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  • Gendered perceptions of physical activity and diabetes in rural Bangladesh: a qualitative study to inform mHealth and community mobilization interventions / Joanna Morrison;Hannah Jennings;Kohenour Akter;Abdul Kuddus;Jenevieve Mannell;Tasmin Nahar;Sanjit Kumer Shaha;Naveed Ahmed;Hassan Haghparast-Bidgoli;Anthony Costello;AK Azad Khan;Kishwar Azad;Edward Fottrell
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Gendered perceptions of physical activity and diabetes in rural Bangladesh: a qualitative study to inform mHealth and community mobilization interventions / Joanna Morrison;Hannah Jennings;Kohenour Akter;Abdul Kuddus;Jenevieve Mannell;Tasmin Nahar;Sanjit Kumer Shaha;Naveed Ahmed;Hassan Haghparast-Bidgoli;Anthony Costello;AK Azad Khan;Kishwar Azad;Edward Fottrell

Tác giả : Joanna Morrison;Hannah Jennings;Kohenour Akter;Abdul Kuddus;Jenevieve Mannell;Tasmin Nahar;Sanjit Kumer Shaha;Naveed Ahmed;Hassan Haghparast-Bidgoli;Anthony Costello;AK Azad Khan;Kishwar Azad;Edward Fottrell

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2019

Chủ đề : 1. Diabetes Mellitus. 2. Physical Fitness. 3. Journal / periodical articles.

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Background Diabetes prevalence is increasing rapidly in Bangladesh, and there is an urgent need topromote preventive behaviours for type 2 diabetes, such as maintaining a healthy body weight, eatinghealthily, avoiding tobacco and being active for 150 minutes per week.Methods We used a qualitative methodology informed by the capability, opportunity, motivationtheory of behaviour change to explore the factors affecting physical activity among men and womenin rural Bangladesh. We conducted semi-structured interviews and focus group discussions with 64purposively sampled participants with and without diabetes, and five health workers. From the resultsof descriptive content analysis, we identified key capabilities, opportunities and motivations to engagewith in our mHealth and community mobilization interventions.Results Men and women without diabetes lacked awareness about the need to remain physicallyactive to prevent diabetes, and most felt that their activity levels were sufficient. Housework was notcommonly perceived as physical activity among all respondents. These knowledge and capabilitygaps could be addressed through mHealth messaging and community mobilization providinginformation on sufficiency and types of physical activity to prevent and control diabetes. Men werephysically active while working outside the home, whereas women felt unsafe and conspicuous, andwere constrained by family commitments and social expectations of appropriate behaviour. Womenengaged in strategies to protect their own and their family’s reputations. These opportunity factorsaffecting physical activity indicated the need for strategies developed through participatory processesto challenge unhealthy gender norms and increase women’s safety.Conclusion Formative research data can enable the development of contextually relevantinterventions. Data show that mHealth interventions should consider gendered barriers to physicalactivity, tailoring information to meet men’s and women’s needs, and that community mobilizationinterventions should enable unhealthy, gendered community norms to be challenged. Participatoryinterventions can enable communities to push the boundaries of socially acceptable behaviours toincrease physical activity, helping to prevent and control diabetes.
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https://iris.who.int/handle/10665/329371