Exploring church members’ perceptions towards physical activity, fruits and vegetables consumption, and church's role in health promotion: implications for the development of church-based health interventions

Authors

  • Oluwakemi Odukoya Department of Community Health and Primary Care, College of Medicine, University of Lagos & Lagos University Teaching Hospital, Idi-Araba, Lagos State https://orcid.org/0000-0001-7199-3300
  • Ikenna Molobe Department of Community Health and Primary Care, College of Medicine, University of Lagos & Lagos University Teaching Hospital, Idi-Araba, Lagos State
  • Oridota Olufela Department of Community Health and Primary Care, College of Medicine, University of Lagos & Lagos University Teaching Hospital, Idi-Araba, Lagos State
  • Esther Oluwole Department of Community Health and Primary Care, College of Medicine, University of Lagos & Lagos University Teaching Hospital, Idi-Araba, Lagos State
  • Victoria Yesufu Department of Community Health and Primary Care, College of Medicine, University of Lagos & Lagos University Teaching Hospital, Idi-Araba, Lagos State
  • Folasade Ogunsola Department of Microbiology and Parasitology, College of Medicine, University of Lagos
  • Kolawole Okuyemi Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT

DOI:

https://doi.org/10.4081/jphia.2023.2112

Keywords:

Fruits, Vegetables, Physical Activity, Bible, Health Promotion, Focus Groups

Abstract

Background: The study explored the perceptions of church members towards physical activity (PA), the consumption of fruits and vegetables (FV), and the church’s role in health promotion prior to the development of a church-based intervention for physi-cal activity and fruit and vegetable consumption in Lagos, Nigeria.

Method: Sixteen focus group discussions (FGD) and eleven key Informant Interviews (KII) were conducted. Eight FGDs among adults and four among the youth and the elderly church members. Key informant interviews were held among church lead-ers and members of the church medical advisory. Study findings were categorized under thematic headings. Based on the data anal-ysis, several key themes were identified: the knowledge of the con-cept of health and common health problems, opinions of physical activity, opinions of healthy eating and fruit and vegetable con-sumption, types and attitudes towards existing church-based health programs and the role of the church in health promotion and church-based health programs. Within each theme, several child-themes were noted such as the challenges with fruit and vegetable consumption, biblical support for physical activity and fruit & veg-etable consumption, the role of the church leaders, program sus-tainability and barriers to participation.

Results: The participants perceived health not only as the absence of disease but as general well-being of the body and soul. Health was also related to the ability to perform religious activities. Common health problems included a mix of communicable and non-communicable diseases. They are aware that physical activity, fruits and vegetables are essential for healthy living. The youth saw it as a means of improving their physical appearance however the elderly expressed concerns about the possibility of associated trips and falls. Overall, they viewed fruits and vegetables as healthy foods while processed western foods were perceived as unhealthy. Fruits and vegetables were seen as beneficial primarily to aid food digestion, boost immunity, improve youthfulness, aid weight control and to prevent chronic disease. The study partici-pants agreed that the church, as an institution, has a significant role to play in promoting the health of her members. Instituted health committees embedded within existing church structures often lead church-based health-promoting activities and are imperative for sustainability. Types of health programs included health talks, screening programs for common NCDs, sport competitions, distri-butions of FV during church ceremonies such as harvests, Lenten seasons, Love feasts and church bazaars. Health outreaches were seen as a means of evangelism, and it was unanimously agreed that the Bible supports PA and healthy eating. Generally, the respon-dents had positive attitudes towards church-based health programs and they advised that future programs include the use of technolo-gy and should be integrated into existing church activities to improve participation. The participants also noted that the opinion of the church leaders influences the behaviours of church members and their support is critical in the development and implementation of church-based health programs.

Conclusion: Church members are aware that physical activity and the consumption of fruits and vegetables are important for healthy living and expressed support for church-based health programs. They believe that the Bible supports the promotion of PA and FV consumption as healthy behaviours. Program integration, the use of technology and support of church leaders and existing church medical advisory groups are imperative for developing and sustaining church-based health programs.

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Author Biography

Oluwakemi Odukoya, Department of Community Health and Primary Care, College of Medicine, University of Lagos & Lagos University Teaching Hospital, Idi-Araba, Lagos State

Oluwakemi O. Odukoya M.B.B.S. M.P.H. M.Sc. F.M.C.P.H. Associate Professor & Consultant Public Health Physician, Department of Community Health and Primary Care, College of Medicine, University of Lagos & Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria Nigeria

References

World Health Organization. Global Status Report on Non-communicable Diseases. 2011. Switzerland.

World Health Organisation. Global Status Report on Non-com-municable Diseases. 2014. Available at chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://apps.w ho.int/iris/bitstream/handle/10665/148114/9789241564854_e ng.pdf. Accessed October 2021

Brown DR, Carroll DD, Workman LM, Carlson SA, Brown DW. Physical activity and health-related quality of life: US adults with and without limitations. Quality of life research. 2014 Dec;23(10):2673-80. DOI: https://doi.org/10.1007/s11136-014-0739-z

World Health Organization. Increasing fruit and vegetable con-sumption to reduce the risk of noncommunicable diseases. 2019. Available at https://www.who.int/elena/titles/fruit_veg-etables_ncds/en/Google Scholar. Accessed October 3, 2021.

