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Table 2 Characteristics of the selected studies and Quality assessment (n = 11)

From: African immigrants’ health behaviors related to non-communicable diseases- a qualitative systematic review

Author, year

Purpose of study

Host country

Participant´s country of origin

Study design

Sampling instrument

Sampling size

Study Findings relevant to the research

Quality Assessment (1–10)

Addo et al., 2019

To explore socio-cultural beliefs about an ideal body size among Australian residents who were born in Sub-Saharan Africa

Australia

Sub Saharan Africa

Qualitative

Interview

24

A moderately large body size is idealized in sub–Saharan Africa communities. Post-migration weight gain is regarded as evidence of well-being. Body ideals are different for men and women, ideals promoted by family and friends

8 High quality

Adekeye et al., 2014

To understand health literacy levels, and health concerns from the perspective of older African immigrants, to empower the African immigrant community to express their opinions and to inform and influence key community stakeholders of issues identified by the African immigrant community

United States

African immigrants

Qualitative

Photography with focus group interview

15

Nutrition, obesity and physical activity, occupational regulation and educational opportunities, feeling of security and public safety, ethno-racial diversity and the health care system, and religiosity and social well-being

8 High quality

Alemu et al., 2021

To explore the behavioral, normative and control beliefs of physical activity among first-generation Ethiopian immigrants living in the DC-Metro area

United States

Ethiopia

Qualitative

Focused group interviews,observations

15

Increased longevity, mental well-being, improved sleep and improved metabolism were listed as the common benefits of physical activity. Lack of time, family responsibility, neighbourhood safety, location of the gym, lack of awareness and social and economic stressors were the major barriers to engage in physical activity

8 High quality

Babatunde-Sowole et al., 2018

Describe women's experiences of weight gain and obesity as they became acculturate to the Australian diet and lifestyle

Australia

West African countries

Qualitative

Storytelling using open ended questions

11

Obesity has long -term consequences for health and wellbeing

7 Moderate quality

Brathwaite & Lemonde, 2015

To explore health beliefs held by adult African immigrants regarding diabetes and their practices in preventing it

Canada

African immigrants

Qualitative

Focus group interview

14

Health beliefs and cultural practices influenced behaviour in preventing type 2 diabetes

8 High quality

Ibe-Lamberts et al., 2018

To explore the cultural perception of transnational African immigrants on physical activity and to investigate the various factors that influence attitudes and beliefs of transnational African immigrants towards physical activity based on their multinational connection

United States

Nigeria

Qualitative

Interview with photo-elicitation

24

Participants identified factors such as cultural differences, lack of education, and transnational responsibilities as influential to their choices for physical activity

6 Moderate quality

Janzon & Bolmsjö, 2013

To examine post migration dietary changes, and knowledge about risks for heart diseases among Somali women. To examine the women's perceptions of body image, self-esteem, and their knowledge about the positive effect of physical activity

Sweden

Somali

 

Interview

8

Somali migrated women in Sweden had changed their diet and experienced weight increase. They reported low self-esteem and little motivation for physical activity. Participants'general knowledge about the relation between obesity and inactivity enhanced risk for heart diseases and had preference for a larger female body image. Participants also expressed low self-esteem, loneliness and alienation from society

7 Moderate quality

Kaplan et al., 2013

To understand the perception of Ghanaians immigrants of the health status and heath trajectory of their community

United States

Ghana

Qualitative

Focus group interview

63

Changes in health behaviors, increased stress, environmental exposures, and barriers to health care

6 Moderate quality

Nicolaou et al., 2012

To gain insight into the influences on Moroccan migrant women's weight and weight related behaviour by enriching their perspectives with those of their non-migrant compatriots living in Morocco

Netherlands

Morocco

Qualitative

Focus group

53

Lack of knowledge regarding appropriate physical activity. Low levels of physical activity attributed to changes in lifestyle due to migration, with problems adjusting to these changes. A cultural shift in preference towards slimmer body sizes was also reported

6 Moderate quality

Simonsen et al., 2015

To learn about the underlying social, cultural and gender issues that contribute to the increased obesity risk among Utah women and to inform intervention development

United States

Burundi, Rwanda, African Americans, African Indians, Hispanics and pacific Islanders

Qualitative

Focus group interviews

60

Health is multidimensional, a lack of resources and time influence physical activity behaviours and food choices, the norms about healthy weight vary across cultural groups, women and men have important but different influences on diet and physical activity practices within the house hole, women hold an influential role in the health of families and children, and opportunities exist within each of the communities to improve weight related health

6 Moderate quality

Turk et al., 2014

To explore the perceptions and practices of Nigerian immigrants regarding healthy eating and physical activity in the United States, to assess the influence of cultural beliefs of Nigerian immigrants on eating and physical activity, to describe the role that healthcare providers can play to promote healthy eating and physical activity and to evaluate the feasibility of Nigerian immigrants regarding healthy eating and physical activity

United States

Nigeria

Qualitative

Photography with focus group discussions

13

Moderation is healthy, Nigerian ways of living are healthy, acquiring American ways is unhealthy, and cultural context is important to promote healthy behaviors

7 Moderate quality