Haeyoung Jang

Culture and sun exposure in immigrant East Asian women living in Australia

In this qualitative study, researchers examined cultural and attitudinal factors that might be related to sun-exposure behaviors among East Asian women living in Australia. Researchers asked Chinese (n = 20) and Korean (n = 16) immigrant women who participated in a larger cross-sectional quantitative study of vitamin D blood levels to volunteer to participate in an in-depth interview in 2010. These women reported a number of cultural factors related to their attitudes and behaviors with regard to sun exposure. They expressed preference for fair skin, a tradition of covering skin when outdoors, and no sunbathing culture. They believed that fair skin was more beautiful than tanned skin. They reported that beauty was the reason for active avoidance of sunlight exposure. Although they reported knowledge of the need for sun avoidance due to skin cancer risk, few reported knowledge about the benefits of sun exposure for adequate vitamin D levels. These findings may provide some reasons for vitamin D deficiency previously reported in these populations. Thus, researchers recommend that these attitudes of excessive sun protection and limiting sun exposure be further investigated as they may have implications for planning and delivery of health promotion programs to this growing population of immigrants in Australia.

Cultural influences on exercise participation and fall prevention: a systematic review and narrative synthesis

Abstract Purpose: We aim to provide a systematic review of qualitative research evidence relevant to the experiences and perceptions of program providers and participants from culturally and linguistically diverse (CALD) backgrounds regarding (i) exercise and (ii) fall prevention programs for older people. Method: Using a narrative synthesis approach, we reviewed published journal articles reporting qualitative data. Electronic and manual literature searches were conducted to identify 19 publications that met the inclusion criteria. Of these, 16 discussed exercise and three focused on broader fall prevention programs. However, no studies were identified that explored the perspective of the program providers. Results: An overarching theme emerged identifying the influence of cultural values and perceptions on program participation. Also, identified were motivational, social and environmental influences. Conclusion: Exercise and fall prevention interventions need to be culturally appropriate and utilise the positive influences of social support, especially from physicians and family. While these findings can be used to inform the delivery of programs to these population groups, future studies should focus specifically on experiences and perceptions of older CALD people of fall prevention programs as well as the perspectives of program providers. Implications for Rehabilitation Program participation is influenced by cultural values and motivational, social and environmental factors. The meaning and importance of exercise can vary between and within cultures. Exercise and fall prevention interventions need to be culturally appropriate and utilise the positive influences of social support, especially from physicians and family. Providing information that falls can be prevented and the reasons why behaviours need to change will be more likely to encourage older people from CALD backgrounds to contemplate participation.

Vitamin D and Metabolic Syndrome in Immigrant East Asian Women Living in Sydney, Australia: A Pilot

Background: As epidemiological studies have linked vitamin D deficiency to risk of metabolic syndrome, we investigated vitamin D deficiency with metabolic syndrome prevalence in immigrant Asian women. Materials and Methods: In a cross-sectional pilot survey of older East Asian women (n=85 aged 60-95) we examined the association between vitamin D status (measured by serum 25-hydroxyvitamin D) with metabolicsyndrome risk factors. Results: The population mean for 25-hydroxyvitamin D concentration in serum was 56 ± 22 nmol/L with forty percent being vitamin D deficient (< 50 nmol/L). Ninety-eight percent of the population had at least one metabolic syndrome risk factor, 85% had two, 55% had three and 8% had four. Having four metabolic syndrome risk factors was associated with a three fold risk of vitamin D deficiency. Vitamin D deficiency was associated with high non-fasting blood glucose levels ≥7.7 mmol/L (OR=5.2, 95%CI=1.8-18) and non-significantly, with being overweight (OR=1.8, 95%CI =0.7-5). In contrast, vitamin D deficiency was not associated with either hypertension or central obesity. Environmental factors associated with vitamin D deficiency in these data were no vitamin tablet intake (calcium or vitamin D) (OR=7.2, 95%CI=1.8-29; OR=6.3, 95%CI=1.2-32, respectively); not being acculturated to an Australian lifestyle, (OR=2.6, 95%CI=0.9-8) or less sun exposure on the weekends (OR=3.6, 95%CI=1.0-13). After adjustment for these predictors, if these Asian immigrants were vitamin D deficient they were at an eight fold risk of having high blood glucose measurements (OR=7.6, 95%CI=1-53). Conclusion: Further larger prospective studies should be conducted to examine the association between vitamin D deficiency and risk of metabolic syndrome in similar immigrant populations.

