Attitudes to lifestyle risk factors for coronary heart disease amongst South Asians in Leicester: a focus group study.
BACKGROUND
South Asians have a significantly higher risk of mortality from coronary heart disease (CHD) compared with the general population in the UK. There is a lack of evidence on attitudes to and knowledge of risk factors for CHD amongst South Asians. Such information is important for the provision of effective health promotion services.


OBJECTIVE
The aim of the study was to identify key issues relating to knowledge of and attitudes to lifestyle risk factors for CHD amongst South Asians aged over 40 years in Leicester, UK.


METHODS
A qualitative focus group analysis was carried out using randomly selected South Asians from GP lists and South Asians attending community centres. Group discussions were taped, translated and transcribed. The transcripts were analysed using qualitative methodology to identify key issues and themes.


RESULTS
Participants expressed a range of attitudes to and different levels of knowledge of lifestyle risk factors for CHD. Barriers to improving lifestyle with respect to diet and exercise were identified; these included lack of information (e.g. of how to cook traditional Indian food more healthily) and cultural barriers, such as lack of women-only exercise facilities. Participants perceived stress as an important cause of CHD, and stress directly related to ethnic minority status was described frequently. Language was identified as a key barrier to accessing health services.


CONCLUSIONS
Health professionals need to provide individually tailored health promotion for South Asians which avoids stereotyping, but recognizes potential cultural obstacles to change. The issue of stress amongst South Asians requires more research and needs to be recognized as an important issue by health professionals. South Asians still face problems accessing health and leisure services due to language and cultural issues.
East Leicester Medical Practice, 131 Uppingham Road, Leicester LE5 4BP, Leicestershire, UK.
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Farooqi
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Nagra
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Edgar
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Khunti
D000328:Adult; D000368:Aged; D001294:Attitude to Health / Q000208:ethnology; D003327:Coronary Disease / Q000517:prevention & control* / Q000523:psychology*; D004032:Diet; D004739:England; D015444:Exercise; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D007194:India / Q000208:ethnology; D008019:Life Style / Q000208:ethnology*; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013315:Stress, Psychological / Q000150:complications* / Q000209:etiology