Perceptions and attitudes towards exercise among<scp>C</scp>hinese elders – the implications of culturally based self‐management strategies for effective health‐related help seeking and person‐centred care

Liu, Zhenmi; Speed, Shaun; Beaver, Kinta

doi:10.1111/hex.12028

Cited by 23 publications

(17 citation statements)

References 27 publications

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“…The structural and functional support, and intimate or sexual relationships associated with shared physical activity further add to feelings of being needed by others. However family concerns and self-comparisons within social networks may impact negatively on physical activity behaviour.Meeting people socially brings companionship and support[22, 23, 36, 38, 41, 42, 46, 49–51, 53, 55, 56, 58–61, 63–65, 67–69]Facilitation of intimate and romantic relationships through physical activity[41, 54]Competitiveness and fear of others being better[23, 50, 51, 62]Social and family network inhibiting PA, lack of encouragement, differing views between spouses[37, 62, 66]Physical health benefits[22, 23, 39, 40, 44–46, 49, 56, 58–61, 63–69, 71] Physical activity effects on physical, emotional, and cognitive health Health benefits of physical activity are widely accepted and for older adults the value of physical activity in contributing to positive wellbeing through enjoyment, laughter, and pleasure is important. Moreover, older adults are aware of the overlap in physical activity, “getting out and about”, and social contact and the positive effects of these on their mental health.…”

Section: Resultsmentioning

confidence: 99%

A life fulfilled: positively influencing physical activity in older adults – a systematic review and meta-ethnography

et al. 2019

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Background Increasing physical activity in older adults remains a key public health priority in countries with a high burden of non-communicable disease, yet current interventions have failed to substantially increase population uptake with UK data suggesting that only half of 65–74 year olds report meeting recommended levels. The aim of this study was to conduct a systematic and inductive qualitative synthesis of the large body of qualitative research describing what influences physical activity at this age, and older adults’ experiences of physical activity. Methods A qualitative meta-ethnography was chosen as the study design as this inductive approach can provide novel insights and generate new theory about physical activity and ageing. Papers were identified by searching electronic databases and key citations. Peer-reviewed primary qualitative studies and systematic reviews were included if they met the following inclusion criteria: community-dwelling participants aged 60 years or older or in the retirement transition period; reporting on leisure-time physical activity; utilising a rigorous qualitative methodology. A line of argument approach was employed to generate a theory about how older adults think and feel about physical activity. Results Thirty-nine papers met the inclusion criteria and were synthesised. The emergent theory suggested transition to older age can challenge people’s sense of self and their role in life. Physical activity can help in regaining feelings of purpose, of being needed in collective group activity, and by creating habitual routine and structure to the day. In overcoming real and perceived barriers, and by taking up or sustaining physical activities, older adults can further build self-esteem all of which contributes to a fulfilling older age. Conclusion Current failures to increase population levels of physical activity in older adults may be explained by an approach overly focused on the health benefits of activity. Insights from this study suggest we need to reframe our approach to consider the wider set of goals and aspirations which are of greater personal importance to older adults, and future interventions should focus on how physical activity can contribute to life satisfaction, sense of purpose, and sense of role fulfilment in older age. Trial registration Registered prospectively on PROSPERO on 29th March 2013: CRD42013003796 . Electronic supplementary material The online version of this article (10.1186/s12889-019-6624-5) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

A life fulfilled: positively influencing physical activity in older adults – a systematic review and meta-ethnography

et al. 2019

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“…As a result lack of disease and healthcare services information is often observed in this population, particularly in older and recent immigrants [39,40]. Consequently, when limited English proficiency combines with poor health knowledge, behaviours including non-healthcare seeking, self-diagnosis or self-treatment, delayed healthcare-seeking, and/or poor compliance to treatment are present [39,[40][41][42][43][44][45], which often lead to poor health outcomes [46].…”

Section: Adherence To Medication and Lifestyle Modificationmentioning

confidence: 99%

Self-management Following a Cardiac Event in People of Chinese Ethnicity Living in Western Countries: A Scoping Review

