%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Osei-Kwasi, H. A.
%A Jackson, P.
%A Akparibo, R.
%A Holdsworth, Michelle
%A Nicolaou, M.
%A Aikins, A. D.
%A Griffiths, P.
%T Assessing community readiness for overweight and obesity prevention among Ghanaian immigrants living in Greater Manchester, England
%D 2022
%L fdi:010086499
%G ENG
%J Journal of Public Health-Heidelberg
%@ 2198-1833
%K Community readiness ; CRM ; Overweight ; obesity ; Ghanaians ; Immigrants ; UK
%K ROYAUME UNI ; GHANA
%M ISI:000886798600001
%P [15 ]
%R 10.1007/s10389-022-01777-1
%U https://www.documentation.ird.fr/hor/fdi:010086499
%> https://horizon.documentation.ird.fr/exl-doc/pleins_textes/2023-01/010086499.pdf
%V [Early access]
%W Horizon (IRD)
%X Aim This study assesses community readiness to prevent overweight/obesity among Ghanaian immigrants in Greater Manchester, England. Subject and method 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. A maximum of 9 points per dimension (from 1 = no awareness to 9 = high level of community ownership), was assigned, alongside qualitative textual thematic analysis. Results 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). Findings identified structural barriers, including poor living conditions as a result of poorly paid menial jobs and high workload, contributing to the adoption of unhealthy lifestyle behaviours. Socio-cultural factors such as fatalism, hereditary factors, and social status were associated with acceptance of overweight. Conclusion Despite recognising overweight/obesity as an important health issue in these communities, especially among women, it is not seen as a priority for targeting change. 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, including reducing poverty, alongside designing interventions that work with these structural barriers, and thereafter focus on the socio-cultural factors.
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