Skip to main content

Advertisement

Log in

Determinants of Physical Activity Among Somali Women Living in Maine

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Somali women living in the US are at increased risk for chronic health conditions due to changes in lifestyle following immigration. Numerous barriers to physical activity have been reported in this population. Behavioral theory may inform the design of successful health interventions. We explored in focus groups the behavioral determinants of physical activity (theory of planned behavior, self-efficacy) among Somali women (N = 30). We found that most (two-thirds) subjects were sedentary, although women who had lived in the US for 10 years or longer were more likely to be active. Somali women recognize the health threat of physical inactivity, including high rates of obesity. Moral norms appear to be the major barrier to physical activity, due to prohibitions against exercising in public or in Western-style clothing. Taking moral norms into consideration should allow for the design of culturally-appropriate exercise programs that can address a major health threat in this vulnerable population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Satcher D, Higginbotham EJ. The public health approach to eliminating disparities in health. Am J Public Health. 2008;98:400–3.

    Article  PubMed  Google Scholar 

  2. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA. 2004;291:1238–45.

    Article  PubMed  Google Scholar 

  3. Resources for State and Community Programs March 2010. “CDC’s Guide to Strategies for increasing Physical Activity in the Community.” CD-ROM. Centers for Disease Control and Prevention, 2010.

  4. Centers for Disease Control and Prevention (2010) State indicator report on physical activity, 2010 national action guide. Retrieved from: http://www.cdc.gov/physicalactivity/downloads/PA_State_Indicator_Report_2010_Action_Guide.pdf.

  5. Sallis JF, Haskell WL, Fortmann SP, Vranizan KM, Taylor CB, Solomon DS. Predictors of adoption and maintenance of physical activity in a community sample. Prev Med. 1986;15:331–41.

    Article  PubMed  CAS  Google Scholar 

  6. Wilcox S, Castro C, King AC, Housemann R, Brownson RC. Determinants of leisure time physical activity in rural compared with urban older and ethnically diverse women in the United States. J Epidemiol Commun H. 2000;54:667–72.

    Article  CAS  Google Scholar 

  7. Barnes DM, Almasy N. Refugee’s perceptions of health behaviors. J Immigr Health. 2005;7:185–93.

    Article  PubMed  Google Scholar 

  8. Goel MS, McCarthy EP, Phillips RS, Wee CC. Obesity among US immigrant subgroups by duration of residence. JAMA. 2004;292:2860–7.

    Article  PubMed  CAS  Google Scholar 

  9. Chapter 1. Somali History and Immigration to the United States. From URL: www.cdc.gov/tb/publications/guidestoolkits/EthnographicGuides/Somalia/chapters/chapter1.pdf. Accessed Mar 2011.

  10. US Department of Health and Human Services. Office of Refugee Resettlement. Fiscal Year 2006 Resettlements. From URL: www.acf.hhs.gov/programs/orr/data/fy2006RA.htm. Accessed Nov 2010.

  11. Porter G. Living in a walking world: rural mobility and social equity in sub-Saharan Africa. World Dev. 2002;30:285–300.

    Article  Google Scholar 

  12. Leinberger-Jabari A. Diet and physical activity in the Somali community: Somali Health Care Initiative focus group findings. Minneapolis, MN: Minnesota International Health Volunteers. 2005. From URL: http://www.wellshareinternational.org/sites/default/files/Diet%20and%20PA%20PDF.pdf. Accessed Nov 2010.

  13. Rothe E, Holt C, Kuhn C, McAteer T, Askari I, O’Meara M, Sharif A, Dexter W. Barriers to outdoor physical activity in wintertime among Somali youth. J Immigr Minor Health. 2010;12:726–36.

    Article  PubMed  Google Scholar 

  14. Guerin PB, Elmi FH, Corrigan C. Body composition and cardiorespiratory fitness among refugee Somali women living in New Zealand. J Immig Minor Health. 2007;9:191–6.

