Factors Influencing Physical Activity Participation among Midlife Immigrant Women: A Systematic Review

Zou, Ping; Kadri, Zeest; Wang, Xiyi; Luo, Yan; Zhang, Hui; Banerjee, Ananya

doi:10.3390/ijerph18115590

Cited by 17 publications

(29 citation statements)

References 65 publications

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“…As observed in other research [ 11 , 66 ], gender is notably relevant as a health determinant in immigrant populations, with women suffering more health problems [ 67 ], particularly arthrosis, back pain and migraine. These results are in line with those obtained by Zou et al (2021), who performed a systematic review on immigrant women and physical activity [ 68 ]. Immigrant women engage less in physical activities due to barriers related to social determinants, which can in turn have a negative impact on their health.…”

Section: Discussionsupporting

confidence: 92%

Psychosocial and Sociodemographic Determinants Related to Chronic Diseases in Immigrants Residing in Spain

Martos-Méndez

Gómez-Jacinto

Hombrados‐Mendieta

et al. 2022

IJERPH

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The aim of the study is to analyze the effect of the psychosocial determinants of satisfaction with social support, resilience and satisfaction with life, and the sociodemographic determinants of age, gender and length of residence on chronic diseases in immigrants living in Spain. The sample was composed of 1131 immigrants from Africa, Eastern Europe, Latin America and Asia. 47.1% were men and 52.9% were women. Most relevant results point to age as the sociodemographic variable with the highest predictive effect in the six chronic diseases analyzed. Gender, in this case female, predicts arthrosis, chronic back pain and migraine, whereas length of residence was only significant in the case of chronic allergies. Regarding psychosocial variables, resilience is a good predictor of hypertension, chronic allergies and arthrosis. However, satisfaction with social support appears to be the best predictor for chronic back pain in the regression equation, satisfaction with life being a significant variable in migraine, arthrosis, allergies and high cholesterol. Results are notably relevant for the design of preventive health programs in immigrants, as well as in ensuring their appropriate access to the health system so that their chronic diseases can be diagnosed. Given the relevance and incidence of the chronic diseases analyzed in immigrants, preventive strategies should be improved to tackle chronic diseases that can have a serious impact on immigrants’ health.

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Section: Discussionsupporting

confidence: 92%

Psychosocial and Sociodemographic Determinants Related to Chronic Diseases in Immigrants Residing in Spain

Martos-Méndez

Gómez-Jacinto

Hombrados‐Mendieta

et al. 2022

IJERPH

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“…Also, inclusion of only English language studies may have eliminated relevant studies published in other languages. Although included studies were few, we maintained a broad scope and included studies involving both women and men, yielding insight that can be widely applied to the design of PA promotion for adult immigrants, and also highlighting the paucity of research on PA promotion for immigrant women, a group particularly at-risk for low rates of PA [ 9 – 13 ]. Studies were largely based in the United States, so strategies may not be relevant to immigrants in other countries.…”

Section: Discussionmentioning

confidence: 99%

“…The same was found to be true of immigrant women in Australia, Europe and the United States [ 6 – 8 ]. A systematic review of 22 studies published since 2000 identified numerous determinants of PA participation among immigrant women including individual (lack of time, health status, motivation), familial (family support) and environmental (seasonality, neighbourhood, social support) factors [ 9 ]. Other studies involving qualitative interviews revealed that gender (sacrifice self-care for household/family), culture (PA not encouraged) and socioeconomic (low-paying/multiple jobs) factors contribute to low PA rates among immigrant women [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…PA promotion is particularly crucial for groups at high risk of chronic diseases who experience disparities in PA participation. This includes immigrant women who face a plethora of barriers to PA [ 9 – 13 ]. We lack knowledge of how best to promote awareness of the importance of PA to immigrant women, but research suggests that community-based culturally-safe approaches are needed.…”

Section: Introductionmentioning

confidence: 99%

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The design and impact of culturally-safe community-based physical activity promotion for immigrant women: descriptive review

