Introduction
Despite low levels of physical activity among Arabs in
Israel, interventions designed to increase physical activity in this population
have been scarce. To improve our understanding of the cultural, religious, and
environmental barriers and enablers to physical activity, we conducted a
qualitative study among Arab Israeli college students in Israel.
Methods
A total of 45 students participated in 8 focus groups.
Purposeful sampling was used to capture the diverse characteristics of
participants. Two researchers analyzed the data independently guided by grounded
theory. Peer-debriefing sessions were held to group preliminary categories into
larger themes. Generally, consensus between researchers was high, and minor
differences were resolved.
Results
Participants recognized the importance of physical activity
in chronic disease prevention, yet most were not regularly physically active.
This contradiction could be explained by the fact that many participants lived
in an extended-family setting that deemphasized the importance of physical
activity. Women often found themselves exercising at odd hours so that they
would not be noticed by neighbors. Religion, in comparison, was considered a
facilitating factor because the scriptures supported physical activity.
Furthermore, an urban environment was an enabling factor because it provided
exercise facilities, sidewalks, and a socially acceptable venue for activity.
Participants felt resources were not allocated by the government to accommodate
physical activity.
Conclusion
Increasing Arab Israelis’ access to safe and culturally
appropriate exercise facilities should become a priority. Thus, policy changes
in allocating appropriate funds to promote physical activity must be considered,
along with using multiple health promotion strategies.