"At this age, a Moroccan woman's life's work is over"-older Moroccan-Dutch migrant women's perceptions of health and lifestyle, with a focus on Ramadan experiences: qualitative research integrating education and consultation.

Publisher: BioMed Central Country of Publication: England NLM ID: 101147692 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-9276 (Electronic) Linking ISSN: 14759276 NLM ISO Abbreviation: Int J Equity Health Subsets: MEDLINE

Original Publication: [London] : BioMed Central, 2002-

Attitude* ; Culture* ; Emigrants and Immigrants* ; Ethnicity* ; Health Behavior* ; Islam* ; Life Style*; Adult ; Aged ; Aged, 80 and over ; Cultural Competency ; Female ; Gender Identity ; Health Education ; Health Personnel ; Health Promotion ; Humans ; Middle Aged ; Morocco ; Mothers ; Netherlands ; Qualitative Research ; Social Identification ; Transients and Migrants

Background: Older Moroccan-Dutch migrant women exhibit high rates of diabetes, hypertension, overweight and obesity which is further compounded by their high risk of multi-morbidity. Healthcare professionals' efforts to encourage this group to adopt a healthier lifestyle have little success. We ask ourselves whether the concepts used in health education and promotion relate to these women's experiences and beliefs. Today's pluralistic Dutch society requires a more differentiated and applied approach, not in an essentialist way but in awareness that translation of rather individualized concepts like health and lifestyle is not always adequate, as the meaning and interpretation of such concepts may differ and may be related to women's other (fundamental) perceptions. This can have practical consequences for health promotion and education. The aim of this explorative, qualitative research, conducted between April and September 2015 and taking an intersectional approach, was to explore older Moroccan-Dutch women's perceptions of health and lifestyle and to analyse these in a broader context, related to other fundamental forms of identity such as gender, culture and religion.
Methods: We recruited women with Moroccan backgrounds by approaching Moroccan women's organisations and using the snowballing method (chain-referral sampling). Seven 'natural' group discussions were held (amongst women who regularly meet each other, aged between 22 and 69 years), and twelve in-depth interviews and an observation day (with women from 40 to 66 years). The transcripts were then analysed using thematic content analysis.
Results: Five major themes were identified. Health was perceived of in the terms used in prevailing health promotion discourses in the Netherlands, but lifestyle was interpreted in a much broader sense than the current health promotion debate allows; it is not seen as an individual responsibility or as something an individual could control on their own, and the social benefits of health behaviours appear to outweigh the health benefits themselves. Lifestyle was located in three main social identities of the women: Moroccan, Muslim and mother. Finally, Ramadan played a huge and dominant role in the lifestyle experience of older Moroccan women and was central in this research.
Conclusions: The finding that lifestyle is not seen as an individual responsibility but is located in social identities, can be applied to other settings that older migrant-Dutch women occupy. Further research will clarify this.

J Nutr Educ Behav. 2009 Jul-Aug;41(4):232-41. (PMID: 19508928)
Crit Public Health. 2015 Oct 20;25(5):615-626. (PMID: 26430295)
Health (London). 2006 Oct;10(4):401-20. (PMID: 16973678)
Ned Tijdschr Geneeskd. 2013;157(16):A5669. (PMID: 23594868)
Int J Equity Health. 2015 Aug 21;14:68. (PMID: 26293806)
J Immigr Minor Health. 2008 Dec;10(6):559-65. (PMID: 18483765)
Health Psychol Rev. 2014;8(3):253-69. (PMID: 25053213)
Front Psychol. 2018 Jun 12;9:909. (PMID: 29946279)

Keywords: Health; Intersectionality; Lifestyle; Older Moroccan-Dutch migrant women; Qualitative research; Ramadan

Date Created: 20200316 Date Completed: 20201111 Latest Revision: 20211204

20240628

PMC7071612

10.1186/s12939-020-1141-9

32171312