2022

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Background Immigrant women have low rates of physical activity (PA), placing them at risk for chronic diseases. Some research suggests that strategies targeting this group must be culturally-safe and community-based. This study aimed to identify the design (i.e. characteristics) and impact of culturally-safe community-based PA promotion for immigrant women. Methods We conducted a descriptive review by searching MEDLINE, EMBASE, SPORTDiscus, CINAHL, SCOPUS, Cochrane Library and Joanna Briggs Institute Database of Systematic Reviews from inception to June 9, 2021 for English language studies that assessed community-based PA promotion strategies targeting adult immigrants and involved at least 50% women. We compiled findings in a preliminary context-mechanisms-outcomes conceptual framework. Results We included 13 studies published from 2004 to 2020. Three included women-only; the remainder included a median of 63% women (range 50 to 98%). Studies included immigrants from Brazil, Dominican, Columbian, Haiti, Mexico, China, Vietnam, Bangladesh, India, Pakistan, Somalia, Sudan and Turkey. All but one study (89%) significantly improved one or more outcomes: PA knowledge, PA participation and anthropometric measures (e.g. weight, BMI, blood pressure). Most (89%) strategies were multi-faceted: in-person group educational sessions reinforced by take-home educational material and/or follow-up reminder phone calls. Single strategies (e.g. mailed educational material, group educational session) also achieved beneficial outcomes. We identified 17 culturally-safe characteristics of PA promotion strategies: language of choice, based in community settings or organizations, led by lay health workers, reflected ethno-cultural linguistic expressions and PA norms, and recognized and offered solutions to barriers of PA. Findings were captured in a preliminary theory of how contextual factors (gender, intersectionality) and mechanism (culturally-safe PA promotion) may influence PA-related outcomes (PA knowledge, self-efficacy and participation; anthropometric measures, quality of life). Conclusions This study revealed the characteristics of PA promotion strategies that significantly improved PA-related outcomes among immigrants. Given that few studies focused solely on immigrant women or reported sub-analyses, the conceptual framework generated by this study can be used in future research to more definitively establish the design and impact of culturally-safe, community-based PA promotion for immigrant women.

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“…The framework for sessions—reviewing prior weeks’ activities from the treatment manual, considering skill application, and introducing the subsequent activity—was based on the frameworks used in our prior projects and other PP-based interventions in medical settings (Moskowitz et al, 2012 ; Moskowitz et al, 2017 ). This component was specifically customized for midlife adults, based on our review of midlife physical activity literature (Spiteri et al, 2019 ; Zou et al, 2021 ) and a prior midlife study conducted by our team, (Huffman et al, 2021b ) by providing potentially relevant examples and context (e.g. juggling numerous responsibilities, caring for family) and selecting activities that seemed most specific to midlife (e.g.…”

Section: Methodsmentioning

confidence: 99%

A phone and text message intervention to improve physical activity in midlife: initial feasibility testing

Huffman

Harnedy

Massey

et al. 2022

Health Psychology and Behavioral Medicine

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Background Physical activity during midlife (ages 45-64) plays a major role in the prevention of chronic and serious medical conditions. Unfortunately, many midlife adults struggle to be physically active in the setting of low levels of psychological well-being and the management of multiple confluent sources of stress. Effective, scalable, midlife-specific interventions are needed to promote physical activity and prevent the development of chronic medical conditions. Objectives In an initial proof-of-concept trial, we assessed the feasibility and acceptability of a new, midlife-adapted, phone- and text message-based intervention using positive psychology (PP) skill-building and motivational interviewing (MI) techniques. We secondarily analyzed post-intervention changes in accelerometer-measured physical activity and self-reported outcomes. Methods The PP-MI intervention included six weekly phone sessions with a study trainer, with completion of PP activities and physical activity goals between calls, and in the subsequent six weeks briefer phone check-ins were conducted. Text messages over the 12-week intervention period were utilized to support participants and identify barriers to goal completion. Feasibility (session completion rates) and acceptability (participant ratings of intervention ease and utility) were assessed via descriptive statistics, and pre-post improvements in psychological, functional, and physical activity outcomes at 12 weeks were examined via mixed effects regression models. Results Twelve midlife adults with low baseline physical activity enrolled in the single-arm trial. Overall, 76.8% of all possible sessions were completed by participants, and mean ratings of weekly phone sessions were 8.9/10 (SD 1.6), exceeding our a priori thresholds for feasibility and acceptability. Participants demonstrated generally medium to large effect size magnitude improvements in accelerometer-measured physical activity, psychological outcomes, and function. Conclusions A novel, midlife-specific phone- and text-based PP-MI intervention was feasible and had promising effects on physical activity and other clinically relevant outcomes, supporting next-step testing of this program via a randomized controlled trial.

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Factors Influencing Physical Activity Participation among Midlife Immigrant Women: A Systematic Review

Cited by 17 publications

References 65 publications

Psychosocial and Sociodemographic Determinants Related to Chronic Diseases in Immigrants Residing in Spain

Psychosocial and Sociodemographic Determinants Related to Chronic Diseases in Immigrants Residing in Spain

The design and impact of culturally-safe community-based physical activity promotion for immigrant women: descriptive review

A phone and text message intervention to improve physical activity in midlife: initial feasibility testing

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