Assessing community readiness for overweight and obesity prevention among Ghanaian immigrants living in Greater Manchester, England - Archive ouverte HAL Access content directly
Journal Articles Proceedings of the Nutrition Society Year : 2022

Assessing community readiness for overweight and obesity prevention among Ghanaian immigrants living in Greater Manchester, England

(1) , (1) , (1) , (2) , (3) , (4) , (5)
1
2
3
4
5

Abstract

Most immigrant groups to the UK from low and middle-income countries have a high risk of overweight/obesity and of associated non-communicable diseases. Community readiness to engage in interventions needs to be understood before appropriate interventions can be implemented. This study assesses community readiness to prevent overweight/obesity among Ghanaian immigrants in Greater Manchester, England. The community readiness model (CRM) was applied using a semi- structured interview tool with 13 key informants (religious and other key community members) addressing five readiness dimensions (community knowledge of efforts, leadership, community climate, knowledge of the issue and resources). A maximum of 9 points per dimension (from 1 = no awareness to 9 = high level of community ownership), alongside qualitative textual thematic analysis. The mean readiness score indicated that the study population was in the “vague awareness stage” (3.08 ± 0.98). The highest score was observed for community knowledge of the issue (4.42 ± 0.99) which was in the pre-planning phase, followed by community climate (vague awareness; 3.58 ± 0.62). The lowest scores were seen for resources (denial/resistance; 2.70± 0.61) and Knowledge of efforts (no awareness; 1.53 ± 0.44). Explanations are sought in terms of structural barriers and socio-cultural norms where structural barriers include poor living conditions as a result of poorly paid menial jobs and high workload, contributing to the adoption of unhealthy eating behaviours. Socio-cultural factors such as fatalism, hereditary factors and social status were associated with acceptance of overweight. Despite recognising overweight/obesity as an important health issue in these communities especially among women, it is not seen as a priority. To help these communities to become more ready for interventions that tackle overweight/obesity, the focus should initially be to address the structural barriers identified, reduce poverty and then focus on the socio-cultural factors.
Embargoed file
Embargoed file
0 8 12
Year Month Jours
Avant la publication

Dates and versions

hal-03821972 , version 1 (20-10-2022)

Identifiers

Cite

H. Osei-Kwasi, P. Jackson, R. Akparibo, Michelle Holdsworth, M. Nicolaou, et al.. Assessing community readiness for overweight and obesity prevention among Ghanaian immigrants living in Greater Manchester, England. Proceedings of the Nutrition Society, 2022, Proceedings of the Nutrition Society, 81 (OCE5), pp.E230. ⟨10.1017/S0029665122002634⟩. ⟨hal-03821972⟩
32 View
0 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More