{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:36:54Z","timestamp":1792787814120,"version":"4.5.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Sigma Theta Tau International Honor Society of Nursing and the Sigma Foundation for Nursing","id":[{"id":"https:\/\/ror.org\/01c82hv29","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Public Health Research"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Increasing evidence supports the benefits of physical activity (PA) in lowering the risk of type 2 diabetes mellitus (T2DM) among middle-aged women. Despite the increased risk for T2DM at a younger age, South Asian (SA) women in the United States (U.S.) have lower PA than men and have been studied to a lesser extent. This study explored the culturally bound attitudes, behaviors, beliefs, and barriers related to PA among middle-aged SA women at risk for T2DM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive qualitative study involving focus group discussions (FGDs) with SA women (N=25) at risk for T2DM was conducted. Participants were recruited from SA religious\/faith communities and professional organizations in Houston, Texas, using purposive and snowball sampling. FGDs were audio-recorded and transcribed. Data were analyzed using Braun and Clarke\u2019s reflexive thematic analysis in MAXQDA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most participants were married, college-educated, employed, and first-generation immigrants. Two overarching themes\u2014barriers to PA and facilitators\/motivators of PA\u2014emerged, comprising six subthemes. Barriers included balancing roles and responsibilities and cultural attitudes and norms, while facilitators\/motivators included support systems, personal drives, role models, and exercise as enjoyable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Cultural attitudes and gender norms strongly influence PA behavior among SA women in the U.S. Collectivism expressed through bonding, accountability, enjoyment, and mutual encouragement is a key strength among SA women that shapes their PA experiences. Culturally appropriate intervention strategies may include offering peer-based, socially supported PA programs and targeted education to increase SA women\u2019s awareness of PA benefits across life stages.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/22799036261485478","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T08:06:26Z","timestamp":1788163586000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perspectives on physical activity participation in middle-aged U.S. South Asian women at risk for type 2 diabetes mellitus: A qualitative study"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5040-9299","authenticated-orcid":false,"given":"Nitha","family":"Mathew Joseph","sequence":"first","affiliation":[{"name":"The University of Texas Health Science Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madelene","family":"Ottoson","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica J.","family":"Brady","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1067-7088","authenticated-orcid":false,"given":"Raji","family":"Pillai","sequence":"additional","affiliation":[{"name":"University of Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina","family":"Katigbak","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandy D.","family":"Jones","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larking L.","family":"Strong","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"e_1_3_8_2_2","unstructured":"Budiman A Ruiz NG. Key facts about Asian origin groups in the US 2021. https:\/\/www.pewresearch.org\/fact-tank\/2021\/04\/29\/key-facts-about-asian-origin-groups-in-the-u-s\/ Accessed January 16 2026."},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.19365"},{"key":"e_1_3_8_4_2","volume-title":"Hispanic and Asian subgroups are at higher risk for Diabetes","author":"Centers for Disease Control and Prevention (CDC)","year":"2025","unstructured":"Centers for Disease Control and Prevention (CDC). Hispanic and Asian subgroups are at higher risk for Diabetes, 2025. https:\/\/archive.cdc.gov\/www_cdc_gov\/diabetes\/communication-resources\/hispanic-and-asian-subgroups-are-at-higher-risk-for-diabetes.html Accessed August 5."},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-013-0421-9"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.2012.06838.x"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2015.07.003"},{"key":"e_1_3_8_8_2","volume-title":"Benefits of physical activity","author":"Centers for Disease Control and Prevention (CDC)","year":"2025","unstructured":"Centers for Disease Control and Prevention (CDC). Benefits of physical activity, 2025. https:\/\/www.cdc.gov\/physical-activity-basics\/benefits\/?CDC_AAref_Val=https:\/\/www.cdc.gov\/physicalactivity\/basics\/pa-health\/index.htm Accessed January 16, 2026."},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000580"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2023.104789"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-019-00930-5"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2019.04.007"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-9-150"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0266599"},{"key":"e_1_3_8_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0193945917697218"},{"key":"e_1_3_8_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/07370016.2013.838482"},{"key":"e_1_3_8_17_2","doi-asserted-by":"publisher","DOI":"10.4278\/ajhp.130415-QUAL-175"},{"key":"e_1_3_8_18_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/827674"},{"key":"e_1_3_8_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cml066"},{"key":"e_1_3_8_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2018.06.006"},{"key":"e_1_3_8_21_2","doi-asserted-by":"publisher","DOI":"10.1037\/1099-9809.12.2.306"},{"key":"e_1_3_8_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/160940691101000407"},{"key":"e_1_3_8_23_2","volume-title":"One minute for your risk","author":"American Diabetes Association","year":"2025","unstructured":"American Diabetes Association. One minute for your risk, 2025. https:\/\/diabetes.org\/diabetes\/risk-test Accessed October 15."},{"key":"e_1_3_8_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40695-023-00090-5"},{"key":"e_1_3_8_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajpc.2025.101000"},{"key":"e_1_3_8_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_3_8_27_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_8_28_2","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_3_8_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_3_8_30_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_8_31_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-18288-1"},{"key":"e_1_3_8_32_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0003202"},{"key":"e_1_3_8_33_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-025-03877-y"},{"key":"e_1_3_8_34_2","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyh042"},{"key":"e_1_3_8_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.obmed.2018.06.001"},{"key":"e_1_3_8_36_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0273266"},{"key":"e_1_3_8_37_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0259248"},{"key":"e_1_3_8_38_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph120303152"},{"key":"e_1_3_8_39_2","doi-asserted-by":"publisher","DOI":"10.1139\/apnm-2012-0235"},{"key":"e_1_3_8_40_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0045333"},{"key":"e_1_3_8_41_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0264191"},{"key":"e_1_3_8_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2014.09.007"}],"container-title":["Journal of Public Health Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22799036261485478","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/22799036261485478","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22799036261485478","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T08:52:39Z","timestamp":1791967959000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/22799036261485478"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":41,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/22799036261485478"],"URL":"https:\/\/doi.org\/10.1177\/22799036261485478","relation":{},"ISSN":["2279-9036","2279-9036"],"issn-type":[{"value":"2279-9036","type":"print"},{"value":"2279-9036","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"article-number":"22799036261485478"}}