Monday, November 3, 2003

This presentation is part of : Health Promotion Behavior

Health Behaviors in a Tri-Ethnic Refugee Population

Donelle M. Barnes, PhD, RN, Harris School of Nursing, Harris School of Nursing, Texas Christian University, Fort Worth, TX, USA
Learning Objective #1: State one unhealthy dietary behavior of adult refugees in the sample
Learning Objective #2: Identify one difference in health behaviors between two refugee groups in the sample

Objective: To describe the smoking, dietary and physical activity behaviors of U.S. refugees. Design: Descriptive, exploratory. Population, Sample, Setting, Years: Adult Bosnian, Cuban and Iranian refugees; 30 adults total, 10 from each ethnic group with equal numbers of men and women. All had arrived in the U.S. within the previous five years; 2000-2001. Variables studied: Prior related behavior, perceived health status, perceived barriers, interpersonal influences (Pender, Murdaugh, & Parsons, 2002), and stage of change (Prochaska & DiClemente, 1984). Method: One face-to-face semi-structured interview in the refugees’ first language (Bosnian, Spanish and Farsi respectively), lasting approximately one hour. Responses were recorded on paper, data analyzed using SPSS software. Findings: Refugees engaged in physical activity five or more days a week. Some reported only mildly intensive activities, such as women doing housework. Most reported a high fat diet, low in fruits and vegetables. There were changes from previous diets in their country of origin. Few actually ate what they believed to be healthy, due to barriers of cost, availability, and interpersonal influences. Almost all were in the contemplation stage of change for diet and activity, and all were interested in programs designed for their ethnic group. The highest rate of smoking was among Bosnians, who were generally not interested in changing their behavior. Conclusions: Refugees lack some knowledge of healthy eating and physical activity patterns. All could identify barriers and all were interested in health improvement in those areas. Although all knew that smoking could harm them, few Bosnians were interested in smoking cessation. Implications: There are both similarities and differences between refugee ethnic groups in health promotion issues and readiness to change. Interventions are needed in the refugees’ first language, targeting culturally specific healthy eating, activity, and smoking behaviors for refugees.

Funded by NIH: P30 NR05051

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