Ige-Elegbede Janet, Pilkington Paul, Gray Selena, Powell Jane
Bristol Centre for Public Health and Wellbeing, Faculty of Health and Applied Science, University of the West of England, Bristol, UK.
Prev Med Rep. 2019 Jul 13;15:100952. doi: 10.1016/j.pmedr.2019.100952. eCollection 2019 Sep.
Older adults from Black and Minority Ethnic (BME) groups experience a relatively higher burden of physical inactivity compared with their counterparts from non-BME groups. Despite the increasing number of qualitative studies investigating the barriers and facilitators of physical activity among older adults from BME backgrounds in the UK, there is very limited review-level evidence. The aim of this review is to undertake a synthesis of existing qualitative studies, using a meta-ethnographic approach, to explore the barriers and opportunities for physical activity among adults and older adults from BME communities in the UK. Studies conducted between January 2007 and July 2017 were eligible if they met the following criteria: employed any qualitative method; included participants identified as being BME, aged 50 and above, and living in the UK. In total, 1036 studies were identified from a structured search of six electronic databases combined with hand searching of reference bibliographies. Ten studies met the inclusion criteria for the review and were included. Six key themes emerged from the data: awareness of the links between physical activity and health, interaction and engagement with health professionals, cultural expectations and social responsibilities, suitable environment for physical activity, religious fatalism and practical challenges. There was a substantial gap in research among Black African groups. Interventions aimed at improving physical activity participation among older adults should be acceptable and accessible to minority groups. Further research is needed to investigate the barriers and facilitators of physical activity among older adults from African backgrounds.
与非少数族裔群体的老年人相比，来自黑人和少数族裔（BME）群体的老年人身体活动不足的负担相对更高。尽管在英国，越来越多的定性研究调查了BME背景的老年人参与体育活动的障碍和促进因素，但综述层面的证据非常有限。本综述的目的是采用元民族志方法，对现有定性研究进行综合分析，以探讨英国BME社区成年人和老年人参与体育活动的障碍和机会。2007年1月至2017年7月期间进行的研究，如果符合以下标准则 eligible：采用任何定性方法；纳入被确定为BME、年龄在50岁及以上且居住在英国的参与者。通过对六个电子数据库进行结构化检索并结合手工检索参考文献，共识别出1036项研究。有十项研究符合综述的纳入标准并被纳入。数据中出现了六个关键主题：对体育活动与健康之间联系的认识、与健康专业人员的互动和参与、文化期望和社会责任、适合体育活动的环境、宗教宿命论和实际挑战。非洲黑人群体的研究存在很大差距。旨在提高老年人体育活动参与度的干预措施应该为少数群体所接受且易于获得。需要进一步研究以调查非洲背景老年人参与体育活动的障碍和促进因素。
