Understanding Sociocultural Influences on Physical Activity in Relation to Overweight and Obesity in a Rural Indigenous Community of Fiji Islands

Kamal Nand Singh · Marguerite Claire Sendall · Phil Crane

13 citations0/0 files storedJournal of Racial and Ethnic Health Disparities

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Indigenous Health, Education, and Rights Obesity, Physical Activity, Diet Indigenous Health and Education

Abstract

INTRODUCTION: Given health disparities and increased rates of obesity and non-communicable diseases seen in Indigenous populations worldwide and the evidence connecting sociocultural knowledge with physical activity, health, and wellbeing, this research was undertaken to understand the social and cultural components contributing to obesity in the Indigenous Fijian rural areas. METHODS: This research is a community-based participatory research (CBPR) project, which engaged community members from a rural iTaukei village in the Fiji Islands. Data collection was carried out through community consultation and semi-structured interviews. The data was analysed using descriptive thematic analysis. RESULTS: Four major themes emerged associated with sociocultural, economic, political, and physical environmental factors. Males emphasised sports and working on farmlands as preferred types of physical activity, while females focused on family activities and daily activities and support for females' separate playgrounds. There was a focus on previous health promotion programs that did not incorporate the cultural values, cultural competence beliefs, and traditional ways of the rural Indigenous Fijian community. CONCLUSION: The healthcare providers and policymakers need to recognise the iTaukei community culture and appreciate traditional methods to promote equitable community participation in decision-making for health promotion. These findings should inform future research and community-based health programs to address the physical activity levels of the rural Indigenous community and may be relevant to other Indigenous peoples.

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2004Obesity relationships with community design, physical activity, and time spent in cars 2006Understanding participation in sport and physical activity among children and adults: a review of qualitative studies 2011Qualitative data analysis: the framework approach 2019Reflexivity in Qualitative Research 2018Using the framework approach to analyse qualitative data: a worked example 2003Evaluating health promotion: a model for nursing practice 2009“Indigenist” Collaborative Research Efforts in Native American Communities 2013American Indian Cultures: How CBPR Illuminated Intertribal Cultural Elements Fundamental to an Adaptation Effort

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