Zhang

Gallagher

Ding

et al. 2017

J Immigrant Minority Health

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Health outcomes and impact of cardiovascular disease vary between populations, where ethnic minorities and immigrant groups are more likely to be disadvantaged. Compared with the majority residents, health outcomes, especially short-term mortality from coronary heart disease event are worse in people of Chinese ethnicity, potentially due to poor self-management and experiences with the healthcare system in host countries. A scoping review was conducted. Four overarching themes were found: (1) understanding of heart disease, risk factors and symptom recognition, (2) adherence to medication and lifestyle modification, (3) health service/information choice, and (4) family role in disease self-management and decision making. All themes were greatly influenced by English language proficiency and cultural practices. English language proficiency and cultural practices should be taken into consideration when providing healthcare services for people of Chinese ethnicity, as it plays an important role in self-management and experiences with the healthcare system.

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“…Broadly speaking, structural and cultural factors are used to explain low service use among people from Chinese backgrounds. A lack of knowledge of services available (Hiew et al 2008, Liu et al 2012 and language difference (Ng et al 2007, Waller et al 2009) create difficulties for Chinese people to access services. There is ample evidence to support that limited language skills in English presents a challenge for Chinese people, especially among the first-generation immigrants, to access mainstream facilities (Wong 2006, Aspinall 2007, Liu et al 2015.…”

Section: Introductionmentioning

confidence: 99%

Satisfaction with social care: the experiences of people from Chinese backgrounds with physical disabilities

Yeung

Partridge

Irvine

2015

Health Soc Care Community

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What is known about this topic• Underutilisation of disability support services is common among people from Chinese backgrounds in England.• A lack of knowledge of services available and language difference are known factors that lead to underutilisation.• In traditional Chinese societies, family bears the main responsibility for looking after relatives with health and social care need. What this paper adds• Language difference creates a barrier to negotiating access to and navigating through social care.• The cultural expectation of looking after their own and limited support from their small support network create tension during help-seeking.• The perception that their voices will not be listened to discourages expression of opinions when services are not meeting their needs. AbstractThe satisfaction of social care among service users provides an important indication of how services are performing. Although there is evidence to suggest that people from black and minority ethnic communities experience less satisfaction with social care than majority groups, there is little literature which focuses specifically on people from Chinese backgrounds in England. This article provides an opportunity to hear the voices of people from Chinese backgrounds and their experiences of social care for a physical disability. Individual semi-structured interviews and focus groups were conducted in 2012 and 2013 respectively with people from Chinese backgrounds who lived in England, were aged between 18 and 70, and received social care for a physical disability. Interview and focus group transcripts were analysed using a thematic approach. The findings show that language difference created a structural barrier for most participants to negotiating access to and navigating through social care. Language difference and the cultural expectation that families should look after their own were main factors that explained their late utilisation of social care. Because of limited social support, many families struggled to meet the long-term care needs of their relative with a physical disability and hence initially welcome the input of social care. However, many found that social care could not adequately meet their needs but did not feel that they had the right to voice their dissatisfaction. They would either stop using social care services or become more reliant on their family for support. Chinese welfare organisations play a crucial role to meet the cultural and linguistic needs of people from Chinese backgrounds. Closer collaboration between local authorities and Chinese welfare organisations is needed to enable an effective use of social care and community resources to meet the needs of people from Chinese backgrounds with physical disabilities.

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Perceptions and attitudes towards exercise amongChinese elders – the implications of culturally based self‐management strategies for effective health‐related help seeking and person‐centred care

Cited by 23 publications

References 27 publications

A life fulfilled: positively influencing physical activity in older adults – a systematic review and meta-ethnography

A life fulfilled: positively influencing physical activity in older adults – a systematic review and meta-ethnography

Self-management Following a Cardiac Event in People of Chinese Ethnicity Living in Western Countries: A Scoping Review

Satisfaction with social care: the experiences of people from Chinese backgrounds with physical disabilities

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