Developing a systems-based framework of the factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe - a DEDIPAC study

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2017
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Holdsworth, Michelle
Nicolaou, Mary
Langøien, Lars Jørun
Osei-Kwasi, Hibbah Araba
Chastin, Sebastien F. M.
Capranica, Laura
Lien, Nanna
Terragni, Laura
Monsivais, Pablo
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International Journal of Behavioral Nutrition and Physical Activity. 2017, 14(1), 154. eISSN 1479-5868. Available under: doi: 10.1186/s12966-017-0608-6
Zusammenfassung

Background
Some ethnic minority populations have a higher risk of non-communicable diseases than the majority European population. Diet and physical activity behaviours contribute to this risk, shaped by a system of inter-related factors. This study mapped a systems-based framework of the factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe, to inform research prioritisation and intervention development.

Methods
A concept mapping approach guided by systems thinking was used: i. Preparation (protocol and terminology); ii. Generating a list of factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe from evidence (systematic mapping reviews) and ‘eminence’ (89 participants from 24 academic disciplines via brainstorming, an international symposium and expert review) and; iii. Seeking consensus on structuring, rating and clustering factors, based on how they relate to each other; and iv. Interpreting/utilising the framework for research and interventions. Similar steps were undertaken for frameworks developed for the majority European population.

Results
Seven distinct clusters emerged for dietary behaviour (containing 85 factors) and 8 for physical activity behaviours (containing 183 factors). Four clusters were similar across behaviours: Social and cultural environment; Social and material resources; Psychosocial; and Migration context. Similar clusters of factors emerged in the frameworks for diet and physical activity behaviours of the majority European population, except for ‘migration context’. The importance of factors across all clusters was acknowledged, but their relative importance differed for ethnic minority populations compared with the majority population.

Conclusions
This systems-based framework integrates evidence from both expert opinion and published literature, to map the factors influencing dietary and physical activity behaviours in ethnic minority groups. Our findings illustrate that innovative research and complex interventions need to be developed that are sensitive to the needs of ethnic minority populations. A systems approach that encompasses the complexity of the inter-related factors that drive behaviours may inform a more holistic public health paradigm to more effectively reach ethnic minorities living in Europe, as well as the majority host population.

Zusammenfassung in einer weiteren Sprache
Fachgebiet (DDC)
150 Psychologie
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Minority populations, Europe, MigrantsImmigrants, Physical activity, Sedentary behaviour, Diet, Framework, Systems
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ISO 690HOLDSWORTH, Michelle, Mary NICOLAOU, Lars Jørun LANGØIEN, Hibbah Araba OSEI-KWASI, Sebastien F. M. CHASTIN, F. Marijn STOK, Laura CAPRANICA, Nanna LIEN, Laura TERRAGNI, Pablo MONSIVAIS, 2017. Developing a systems-based framework of the factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe - a DEDIPAC study. In: International Journal of Behavioral Nutrition and Physical Activity. 2017, 14(1), 154. eISSN 1479-5868. Available under: doi: 10.1186/s12966-017-0608-6
BibTex
@article{Holdsworth2017-11-07Devel-40875,
  year={2017},
  doi={10.1186/s12966-017-0608-6},
  title={Developing a systems-based framework of the factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe - a DEDIPAC study},
  number={1},
  volume={14},
  journal={International Journal of Behavioral Nutrition and Physical Activity},
  author={Holdsworth, Michelle and Nicolaou, Mary and Langøien, Lars Jørun and Osei-Kwasi, Hibbah Araba and Chastin, Sebastien F. M. and Stok, F. Marijn and Capranica, Laura and Lien, Nanna and Terragni, Laura and Monsivais, Pablo},
  note={Article Number: 154}
}
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