in mental health care: the Scottish health and ethnicity linkage study

Meanings of food, eating and health in Punjabi families living in Vancouver, Canada

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