Tackling the Complexities of the Obesity Pandemic Among the BAME Population in the UK Through Identification of the Social Determinants of Mental Health and Wellbeing

Johnson Mbabazi, Fiona MacGregor, J. Breckon, Dorothy Irene Nalweyiso, A. Rhodes, E. Kunonga, B. Tolchard, J. Teke, L. Nnyanzi
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Abstract

Obesity's multifaceted causes give rise to a complex and diverse range of health associated morbidities and comorbidities, including diabetes, hypertension, and cardiovascular disease, particularly among British Asian and Minority Ethnic (BAME) populations within in the UK. As found within the recent COVID-19 pandemic these can have wider reaching implications including increased risk of mortality within this population group. Understanding the potential social determinants of the causes of obesity is essential if effective strategies are to be developed to tackle this. A comprehensive search of the CINAHL, ASSIA and Web of Science databases was undertaken with 148 papers identified. Through application of inclusion and exclusion criteria two papers were included within this review. Inductive content analysis was undertaken, through which four conceptual categories were identified: impact of social culture, the "limitless" consequences of empowerment, the power of knowledge, and external elements. Social determinants such as culture, perception, family, and mental health have been found to impact significantly on the ability of many individuals within the BAME population to effectively engage with obesity and weight loss strategies. A greater understanding of these social determinants is needed if future strategies aimed at addressing the obesity pandemic within this population is to be effective.
通过识别心理健康和幸福的社会决定因素来应对英国BAME人群中肥胖流行病的复杂性
肥胖的多方面原因导致了一系列复杂多样的健康相关疾病和合并症,包括糖尿病、高血压和心血管疾病,尤其是在英国的英国亚裔和少数民族(BAME)人群中。正如在最近的2019冠状病毒病大流行中发现的那样,这些可能会产生更广泛的影响,包括增加这一人群的死亡风险。如果要制定有效的策略来解决这个问题,了解肥胖原因的潜在社会决定因素是必不可少的。对CINAHL、ASSIA和Web of Science数据库进行了全面的检索,确定了148篇论文。通过应用纳入和排除标准,两篇论文被纳入本综述。通过归纳内容分析,确定了四个概念类别:社会文化的影响、赋权的“无限”后果、知识的力量和外部因素。社会决定因素,如文化、观念、家庭和心理健康,已被发现对BAME人群中许多个体有效参与肥胖和减肥策略的能力产生重大影响。如果未来旨在解决这一人群中肥胖流行病的战略要有效,就需要对这些社会决定因素有更深入的了解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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