چکیده (انگلیسی):

Background:Low participation rates among ethnic minorities in preventive healthcare services are worrisome and
not well understood. The objective of this study was to explore how adults of Turkish and Moroccan origin living in
the Netherlands, aged 45 years and older, can be reached to participate in health checks for cardio-metabolic
diseases and follow-up (lifestyle) advice.
Methods:This mixed-methods study used a convergent parallel design, to combine data of one quantitative
study and three qualitative studies. Questionnaire datawere included of 310 respondents, and interview data
from 22 focus groups and four individual interviews. Participants were recruited via a research database, general
practitioners and key figures. Quantitative data were analysed descriptively and qualitative data were analysed
using a thematic approach.
Results:Regarding health checks, 50 % (95 % CI 41;59) of the Turkish questionnaire respondents and 66 % (95 %
CI 57;76) of the Moroccan questionnaire respondents preferred an invitation from their general practitioner. The
preferred location to fill out the health check questionnaire was for both ethnic groups the general practitioner’s
office or at home, on paper. Regarding advice, both groups preferred to receive advice at individual level rather
than in a group, via either a physician or a specialised healthcare professional. It was emphasised that the person
whogiveslifestyleadviceshouldbefamiliarwiththe(eating) habits of the targeted individual. Sixty-one percent
(95 % CI 53;69) of the Turkish respondents preferred to receive information in their native language compared to
37 % (95 % CI 29;45) of the Moroccan respondents. Severalparticipants mentioned a low proficiency in the local
language as an explanation for their preference to fill out the health check questionnaire at home, to receive
advice from an ethnic-matched professional, and to receive information in their native language.
Conclusions:The general practitioner is considered as a promising contact to reach adults of Turkish and Moroccan
origin for health checks or (lifestyle) advice. It might be necessary to provide information in individuals’ native language
to overcome language barriers. In addition, (lifestyle) advice must be tailored. The obtained insight into preferences of
Turkish and Moroccan adults regarding reach for preventive healthcare services could help professionals to successfully
target these groups.