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首页> 外文期刊>BMC Family Practice >Exploring strategies to reach individuals of Turkish and Moroccan origin for health checks and lifestyle advice: a mixed-methods study
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Exploring strategies to reach individuals of Turkish and Moroccan origin for health checks and lifestyle advice: a mixed-methods study

机译：探索一种策略，以覆盖土耳其和摩洛哥血统的个人以进行健康检查和生活方式建议：一项混合方法研究

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Background Low participation rates among ethnic minorities in preventive healthcare services are worrisome and not well understood. The objective of this study was to explore how adults of Turkish and Moroccan origin living in the Netherlands, aged 45?years and older, can be reached to participate in health checks for cardio-metabolic diseases and follow-up (lifestyle) advice. Methods This mixed-methods study used a convergent parallel design, to combine data of one quantitative study and three qualitative studies. Questionnaire data were included of 310 respondents, and interview data from 22 focus groups and four individual interviews. Participants were recruited via a research database, general practitioners and key figures. Quantitative data were analysed descriptively and qualitative data were analysed using a thematic approach. Results Regarding health checks, 50?% (95?% CI 41;59) of the Turkish questionnaire respondents and 66?% (95?% CI 57;76) of the Moroccan questionnaire respondents preferred an invitation from their general practitioner. The preferred location to fill out the health check questionnaire was for both ethnic groups the general practitioner’s office or at home, on paper. Regarding advice, both groups preferred to receive advice at individual level rather than in a group, via either a physician or a specialised healthcare professional. It was emphasised that the person who gives lifestyle advice should be familiar with the (eating) habits of the targeted individual. Sixty-one percent (95?% CI 53;69) of the Turkish respondents preferred to receive information in their native language compared to 37?% (95?% CI 29;45) of the Moroccan respondents. Several participants mentioned a low proficiency in the local language as an explanation for their preference to fill out the health check questionnaire at home, to receive advice from an ethnic-matched professional, and to receive information in their native language. Conclusions The general practitioner is considered as a promising contact to reach adults of Turkish and Moroccan origin for health checks or (lifestyle) advice. It might be necessary to provide information in individuals’ native language to overcome language barriers. In addition, (lifestyle) advice must be tailored. The obtained insight into preferences of Turkish and Moroccan adults regarding reach for preventive healthcare services could help professionals to successfully target these groups.
机译：背景技术少数族裔人士在预防性医疗保健服务中的参与率很低，令人担忧，人们对此还没有充分了解。这项研究的目的是探讨居住在荷兰的土耳其和摩洛哥裔成年人的年龄在45岁以上的成年人如何参与心脏代谢疾病的健康检查和随访（生活方式）建议。方法：该混合方法研究采用收敛并行设计，将一个定量研究和三个定性研究的数据结合在一起。问卷调查数据包括310名受访者，以及来自22个焦点小组的访谈数据和四个单独的访谈。通过研究数据库，全科医生和关键人物招募了参与者。使用主题方法对定量数据进行描述性分析，并对定性数据进行分析。结果关于健康检查，土耳其问卷受访者中有50％（95％CI 41; 59 CI）和66％（95％CI 57; 76 CI）摩洛哥受访者更喜欢全科医生的邀请。填写健康检查问卷的首选地点是书面记录的两个族裔的全科医生办公室或家中。关于建议，两个组都希望通过医生或专门的医疗保健专业人员在个人而非团队中接受建议。强调指出，提供生活方式建议的人应熟悉目标人群的（饮食）习惯。土耳其受访者中有61％（95％CI 53; 69 CI）倾向于以母语接收信息，而摩洛哥受访者中有37％（95％CI 29; 45 CI）。几位参加者提到了当地语言的熟练程度，这是他们偏爱在家填写健康检查问卷，接受与种族相匹配的专业人员的建议以及以他们的母语接收信息的原因。结论全科医生被认为是接触土耳其和摩洛哥裔成年人进行健康检查或（生活方式）建议的有希望的联系人。可能需要以个人的母语提供信息以克服语言障碍。此外，（生活方式）建议必须量身定制。深入了解土耳其和摩洛哥成年人在预防保健服务方面的偏好，可以帮助专业人士成功地锁定这些人群。

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