The Perceptions of Physical Activity in the Somali Community of Minnesota

Faculty Advisor: Sarah SevcikThis research was supported by the Undergraduate Research Opportunities Program (UROP)

The Perceptions of Physical Activity in the Somali Community of the Twin Cities of Minnesota [University of Minnesota, Twin Cities]

This qualitative research investigates the perceptions of physical activity held by Muslim Somali men and women in the Twin Cities of Minnesota. Following the civil war in Somalia in the early 90s, Minnesota received a large influx of Somali-identified people who eventually formed the largest Somali community in the country. As members of this community, we have observed the wide array of beliefs in how Somali people view physical activity and its importance. Little information exists in the literature about the physical activity levels of Somali-identified people since most of this health information is categorized by race. Semi-structured interviews were conducted in Spring 2018 with participants recruited from local college campus’, mosques, and community centers. Questions probed at how factors such as age, gender, and immigration status impact physical activity. A total of eighteen adult participants were interviewed, eight males and ten females. Data analysis of transcripts included data reduction, conclusion drawing, and verification, using at least two independent reviewers at each stage to protect against bias. Preliminary results demonstrate that most participants conveyed that their religion and culture promote health, but may hinder rates of physical activity. Results also show that changes in lifestyle between Somalia and the US have a direct effect on the decreased rates of physical activity. Immigrant participants listed a different set of needs upon coming to the United States, and physical activity did not rank highly on that list for most. Implications for practice will be discussed, including the need for culturally relevant health promotion as a means of adaptation into the westernized culture and the need for interventions that allow students to incorporate physical well-being with their studies.</jats:p

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research