{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:37:42Z","timestamp":1777937862729,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T00:00:00Z","timestamp":1644278400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009047","name":"strategic research council","doi-asserted-by":"publisher","award":["303537"],"award-info":[{"award-number":["303537"]}],"id":[{"id":"10.13039\/501100009047","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Department of Nursing Science, University of Eastern Finland"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Public Health"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Immigrants have a higher risk of developing chronic diseases than the general population, but there is a lack of knowledge about appropriate counseling models to promote their health. This study aimed to explore Asian and Russian immigrants\u2019 perspectives in Finland on healthy lifestyle and healthy lifestyle counseling to improve the quality of the counseling in primary health care services to prevent type 2 diabetes and other chronic diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a qualitative study using semi-structured questions for eight focus groups. The participants were 46 adult immigrants (21 Asian and 25 Russian) living legally in Finland. Interviews were transcribed verbatim, coded, and analyzed using deductive content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We identified three themes regarding healthy lifestyle: (1) limited knowledge on different dimensions of healthy lifestyle, (2) understanding the impact of culture and community on healthy living, and (3) changing the lifestyle to live healthier after immigration. Moreover, we found three themes regarding healthy lifestyle counseling: (1) shortcomings in health care for providing healthy lifestyle counseling, such as lack of educational materials and miscommunication, (2) influential individual factors for using healthy lifestyle counseling, such as stress, and (3) positive outcomes of healthy lifestyle counseling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Developing a culturally tailored healthy lifestyle counseling program for the enhancement of immigrants\u2019 knowledge regarding healthy lifestyle with consideration of cultural and linguistic aspects is recommended for preventing chronic diseases among immigrants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14034948221075021","type":"journal-article","created":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T03:04:57Z","timestamp":1644289497000},"page":"371-380","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Immigrants\u2019 perspectives on healthy life and healthy lifestyle counseling: a focus group study"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1521-2386","authenticated-orcid":false,"given":"Maliheh","family":"Nekouei Marvi Langari","sequence":"first","affiliation":[{"name":"Department of Nursing Science, University of Eastern Finland, Finland"},{"name":"Finnish Institute for Health and Welfare, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaana","family":"Lindstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Public Health Solutions, Finnish Institute for Health and Welfare, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pilvikki","family":"Absetz","sequence":"additional","affiliation":[{"name":"Department of Public Health and Clinical Nutrition, University of Eastern Finland, Finland"},{"name":"Faculty of Social Sciences, Tampere University, Finland"},{"name":"Collaborative Care Systems, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiina","family":"Laatikainen","sequence":"additional","affiliation":[{"name":"Finnish Institute for Health and Welfare, Finland"},{"name":"Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Finland"},{"name":"Joint municipal authority for North Karelia social and health services (Siun sote), Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jussi","family":"Pihlajam\u00e4ki","sequence":"additional","affiliation":[{"name":"Public Health and Clinical Nutrition, Department of Medicine, University of Eastern Finland, Finland"},{"name":"Endocrinology and Clinical Nutrition, Department of Medicine, Kuopio University Hospital, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanja","family":"Tilles-Tirkkonen","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannele","family":"Turunen","sequence":"additional","affiliation":[{"name":"Department of Nursing Science, University of Eastern Finland, Finland"},{"name":"Kuopio University Hospital, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,8]]},"reference":[{"key":"bibr1-14034948221075021","first-page":"30","volume":"22","author":"Fernandez R","year":"2015","journal-title":"J Cult Divers"},{"key":"bibr2-14034948221075021","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckw041"},{"key":"bibr3-14034948221075021","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-013-2873-5"},{"key":"bibr4-14034948221075021","doi-asserted-by":"publisher","DOI":"10.1093\/jtm\/tay107"},{"key":"bibr5-14034948221075021","doi-asserted-by":"publisher","DOI":"10.1017\/S0021932015000206"},{"key":"bibr6-14034948221075021","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-015-1325-2"},{"key":"bibr7-14034948221075021","unstructured":"Statistics Finland. 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