McKeon Grace, Mastrogiovanni Chiara, Weber Danielle, Le Compte Eloise, Némorin Shaun, Teasdale Scott, Fatima Rekas, Bahadurmia Sajeda, Rosenbaum Simon
Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia.
New South Wales Refugee Health Service, Sydney, Australia.
BMC Public Health. 2025 May 19;25(1):1839. doi: 10.1186/s12889-025-22749-6.
Many Rohingya people from Myanmar have sought refuge and resettled in Australia due to persecution and genocide. Like many people from refugee and asylum seeker backgrounds who resettle in Australia, the Rohingya community face significant mental, physical and psychosocial challenges. Physical activity and nutrition are interrelated, modifiable risk factors associated with a range of health and psychosocial outcomes. Therefore, this study aimed to explore barriers and facilitators to physical activity and food security among the Rohingya community who have resettled in Sydney, Australia to inform intervention development.
In-depth interviews and focus groups with Rohingya community leaders and members were conducted. Community leaders were identified as individuals from the same community who have lived experience of displacement and advocate for the community's needs. Reflexive thematic analysis and framework analysis were used to identify and then allocate themes to theoretically-driven domains according to the socio-ecological model.
In total, sixteen participants were interviewed, including n=7 via one-one-one interviews and n=9 via a focus group. Of the 16 participants, five were community leaders. Ten themes for physical activity and twelve themes for food security were identified and mapped onto the socio-ecological model. The impact of insecure visa status was identified as a significant macro-level barrier affecting both physical activity and food security. Lack of culturally responsive services and increased barriers to physical activity for women due to cultural expectations and gender roles were also identified. However, increased opportunities to engage in healthy lifestyles in Australia compared to Myanmar, social support and physical and mental health benefits as motivating factors were discussed as key facilitators.
Health promotion efforts targeting physical activity and food security require a multifactorial approach which prioritises cultural sensitivity, acknowledges gender roles and expectations, and considers past experiences including the impacts of migration.
许多来自缅甸的罗兴亚人因遭受迫害和种族灭绝而寻求庇护并在澳大利亚重新定居。与许多在澳大利亚重新定居的难民和寻求庇护者背景的人一样，罗兴亚社区面临着重大的心理、身体和社会心理挑战。身体活动和营养相互关联，是与一系列健康和社会心理结果相关的可改变风险因素。因此，本研究旨在探讨在澳大利亚悉尼重新定居的罗兴亚社区中身体活动和粮食安全的障碍及促进因素，以为干预措施的制定提供信息。
对罗兴亚社区领袖和成员进行了深入访谈和焦点小组讨论。社区领袖被确定为来自同一社区、有流离失所生活经历并倡导社区需求的个人。采用反思性主题分析和框架分析来识别主题，然后根据社会生态模型将主题分配到理论驱动的领域。
总共采访了16名参与者，其中通过一对一访谈7人，通过焦点小组访谈9人。在这16名参与者中，有5名是社区领袖。确定了10个关于身体活动的主题和12个关于粮食安全的主题，并将其映射到社会生态模型上。不安全签证身份的影响被确定为影响身体活动和粮食安全的一个重大宏观层面障碍。还发现缺乏具有文化适应性的服务，以及由于文化期望和性别角色，女性参与身体活动的障碍增加。然而，与缅甸相比，在澳大利亚有更多机会参与健康的生活方式、社会支持以及身心健康益处作为激励因素被讨论为关键促进因素。
针对身体活动和粮食安全的健康促进工作需要采取多因素方法，该方法应优先考虑文化敏感性，承认性别角色和期望，并考虑过去的经历，包括移民的影响。
