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Published in: Journal of Public Health 12/2023

Open Access 22-11-2022 | Obesity | Original Article

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

Authors: Hibbah Araba Osei-Kwasi, Peter Jackson, Robert Akparibo, Michelle Holdsworth, Mary Nicolaou, Ama De Graft Aikins, Paula Griffiths

Published in: Journal of Public Health | Issue 12/2023

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Abstract

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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Metadata
Title
Assessing community readiness for overweight and obesity prevention among Ghanaian immigrants living in Greater Manchester, England
Authors
Hibbah Araba Osei-Kwasi
Peter Jackson
Robert Akparibo
Michelle Holdsworth
Mary Nicolaou
Ama De Graft Aikins
Paula Griffiths
Publication date
22-11-2022
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 12/2023
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-022-01777-1

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