Duffy B. Ipsos Global Advisory: Supreme beings: The afterlife and evolution. 2011. Available at https://www.ipsos.com/en-us/news-polls/ipsos-global-dvisory-supreme-beings-afterlife-and- evolution. Accessed September 15, 2021

Pew Research Center. Tolerance and Tension: Islam and Christianity in Sub-Saharan Africa, Templeton Global Religious Futures Project. 2010. https://www.pewforum.org/2010/04/15/executive-summary-islam-and-christianity-in-sub- saharan-africa/ Accessed October 2021

Tan MM, Chan CK, Reidpath DD. Religiosity and spirituality and the intake of fruit, vegetable, and fat: A systematic review. Evidence-Based Complementary and Alternative Medicine. 2013 Jan 1;2013. DOI: https://doi.org/10.1155/2013/146214

Koenig HG, King DE, Carson VB. Handbook of Religion and Health. Oxford University Press, New York, NY 2012.

Peters NA. Identifying Associations between Religious Commitment and Preventive Health Behaviors in a Southeastern Rural County (Doctoral dissertation, University of South Carolina). Available at https://scholarcommons.sc.edu/etd/4357 Accessed October 2021

Wilcox S, Saunders RP, Kaczynski AT, Forthofer M, Sharpe PA, Goodwin C, Condrasky M, Kennedy Sr VL, Jake-Schoffman DE, Kinnard D, Hutto B. Faith, activity, and nutri-tion randomized dissemination and implementation study: countywide adoption, reach, and effectiveness. American jour-nal of preventive medicine. 2018 Jun 1;54(6):776-85. DOI: https://doi.org/10.1016/j.amepre.2018.02.018

Cassell, C. and Symon, G. eds., 2004. Essential guide to qual-itative methods in organizational research. sage. London: Sage. 2004. DOI: https://doi.org/10.4135/9781446280119

Braun V, Clarke V. Using thematic analysis in psychology. Qualitative research in psychology. 2006 Jan 1;3(2):77-101. DOI: https://doi.org/10.1191/1478088706qp063oa

National Physical Activity Plan Alliance (NPAP). National Physical Activity Plan. 2016 Available at: http://physicalactiv-ityplan.org/docs/2016NPAP_Finalforwebsite.pdf. Accessed October 2021

World Health Organization. More Active People For A Healthier World: Draft Global Action Plan On Physical Activity 2018–2030. 2018. Geneva. Available at: http://apps.who.int/iris/bitstream/handle/10665/272722/97892 41514187-eng.pdf.

Holt CL, Roth DL, Clark EM, Debnam K. Positive self-per-ceptions as a mediator of religious involvement and health behaviors in a national sample of African Americans. Journal of behavioral medicine. 2014 Feb;37(1):102-12. DOI: https://doi.org/10.1007/s10865-012-9472-7

Idler EL. Religion, health, and nonphysical senses of self. Social Forces. 1995 Dec 1;74(2):683-704. DOI: https://doi.org/10.2307/2580497

Galvez CA, Calbayan C, Pondi K, Vallejos M. Influence of Knowledge and Attitude on Lifestyle Practices Among Seventh-Day Adventists in Metro Manila, Philippines. Journal of religion and health. 2021 Apr;60(2):1248-60. DOI: https://doi.org/10.1007/s10943-020-01091-8

Austin S,Harris G. Addressing Health Disparities: The Role of an African American Health Ministry Committee, Social Work in Public Health, 2011; 26:1, 123-135, DOI: 10.1080/10911350902987078 DOI: https://doi.org/10.1080/10911350902987078

Heward-Mills NL, Atuhaire C, Spoors C, Pemunta NV, Priebe G, Cumber SN. The role of faith leaders in influencing health behaviour: a qualitative exploration on the views of Black African Christians in Leeds, United Kingdom. The Pan African Medical Journal. 2018;30. DOI: https://doi.org/10.11604/pamj.2018.30.199.15656

Lumpkins CY, Greiner KA, Daley C, Mabachi NM, Neuhaus K. Promoting healthy behavior from the pulpit: Clergy share their perspectives on effective health communication in the African American church. Journal of religion and health. 2013 Dec;52(4):1093-107. DOI: https://doi.org/10.1007/s10943-011-9533-1

Published

01-02-2023

How to Cite

Odukoya, O., Molobe, I., Olufela, O., Oluwole, E., Yesufu, V., Ogunsola, F., & Okuyemi, K. (2023). Exploring church members’ perceptions towards physical activity, fruits and vegetables consumption, and church’s role in health promotion: implications for the development of church-based health interventions. Journal of Public Health in Africa, 14(1). https://doi.org/10.4081/jphia.2023.2112

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Original Articles