International Journal of Behavioral Nutrition and Physical Activity
Volume 16, Issue 1, 2019

Built and social environmental factors influencing healthy behaviours in older Chinese immigrants to Australia: A qualitative study (Article)

Cerin E.* , Nathan A. , Choi W.K. , Ngan W. , Yin S. , Thornton L. , Barnett A.
  • a Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia, School of Public Health, University of Hong Kong, Hong Kong SAR, Hong Kong, Baker Heart and Diabetes Institute, Melbourne, Australia
  • b Cancer Council Victoria, Melbourne, Australia
  • c Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
  • d School of Exercise and Nutrition Science, Deakin University, Geelong, Australia
  • e School of Exercise and Nutrition Science, Deakin University, Geelong, Australia
  • f School of Exercise and Nutrition Science, Deakin University, Geelong, Australia
  • g Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia

Abstract

Background: Neighbourhood environments influence older adults' health and health-enhancing behaviours, such as physical activity, eating a healthy diet and socialising. However, little is known about the effects of the neighbourhood environment on the health of older immigrants, the number of which is rapidly increasing in developed countries. Using Nominal Group Technique (NGT) sessions, this study of older Chinese immigrants to urban Melbourne, Australia, examined built and social environmental facilitators of and barriers to regular engagement in physical activity, eating a healthy diet and regular contact with other people. Methods: Participants were recruited from four types of neighbourhoods stratified by walkability and proportion of Chinese dwellers. Twelve NGTs, four specific to each of physical activity, healthy diet and social contacts were conducted in Mandarin or Cantonese (91 participants). NGT responses from groups addressing the same questions were aggregated, similar items were combined, and scores combined across groups. Inductive thematic analysis was used to categorise answers into higher-order themes of factors associated with each behaviour. Results: For physical activity, 29 facilitators and 28 barriers were generated with the highest ranked facilitator and barrier being "proximity to destinations" and "poor/inadequate public transport", respectively. For healthy diet, 25 facilitators and 25 barriers were generated, the highest ranked facilitator and barrier were "high food safety standards/regulations" and "lack of family/household members' social support for a healthy diet". The social contacts NGTs generated 23 facilitators and 22 barriers, with the highest ranked facilitator and barrier being "proximity to destinations and activities" and "poor public transport", respectively. Discussion: Independent living arrangements and the accessibility of destinations of daily living (e.g., bilingual health services, libraries, places of worship and grocery stores/supermarkets), recreational facilities, affordable public transport, and community centres and activities for Chinese people are key elements for promoting regular engagement in physical activity, healthy eating and socialising in older Chinese immigrants. Governments should plan for the provision of this basic infrastructure of community facilities for older immigrants. © 2019 The Author(s).

Author Keywords

Chinese immigrants Neighbourhood environment diet Social contacts Walkability Destinations physical activity Transport older adults

Index Keywords

physical activity social behavior immigrant household Chinese food safety Australia human Aged mandarin eating social support nonhuman neighborhood qualitative research male environmental factor female Healthy Diet Article thematic analysis major clinical study human experiment Independent Living government library walkability sports and sport related phenomena

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075776641&doi=10.1186%2fs12966-019-0885-3&partnerID=40&md5=bb2a9d4d82870459756ca86495224705

DOI: 10.1186/s12966-019-0885-3
ISSN: 14795868
Original Language: English