Faculty of Social Sciences, McMaster University, Chester New Hall, Hamilton, ON, Ontario, L8S 4L9, Canada.
Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
J Immigr Minor Health. 2023 Oct;25(5):1137-1151. doi: 10.1007/s10903-023-01518-w. Epub 2023 Jul 4.
Epidemiological evidence suggests that regular physical activity (PA) positively impacts individuals' mental health (MH). The PA-MH relationship may be critical among immigrants owing to psycho-social-cultural influences. This scoping review of 61 studies employed a holistic bio-psycho-socio-cultural framework to thoroughly investigate the complex relationship between PA (across life domains) and immigrants' MH in Western countries. A systematic search of five electronic databases (Medline, PubMed, Embase, PsycINFO and Anthropology Plus) was conducted to locate relevant articles. No limitations were applied to study design, age, gender, home country, MH condition or PA type. A bio-psycho-socio-cultural-informed conceptual model guided the analysis of the multi-domain PA-MH relationship. Immigrant PA-MH studies were conducted and reported most commonly in the USA (38%), Australia (18%), and Canada (11%). Overall, PA was positively related to MH. Each domain-specific PA appeared to be associated with unique MH-promoting pathways/mechanisms. Leisure-related PA may support MH by enhancing self-agency and minimizing risky behaviors, whilst travel- and domestic-related PA may promote self-accomplishment and physical engagement. Ethnic sports appeared to enhance resilience. Occupational-related PA was associated with either positive or negative MH, depending on the type of occupation. A bio-psycho-socio-cultural-informed model is required to gain an encompassing and integrated understanding of immigrants' health. The first iteration of such a model is presented here, along with an illustration of how the model may be used to deepen analysis and understanding of the multi-domain PA-MH relationship among immigrants and inform public health planners and practitioners.
流行病学证据表明，有规律的身体活动（PA）对个体的心理健康（MH）有积极影响。由于心理社会文化的影响，这种 PA-MH 关系在移民中可能至关重要。本研究对 61 项研究进行了范围综述，采用整体的生物心理社会文化框架，深入研究了西方国家 PA（跨越生命领域）与移民 MH 之间的复杂关系。通过对五个电子数据库（Medline、PubMed、Embase、PsycINFO 和 Anthropology Plus）进行系统检索，以定位相关文章。研究设计、年龄、性别、原籍国、MH 状况或 PA 类型均不受限制。一个生物心理社会文化启发的概念模型指导了多领域 PA-MH 关系的分析。移民 PA-MH 研究主要在美国（38%）、澳大利亚（18%）和加拿大（11%）进行和报告。总的来说，PA 与 MH 呈正相关。每个特定领域的 PA 似乎都与独特的促进 MH 的途径/机制有关。休闲相关的 PA 可能通过增强自我效能和减少风险行为来支持 MH，而旅行和家庭相关的 PA 可能促进自我实现和身体参与。民族体育似乎增强了适应力。与职业相关的 PA 与 MH 呈正相关或负相关，具体取决于职业类型。需要一个生物心理社会文化启发的模型来全面综合地理解移民的健康。这里提出了该模型的第一个迭代，并说明了如何使用该模型来深化对移民多领域 PA-MH 关系的分析和理解，并为公共卫生规划者和从业者提供信息。
