A critical analysis of the impact of inter-generational differences on the attitudes to lifestyle behavioural change among South Asian population in the UK

Gul, Faiza

Abstract

Background
Evidence reports that people from a South Asian background experience a higher prevalence of chronic lifestyle diseases, such as diabetes, obesity and heart disease, with correspondingly higher risk of morbidity and mortality. People who have migrated from South Asia to European countries also show higher risks of developing diseases related to lifestyle compared to the host population. Adopting healthy lifestyles plays a key role in the prevention and management of non-communicable diseases. Lifestyle factors such as diet and physical activity are significant determinants of health. This study sought to critically understand the context of health beliefs and the inter-generational impact on health behaviour and lifestyle through an understanding of cultural background, family and social networks of a South Asian population living in the UK.

Aim and Objectives
The aim of this project was to explore the impact of inter-generational differences of attitudes towards lifestyle behaviour change among a South Asian population in the UK. In this study first generation refers to those who moved from their native country to the UK; second generation refers to individuals who were born in the UK, and who have a migrant first-generation parent/s.

Methods
A qualitative study was carried out, using a social constructionist methodology and a constructivist grounded theory method of data collection and analysis. Data comprised of 27 in-depth semi- structured interviews. Data analysis followed the procedures of the Grounded Theory method outlined by Charmaz (2006, 2008, 2011) involving open coding and constant comparison.

Findings
Findings explored South Asian’s diverse perspectives of health and well-being, lifestyle practices and experiences, lifestyle constituents and the ways in which they think about bringing about lifestyle changes. The impact of personal, social and cultural characteristics on health and health behaviour was highlighted. Factors involved in accepting healthy choices were communicated, with discussion focused particularly on generational differences in health beliefs Younger participants from both generations appeared to be willing to adopt lifestyle changes.

Conclusions
Health issues and fear of progression of disease have an influential impact on lifestyle behaviour change among first generation older participants. However, younger participants were more inclined to change their lifestyle to avoid facing health related challenges faced by their parents and other older family members. Findings suggest that the impact of the difference in age and generational perspectives of health and healthy lifestyle can be useful to understand how South Asian people engage with and/or adapt healthy behaviour. A critical understanding of different factors influencing their health behaviour should be used by public health and health promotion professionals as well as policy makers in targeted interventions to alleviate those issues that most impact on their engagement.

• Thesis Type: Thesis
• Deposit Date: Apr 1, 2020
• Publicly Available Date: Mar 25, 2021
• Public URL: https://uwe-repository.worktribe.com/output/5849658
• Award Date: Mar 25, 2021