Centre for Hip Health and Mobility, University of British Columbia and Vancouver Coastal Health Research Institute, Canada.
Department of Family Practice, Faculty of Medicine.
Gerontologist. 2020 May 15;60(4):638-650. doi: 10.1093/geront/gnz005.
The self-reported health of foreign-born older adults (FBOAs) is lower than that of nonimmigrant peers. Physical activity (PA) and mobility enhance health in older age, yet we know very little about the PA and mobility of FBOAs. In this analysis we sought to determine: (a) What factors facilitate PA amongst FBOAs? and (b) How do gender, culture, and personal biography affect participants' PA and mobility?
We worked closely with community partners to conduct a mixed-method study in Vancouver, Canada. Eighteen visible minority FBOAs completed an in-depth interview in English, Cantonese, Mandarin, Punjabi, or Hindi.
Three dominant factors promote participants' PA and mobility: (a) participants walk for well-being and socialization; (b) participants have access to a supportive social environment, which includes culturally familiar and linguistically accessible shops and services; and (c) gender and personal biography, including work history and a desire for independence, affect their PA and mobility behaviors.
We extend the Webber et al. mobility framework, with examples that further articulate the role of gender (e.g., domestic work), culture (cultural familiarity) and personal biography (work history and a desire for familial independence) (Webber, S. C., Porter, M. M., & Menec, V. H. (2010). Mobility in older adults: A comprehensive framework. The Gerontologist, 50, 443-450. doi:10.1093/geront/gnq013). Future programming to support the PA of FBOAs should be culturally familiar and linguistically accessible.
与非移民同龄人相比,出生在国外的老年移民(FBOAs)的自我报告健康状况较差。身体活动(PA)和移动能力可促进老年人的健康,但我们对 FBOAs 的 PA 和移动能力知之甚少。在这项分析中,我们试图确定:(a)哪些因素促进了 FBOAs 的 PA?以及(b)性别、文化和个人传记如何影响参与者的 PA 和移动能力?
我们与社区合作伙伴密切合作,在加拿大温哥华进行了一项混合方法研究。18 名少数族裔 FBOAs 用英语、粤语、普通话、旁遮普语或印地语完成了深入访谈。
有三个主要因素促进了参与者的 PA 和移动能力:(a)参与者为了健康和社交而步行;(b)参与者有一个支持性的社会环境,其中包括文化熟悉和语言上可访问的商店和服务;(c)性别和个人传记,包括工作历史和对独立性的渴望,影响他们的 PA 和移动行为。
我们扩展了 Webber 等人的移动框架,提供了进一步阐明性别(例如家务劳动)、文化(文化熟悉度)和个人传记(工作历史和对家庭独立性的渴望)作用的例子(Webber,S.C.,Porter,M.M.,&Menec,V.H.(2010)。老年人的流动性:一个全面的框架。老年学杂志,50,443-450。doi:10.1093/geront/gnq013)。未来支持 FBOAs 的 PA 计划应该具有文化熟悉度和语言可访问性。