    Article  Google Scholar 

  15. Kinzie JD, Riley C, McFarland B, Hayes M, Boehnlein J, Leung P, Adams G. High prevalence rates of diabetes and hypertension among refugee psychiatric patients. J Nerv Ment Dis. 2008;196:108–12.

    Article  PubMed  Google Scholar 

  16. Middlestadt SE, Bhattacharyya K, Rosenbaum J, Fishbein M, Shepherd M. The use of theory-based semi-structured elicitation questionnaires: formative research for CDC’s Prevention Marketing Initiative. Public Health Rep. 1996;111(Suppl 1):18–27.

    PubMed  Google Scholar 

  17. Glanz K, Bishop DB. The role of behavioral science theory in development and implementation of public health interventions. Annu Rev Publ Health. 2010;31:399–418.

    Article  Google Scholar 

  18. Ajzen I. The theory of planned behavior. Organ Behav Hum Dec. 1991;50:179–211.

    Article  Google Scholar 

  19. Ajzen I, Driver BL. Application of the theory of planned behavior to leisure choice. J Leisure Res. 1992;24:207–24.

    Google Scholar 

  20. Bandura A. Health promotion by Social Cognitive means. Health Educ Behav. 2004;31:3–164.

    Article  Google Scholar 

  21. Godin G, Shepherd RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985;10:141–6.

    PubMed  CAS  Google Scholar 

  22. English as a Second Language Programs, from: www.maine.gov/dhhs/oma/MulticulturalResource/educ.html. Accessed Feb 2011.

  23. Atlas.ti, from URL: http://www.atlasti.com/product.html. Accessed Nov 2010.

  24. Task Force on Community Preventive Services. Recommendations to increase physical activity in communities. Am J Prev Med. 2002;22(4S):67–72.

    Google Scholar 

  25. Stodolska M, Livengood JS. The influence of religion on the leisure behavior of immigrants Muslims in the United States. J Leisure Res. 2006;38:293–320.

    Google Scholar 

  26. Guerin PB, Diiriye RO, Corrigan C, Guerin B. Physical activity programs for refugee Somali women: working out in a new country. Women Health. 2003;38:83–99.

    Article  PubMed  Google Scholar 

  27. Macdonald D, Abbott R, Knez K, Nelson A. Taking exercise: cultural diversity and physically active lifestyles. Sport Educ Soc. 2009;14:1–19.

    Article  Google Scholar 

  28. Moore E, Ali M, Graham E, Quan L. Responding to a request: gender-exclusive swims in a Somali community. Public Health Rep. 2010;125:137–40.

    PubMed  Google Scholar 

  29. Deci E, Ryan R. The “what” and “why” of goal pursuits: human needs and the self-determination of behavior. Psychol Inq. 2000;11:227–68.

    Article  Google Scholar 

  30. Manstead ASR. The role of moral norm in the attitude-behavior relation. In: Terry DJ, Hogg MA, editors. Attitudes, behavior, and social concepts. Mahwah, NJ: Lawrence Erlbaum; 2000. p. 11–30.

    Google Scholar 

  31. Godin G, Conner M, Sheeran P. Bridging the intention-behavior ‘gap’: the role of moral norm. Brit J Soc Psychol. 2005;44:497–512.

    Article  Google Scholar 

  32. Putnam R. The prosperous community: social capital and public life. Am Prospect. 1993;4:1–11.

    Google Scholar 

Download references

Acknowledgments

The authors would like to thank Nananda Col, M.D., M.P.H., and Paul Han, M.D., for their helpful criticism. This research was supported with funding from the Maine Medical Center Research Institute.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John T. Devlin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Devlin, J.T., Dhalac, D., Suldan, A.A. et al. Determinants of Physical Activity Among Somali Women Living in Maine. J Immigrant Minority Health 14, 300–306 (2012). https://doi.org/10.1007/s10903-011-9469-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-011-9469-2

Keywords

Navigation