ArticleBMJ open2019
Perceptions, experiences and barriers to lifestyle modifications in first-generation Middle Eastern immigrants to Sweden: a qualitative study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01420198 (A Middle Eastern Immigrant Population At-risk for Diabetes; Contributing Risk Factors and the Efficiency and Cost-effectiveness of a Culturally Adopted Lifestyle Intervention Program - the MEDIM Study.), which is not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Middle Eastern Immigrant Population At-risk for Diabetes; Contributing Risk Factors and the Efficiency and Cost-effectiveness of a Culturally Adopted Lifestyle Intervention Program - the MEDIM Study.
Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Social capital in the prevention and management of non-communicable diseases among migrants and refugees: a systematic review and meta-ethnography.BMJ global health · 2021Pooled it
- A systematic review of qualitative studies exploring the factors influencing the physical activity levels of Arab migrants.The international journal of behavioral nutrition and physical activity · 2021Pooled it
- Secondary analysis of a randomized trial testing community health educator interventions for diabetes prevention among refugees with depression: effects on nutrition, physical activity and sleep.The international journal of behavioral nutrition and physical activity · 2023Trial
- Feasibility and acceptability of a culturally tailored physical activity intervention for Arab-Australian women.BMC women's health · 2021Trial
- Prevention of type 2 diabetes in migrant populations from low- and middle-income countries living in high-income countries.Diabetologia · 2025Review
- A scoping review of overweight and obesity prevalence and determinants among immigrant adults in Nordic countries.Journal of migration and health · 2025Review
- Article
- Exploring targeted preventive health check interventions - a realist synthesis.BMC public health · 2023Review
- Type 2 diabetes burden among migrants in Europe: unravelling the causal pathways.Diabetologia · 2021Review
- Physical activity participation among Arab immigrants and refugees in Western societies: A scoping review.Preventive medicine reports · 2021Article
- Cardiovascular risk assessment in South and Middle-East Asians living in the Western countries.Pakistan journal of medical sciencesReview
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe prevalence of type 2 diabetes (T2D) among Iraqi immigrants to Sweden is high and partly related to sedentary physical activity and calorie dense food. The aim of the present study was to explore perceptions, experiences and barriers concerning lifestyle modifications (LSM) in Iraqi immigrants to Sweden at risk for T2D.
designA qualitative thematic analysis was conducted on data collected from gender-specific focus group interviews which took place during a culturally adapted randomised controlled intervention study addressing motivation to lifestyle change, self-empowerment, behavioural modifications and sociocultural barriers to LSM. Seven focus groups were held, with an interval of 1-4 weeks between January and May of 2015; each session lasted approximately 1.5 hours.
settingThe city of Malmö, Sweden.
participantsOut of 27 women and 23 men assigned to the intervention group, 19 women and 14 men who attended at least one focus group session were included in the study.
resultsParticipants expressed awareness of the content of healthy lifestyle practices. They also expressed numerous social and cultural barriers to LSM connected to irregular meals, overeating, food and drinking preferences and family expectations. Overeating was described as a consequence of social and cultural norms and expectations and of poor mental well-being. Facilitators for reaching successful LSM were connected to family involvement and support.
conclusionOur study reports that facilitators for LSM are connected to presence of family support. Preventive actions addressing family involvement may benefit Middle Eastern immigrants at high risk for T2D to consider healthier lifestyles practices. Identification of sociocultural barriers and facilitators for LSM are crucial for successful health promotion in minority populations at risk for T2D.
trial registrationTrial registration number: NCT01420198 for the MEDIM-study; Pre-results.
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