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“我们需要公平的锻炼机会”:加拿大阿拉伯裔人群休闲体育活动的复杂性及其与心理健康的关系:CAN-HEAL研究

'We Need Equitable Exercise Opportunities': The Complexity of Leisure-Time Physical Activity and Its Relationship to Mental Health among Arab Canadians: The CAN-HEAL Study.

作者信息

Elshahat Sarah, Moffat Tina, Iqbal Basit Kareem, Newbold K Bruce, Morshed Mahira, Alkhawaldeh Haneen, Gagnon Olivia, Gehani Mafaz, Madani Keon, Zhu Tony, Gomes-Szoke Emily D, Charkatli Lein, Ing Sherry, Oghli Zena Shamli, Emira Sara, Al-Jabouri Nadine, Abuzeineh Mohanad, Motamed Hossein, Al-Jabouri Nujud, He Emily, Kilany Mariam

机构信息

Department of Anthropology, Faculty of Social Sciences, Chester New Hall McMaster University, Hamilton, ON, L8S 4L9, Canada.

School of Earth, Environment & Society, McMaster University, Hamilton, ON, Canada.

出版信息

J Immigr Minor Health. 2025 Apr;27(2):303-312. doi: 10.1007/s10903-024-01664-9. Epub 2024 Dec 9.

DOI:10.1007/s10903-024-01664-9
PMID:39653882
Abstract

A growing body of evidence suggests that leisure-time physical activity (LTPA) impacts one's mental health (MH) positively. The suggested MH benefits of LTPA may present a promising avenue to promote the MH of immigrants/refugees, who often face various stressors that may impede their MH. The CAN-HEAL study aimed to examine LTPA needs as they pertain to MH among Arab Canadians. The study adopted a collaborative community-based participatory research and integrated knowledge translation approach. Three methods were triangulated: qualitative interviews, Photovoice and a quantitative survey. A combination of sampling strategies (convenience, purposive and snowball) was utilized to recruit 60 socio-demographically diverse Arab Canadian participants. The study was informed by an integrated bio-psycho-socio-cultural framework. Although participants were knowledgeable of recommendations and MH benefits of LTPA, a high prevalence of physical inactivity (87%) was found. Intersections between age, gender, socio-economic and employment status, length of residency, and immigration status were associated with substantial LTPA inequities and negative MH within Arab communities. Older adults and low-income participants reported significantly lower LTPA levels than younger adults and those with higher income. Female participants reported lower LTPA levels than their male counterparts. Study findings demonstrate that the LTPA-MH relationship among Arab Canadians is multi-faceted, with various LTPA-related bio-psycho-socio-cultural pathways/mechanisms influencing Arab Canadians' MH. Intersectoral collaboration is required to implement a co-created community- and political-level action plan to address LTPA inequities and achieve health equity for Arab Canadians and other similar vulnerable groups.

摘要

越来越多的证据表明,休闲时间的体育活动(LTPA)对一个人的心理健康(MH)有积极影响。LTPA对心理健康的益处可能为促进移民/难民的心理健康提供了一条有前景的途径,因为他们经常面临各种可能阻碍其心理健康的压力源。CAN-HEAL研究旨在调查与加拿大阿拉伯人心理健康相关的LTPA需求。该研究采用了基于社区的合作参与式研究和综合知识转化方法。三种方法相互印证:定性访谈、照片声音法和定量调查。采用了多种抽样策略(便利抽样、目的抽样和滚雪球抽样)来招募60名社会人口统计学特征各异的加拿大阿拉伯参与者。该研究以综合生物-心理-社会-文化框架为依据。尽管参与者了解LTPA的建议和心理健康益处,但发现身体不活动的患病率很高(87%)。年龄、性别、社会经济和就业状况、居住时间和移民身份之间的交叉与阿拉伯社区内LTPA的严重不平等和负面心理健康有关。老年人和低收入参与者报告的LTPA水平明显低于年轻人和高收入者。女性参与者报告的LTPA水平低于男性参与者。研究结果表明,加拿大阿拉伯人之间的LTPA与心理健康的关系是多方面的,各种与LTPA相关的生物-心理-社会-文化途径/机制影响着加拿大阿拉伯人的心理健康。需要跨部门合作来实施共同制定的社区和政治层面的行动计划,以解决LTPA不平等问题,并为加拿大阿拉伯人和其他类似弱势群体实现健康公平。

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