Department of Medicine, Divison of General Internal Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY 10025, USA.
J Immigr Minor Health. 2012 Oct;14(5):774-85. doi: 10.1007/s10903-011-9550-x.
The purpose of this literature review is to describe and assess the cultural barriers to behavior change in migrant South Asians, given the high morbidity and mortality associated with cardiovascular disease in this population. We reviewed studies that explored the relationship between South Asian culture in the Diaspora and lifestyle behaviors. Our review produced 91 studies, of which 25 discussed the relationship between various aspects of South Asians' belief system and their approach to modifying lifestyle habits. We identify 6 specific categories of beliefs which play the largest role in the difficulties South Asians describe with behavior change: gender roles, body image, physical activity misconceptions, cultural priorities, cultural identity, and explanatory model of disease. Future research and interventions should account for these cultural factors to successfully improve dietary habits and physical activity levels in migrant South Asian populations.
本文献综述的目的是描述和评估移民南亚人群在行为改变方面面临的文化障碍，因为心血管疾病在该人群中的发病率和死亡率都很高。我们综述了探索侨民南亚文化与生活方式行为之间关系的研究。我们的综述产生了 91 项研究，其中 25 项讨论了南亚人信仰体系的各个方面与他们改变生活习惯的方法之间的关系。我们确定了在南亚人描述行为改变困难时起最大作用的 6 个特定信仰类别：性别角色、身体形象、对体育活动的误解、文化优先事项、文化认同和疾病解释模型。未来的研究和干预措施应该考虑到这些文化因素，以成功改善移民南亚人群的饮食习惯和体育活动水平。
