Determinants of Health-Promoting Lifestyle Behaviors in Rural Older Women (original) (raw)

A First Look at Chronic Diseases and Lifestyle Behaviors Among Arab and Chaldean Americans in Southeast Michigan

A university-community partnership was formed for the purposes of conducting a statewide health needs assessment of Arab and Chaldean Americans. As a beginning project, Michigan State University and the Arab Community Center for Economic and Social Services (ACCESS) jointly conducted a pilot study in Southeast Michigan. The study sampled 89 Arab and Chaldean Americans. We examined the relationship of personal health behaviors and level of acculturation on diabetes prevalence and its related risk factors. Arab and Chaldean community health workers conducted in-person interviews with adults using a modified Behavioral Risk Factor Surveillance System (BRFSS) instrument. Data were analyzed with SPSS statistical software. Fisher’s Exact Test was used due to the small expected cell counts (< 5). Significant correlations (p < 0.001) were found between individuals reporting diagnosis of diabetes and mean body mass index (BMI), age, English fluency, and educational attainment. This study was a first step. A larger-scale health needs assessment should be conducted to ascertain the validity and reliability of the methods used and the application of our findings to Arab and Chaldean Americans living across the United States.

Health Promoting Behaviors, Health Needs and Associated Factors among Older Adults in Jordan: A Cross-Sectional Study

International Journal of Community Based Nursing and Midwifery, 2021

Background: Several factors affect older adults’ engagement in HPBs. This study aimed to examine HPBs, health needs, and associated factors among older adults in Jordan. Methods: A cross-sectional study was conducted on 220 older adults at one governmental and one university hospital, which were selected using convenience sampling for geographical closeness to the researchers. All older adults with no cognitive or communication problems who attended the outpatient clinics of the two hospitals from December 2018 to April 2019 were included in the study. This time period was chosen based on the convenience of the participants and researchers. Data were collected by An Arabic version of the Health-Promoting Lifestyle Profile (HPLP) and a demographic questionnaire. The Statistical Package for Social Science (SPSS) 25.0 software was used for the descriptive and inferential analysis of the study data. The level of significance was set at P<0.05. Results: The mean score of the total HPL...

The influence of cultural and social factors on healthy lifestyle of Arabic women

Avicenna, 2011

Cardiovascular diseases are the leading cause of mortality and morbidity globally. Similar to other Western and Gulf countries, the incidence of cardiovascular disease and coronary artery diseases such as acute myocardial infarction is rising rapidly in Qatar. Diabetes mellitus, smoking, and hypertension are the most common risk factors causing acute myocardial infarction, congestive heart failure, and stroke. Additionally, obesity resulting from physical inactivity and unhealthy diet can lead to metabolic changes and raise the risk of heart diseases. Studies show that these health problems can be prevented and/or controlled by modifying lifestyle risk behaviours related to physical activity, diet, and smoking habits. The ultimate goal of this study was to find ways to effectively promote cardiovascular/coronary artery disease prevention and management activities among Qatari women by exploring factors affecting the ways in which Qatari women (citizen and resident Arabic women) participate in physical activities, healthy diet and smoking. An exploratory qualitative research approach using a semi-structured questionnaire consisting of open-ended questions was used in this study. Study participants included 50 Qatari women, 30 years of age and over, having a confirmed diagnosis of coronary vascular disease /coronary artery diseases. Results showed that socio-cultural factors play a key role in Qatari women's decisions to participate in healthy lifestyles. Counselling and guidance for patients by health care providers, especially physicians, regarding smoking cessation, weight loss, and exercise should be key interventions to modify lifestyle behaviors among cardiac patients.

Self-reported heart disease among Arab and Chaldean American women residing in southeast Michigan

Ethnicity & disease, 2008

This study estimates the prevalence of heart disease among Arab and Chaldean American women and examines the association between Arab and Chaldean ethnicity and heart disease among a sample of women. This was a cross-sectional study of a convenience sample of 2084 Arab, Chaldean, and African American women aged > or = 18 years who completed a survey that was distributed at churches, mosques, and small businesses in southeast Michigans. Logistic regression was used to estimate odds ratios and 95% confidence intervals for the association between ethnicity and self-reported heart disease before and after adjusting for demographic, socioeconomic status, health care, chronic conditions, and health behavior variables. A sample of 2084 Arab, Chaldean, and African American women 18 years of age and older. The overall prevalence of heart disease was 5.1%. Estimates were higher for Arabs (7.1%), lower for Chaldeans (6.6%), and lowest among African Americans (1.8%). In the unadjusted model,...