Men's perspectives on fall risk and fall prevention following participation in a group‐based programme conducted at Men's Sheds, Australia

Research on older mens views regarding fall prevention is limited. The purpose of this qualitative study was to explore the experiences and perspectives of older men regarding fall risk and prevention so that fall prevention programmes can better engage older men. Eleven men who had taken part in a group-based fall prevention programme called Stepping On conducted at Mens Sheds in Sydney, Australia, participated in semi-structured interviews during June and July 2015 which were audio-recorded and transcribed. Data were coded and analysed using constant comparative methods. Over-arching theoretical categories were developed into a conceptual framework linking programme context and content with effects of programme participation on men. Mens Sheds facilitated participation in the programme by being inclusive, male-friendly places, where Stepping On was programmed into regular activities and was conducted in an enjoyable, supportive atmosphere. Programme content challenged participants to think differently about themselves and their personal fall risk, and provided practical options to address fall risk. Two major themes were identified: adjusting the mindset where men adopted a more cautious mindset paying greater attention to potential fall risks, being careful, concentrating and slowing down; and changing the ways where men acted purposefully on environmental hazards at home and incorporated fall prevention exercises into their routine schedules. Practitioners can engage and support older men to address falls by better understanding mens perspectives on personal fall risk and motivations for action.

Masculinity and preventing falls: insights from the fall experiences of men aged 70 years and over

Abstract Purpose: To explore men’s fall experiences through the lens of masculine identities so as to assist health professionals better engage men in fall prevention programs. Methods: Twenty-five men, aged 70–93 years who had experienced a recent fall, participated in a qualitative semi-structured interview. Men’s willingness to engage in fall prevention programs taking account of individual contexts and expressions of masculinity, were conceptualised using constant comparative methods. Results: Men’s willingness to engage in fall prevention programs was related to their perceptions of the preventability of falls; personal relevance of falls; and age, health, and capability as well as problem-solving styles to prevent falls. Fall prevention advice was rarely given when men accessed the health system at the time of a fall. Conclusions: Contrary to dominant expectations about masculine identity, many men acknowledged fall vulnerability indicating they would attend or consider attending, a fall prevention program. Health professionals can better engage men by providing consistent messages that falls can be prevented; tailoring advice, understanding men are at different stages in their awareness of fall risk and preferences for action; and by being aware of their own assumptions that can act as barriers to speaking with men about fall prevention. Implications for rehabilitation Men accessing the health system at the time of the fall, and during rehabilitation following a fall represent prime opportunities for health professionals to speak with men about preventing falls and make appropriate referrals to community programs. Tailored advice will take account of individual men’s perceptions of preventability; personal relevance; perceptions of age, health and capability; and problem-solving styles.

Silence, mobility and ‘national values’: South Korean sex workers in Australia

Korean women sex workers have attracted attention from Australian border security, South Korean government officials and Korean-Australian communities. This article considers how the bodies of these women have become the ‘iconic sites’ (Luibhéid, 2002: ix–xxvii) on which the South Korean government and immigrant Korean-Australian communities perform ‘national values’. Within Korean-Australian communities, Korean sex workers have been perceived as threats to the immigrant project of socio-economic mobility and ‘legitimate’ citizenship. We consider the silence that is desired of sex workers within immigrant communities and how this can be co-opted by anti-trafficking discourses that are still predicated on the helpless, voiceless female victim.

Broken global explorations: The lived experience of Korean women working in the entertainment and sex industries in Sydney

There has been limited discursive space for Korean women in the sex and entertainment industries, particularly for those working overseas in countries including Australia, to narrate their experience. Bringing out the voices of these women to the forefront, this paper offers a nuanced understanding of their migration trajectories and working and living conditions. Neither the abolitionist nor the decriminalization approach fully understands how women in these industries fare. The former neglects the agency of women who voluntarily choose this work, while the latter tends to silence the women trafficked into the industry. These views fail to encompass women’s complicated lived experience, often falling outside this binary. The 22 women interviewed here described their involvement in the industry as a short-lived and auxiliary part of their global exploration. Although they voluntarily chose such work, and despite its legal status, they still suffer from the stigma associated with it, while their working conditions are often deceptive, abusive and exploitative. The paper suggests that we need to transcend the dichotomy between the “free” and the “trafficked” assumed by both global and national policies regarding the sex trade, in order to develop policies and programs to support and protect these migrant women better.

Experiencing Older Age in Korea and Australia The Role of Social Policies

This comparative study explores attitudes toward and experiences of ageing of 60 Koreans, aged between 55 and 65 years, residing in two countries: Korea and Australia. It examines similarities and differences in their perceptions of old age in the distinctive social welfare environments in which they live. It draws attention to the importance of social policies in affecting how people anticipate and experience old age.