Older Moroccan-Dutch migrant women exhibit high rates of diabetes, hypertension, overweight and obesity which is further compounded by their high risk of multi-morbidity. Healthcare professionals’ efforts to encourage this group to adopt a healthier lifestyle have little success. We ask ourselves whether the concepts used in health education and promotion relate to these women’s experiences and beliefs. Today’s pluralistic Dutch society requires a more differentiated and applied approach, not in an essentialist way but in awareness that translation of rather individualized concepts like health and lifestyle is not always adequate, as the meaning and interpretation of such concepts may differ and may be related to women’s other (fundamental) perceptions. This can have practical consequences for health promotion and education. The aim of this explorative, qualitative research, conducted between April and September 2015 and taking an intersectional approach, was to explore older Moroccan-Dutch women’s perceptions of health and lifestyle and to analyse these in a broader context, related to other fundamental forms of identity such as gender, culture and religion. We recruited women with Moroccan backgrounds by approaching Moroccan women’s organisations and using the snowballing method (chain-referral sampling). Seven ‘natural’ group discussions were held (amongst women who regularly meet each other, aged between 22 and 69 years), and twelve in-depth interviews and an observation day (with women from 40 to 66 years). The transcripts were then analysed using thematic content analysis. Five major themes were identified. Health was perceived of in the terms used in prevailing health promotion discourses in the Netherlands, but lifestyle was interpreted in a much broader sense than the current health promotion debate allows; it is not seen as an individual responsibility or as something an individual could control on their own, and the social benefits of health behaviours appear to outweigh the health benefits themselves. Lifestyle was located in three main social identities of the women: Moroccan, Muslim and mother. Finally, Ramadan played a huge and dominant role in the lifestyle experience of older Moroccan women and was central in this research. The finding that lifestyle is not seen as an individual responsibility but is located in social identities, can be applied to other settings that older migrant-Dutch women occupy. Further research will clarify this.

中文翻译：

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“在这个年龄，摩洛哥妇女的生活已经结束了。”摩洛哥荷裔移民妇女对健康和生活方式的看法，重点是斋月的经历：结合教育和咨询的定性研究。

摩洛哥荷裔移民妇女中，糖尿病，高血压，超重和肥胖症的发生率较高，而其多发病的高风险则使情况更加复杂。医疗保健专业人员为鼓励该群体采取更健康的生活方式所做的努力几乎没有成功。我们问自己，在健康教育和促进中使用的概念是否与这些妇女的经历和信念有关。当今的多元化荷兰社会需要一种更加差异化和适用的方法，而不是以本质主义的方式，而是要意识到，诸如健康和生活方式之类的相当个性化的概念的翻译并不总是足够的，因为这些概念的含义和解释可能有所不同，并且可能与妇女的其他（基本）观念。这可能对健康促进和教育产生实际影响。这项探索性，定性研究于2015年4月至9月进行，目的是采取交叉研究的方式，旨在探索摩洛哥荷兰裔女性对健康和生活方式的看法，并在更广泛的背景下分析与其他基本身份认同有关的看法例如性别，文化和宗教信仰。我们通过与摩洛哥妇女组织联系并使用滚雪球方法（连锁推荐抽样）招募了具有摩洛哥背景的妇女。进行了七次“自然”小组讨论（在定期聚会的22至69岁之间的女性中），以及十二次深度访谈和观察日（与40至66岁的女性进行了交流）。然后使用主题内容分析法分析成绩单。确定了五个主要主题。在荷兰流行的健康促进话语中，人们对健康有一定的了解，但是对生活方式的解释比当前的健康促进辩论所允许的意义要广泛得多。它不被视为个人责任或个人可以控制的事情，健康行为的社会效益似乎超过了自身的健康效益。生活方式位于妇女的三个主要社会身份中：摩洛哥人，穆斯林和母亲。最后，斋月在摩洛哥老年妇女的生活方式中扮演着巨大的主导角色，是这项研究的核心。生活方式不被视为一种个人责任而是存在于社会身份中的发现，可以应用于其他移民荷兰妇女所占据的其他环境。进一步的研究将澄清这一点。