Health behaviors and their determinants in multiethnic, active Israeli seniors

Archives of Gerontology and Geriatrics, 2008

To assess factors that affect the adoption of healthy lifestyles among a variety of active Israeli seniors, a survey was conducted in 2002 at the Peiluyada, a physical activity-oriented health fair for seniors held annually in Israel from 1995 to 2002. A multi-language, self-administered questionnaire, assessing predisposing factors, barriers and health-protective behaviors, was fielded to potential participants. Response rate at the event was 51%. Hebrew and Arabic speakers generally characterized their health as good to very good, while Russian speakers' health was rated only poor to fair. Over 80% engaged in regular physical activity, were satisfied with their diet, and conformed to international nutritional recommendations. Vaccination coverage against influenza (81%) and pneumocccocus (58%) was highest among Arabic speakers, and lowest among Russian speakers (33.5% and 12%, respectively). Higher age (!75 years) was significantly associated with receiving a vaccination against influenza. Major barriers to exercise included low motivation and poor physical health or disability. Health-related dietary restrictions were the leading nutritional barrier. Prominent barriers to vaccination included concerns about vaccine effectiveness (39%) and side effects (29%). Leading cues to action were a recommendation from one's doctor (67%) and from a healthcare worker (51%).

Acculturation, Medication Adherence, Lifestyle Behaviors, and Blood Pressure Control Among Arab Americans

Journal of transcultural nursing : official journal of the Transcultural Nursing Society / Transcultural Nursing Society, 2014

The aim of this study was to examine the relationship between acculturation, medication adherence, lifestyle behaviors (e.g., physical activity, nutrition, weight control), and blood pressure control among hypertensive Arab Americans. The study utilized a cross-sectional descriptive design. A convenience sample of 126 participants completed questionnaires and had measures of blood pressure, weight, and height. Forty-six participants were hypertensive and were included in the analysis. Only 29.2% of participants reported high medication adherence. High medication adherence was associated with lower diastolic blood pressure, eating a healthy diet, and following lifestyle modifications. Acculturation was significantly associated with physical activity and body mass index. Our study found that acculturated participants were more adherent to medications and physical activity and had better blood pressure control. Further studies are needed to explore how acculturation improves adherence ...

Association of acculturation status with beliefs, barriers, and perceptions related to cardiovascular disease prevention among racial and ethnic minorities

Journal of Transcultural …, 2009

Acculturation has been correlated with traditional cardiovascular disease risk factors. The purpose of this study was to examine the association between acculturation and health beliefs, barriers, and perceptions related to cardiovascular disease prevention. Racial/ethnic minority participants in the Family Intervention Trial for Heart Health were included in this analysis. Less acculturated minorities were more likely to have health beliefs that may impede prevention, have greater perceived susceptibility to disease, and believe in an external locus of control. Evaluating acculturation in clinical practice may be an opportunity to promote awareness, healthy behaviors, and prevention among immigrants.

Health Behaviors, Chronic Disease Prevalence and Self-Rated Health of Older Asian Indian Immigrants in the U.S

Journal of Immigrant Health, 2005

The purpose of this study was to examine the correlates of healthy behaviors and selfrated health in middle-aged and older Asian Indian immigrants in the U.S. Asian Indian men (n = 162) and women (n = 64), 50 years of age or older completed a telephone survey which collected information regarding demographics, behavioral risk factors, acculturation, perceived control, quality of social support, depression, body mass index, chronic disease prevalence, and self-rated health. Participants' average length of residence in the U.S. was 25 years, 52% were normal weight, 41% were vegetarians, 55% incorporated aerobic activity into daily lifestyle, and only 5% smoked. Hypertension and diabetes were most common chronic diseases (31 and 18%, respectively). Younger age, longer length of residence and a bicultural or more American ethnic identity were associated with greater participation in physical activity. Likewise, higher income, a bicultural or more American ethnic identity and depression were associated with higher fat intake. Poor self-rated health was associated with older age, female gender, BMI > 25, satisfaction with social support, and greater number of chronic disease conditions. A multitude of factors influence the practice of healthy behaviors and the perceived health of Asian Indian immigrants, which should be addressed when developing culturally appropriate health promotion interventions.

Health promotion behaviors of Gujurati Asian Indian immigrants in the United States

Journal of immigrant health, 2000

The purpose of this paper was to examine the health promotion behaviors of Asian Indians, one of the fastest-growing immigrant groups in the United States. The sample consisted of 261 respondents randomly selected from the Charotar Patidar Samaj, a national Gujarati Association membership directory. Health promotion behaviors were obtained using the Health Promotion Lifestyle Profile II. Respondents demonstrated lower scores in physical activity and nutrition and higher scores in the areas of interpersonal skills and spiritual growth domain of the health promotion behaviors. Physical inactivity was the highest among adults of 25-50 years of age. A significant difference existed between males and females in the domain of health responsibility. Females were more responsible for their health and reported medical problems to a physician more often than their male counterparts. They also educated themselves about health promotion behaviors through reading and watching TV programs. Study ...