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پاورپوینت کامل Relationship between Ayurvedic way of life and wellness in Indo-Canadians with and without Cancer 51 اسلاید در PowerPoint
اسلاید ۴: I. Background /RationaleSince the 1960s Immigration has increased greatly to Canada, more so from the Asian sub-continent. Indo-Canadians are the second largest Ethnic group among immigrants in Canada after the Chinese.1There are disparities in health and health outcomes among immigrants compared to the Canadians. We need to understand the health beliefs and various health related practices to understand how and why the “healthy immigrant effect” is lost over a period of time. Current research would help bridge the gap that exists in this learning and help cater to immigrants’ needs accordingly. II. ObjectivesTo examine, to what extent the Ayurvedic way of life is associated with Self Rated Health (wellness) among Indo-Canadians with cancer, compared to non-Indo-Canadians with cancer, using the CCHS 2.1To compare how Indo-Canadians with and without cancer rely on Ayurvedic way of life to achieve wellness, using CCHS 2.1To better understand the perspectives of Ayurvedic way of life in Indo-Canadian cancer patients, and its contribution to their own wellness.
اسلاید ۵: III. Brief Literature Review – AyurvedaAyurveda is whole system of healthcare that originated in India around 3000 B.C.2Ayurveda, is an ancient practice, and is a nature based philosophy that stresses the integration of body, mind and spirit and has its roots in the spiritual Hindu culture. 3‘Ayu’ – means life or longevity and ‘Veda’ – means knowledge.4 The underlying beliefs and principles are built on five elements of nature – Earth, Fire, Water, Air and Vacuum or Space. 5Ayurvedic philosophy believes that all the factors in life such as diet, exercise, weather, emotions, family dynamics, are much like the waves of the sea, which constantly are out of sync throw us out of a healthy balance. 2,6The balance has to be actively regained and maintained through the 7 broad areas of health of Ayurveda. 7
اسلاید ۶: III. Brief Literature Review – Ayurveda Contd…Ayurvedic practitioners identify a persons’ constitution or “dosha” (psycho-physiological governing factors that have lost balance), as the basis for health and treatment along with treating the illness.63 Types of Doshas – “Pitha”, “Vatha” and “Kapha.”۷Disease is seen as loss of dynamic balance and to not only heal disease but to re-establish balance to prevent disease from re-occurring of disease and promote positive health. To achieve balance there are 7 broad areas in Ayurveda: 7 1. Diet 2. Detoxification 3. Physical Activity 4. Relaxation Techniques 5. Oral Health 6. Rejuvenation Techniques 7. Religion and Spirituality
اسلاید ۷: Mediating Factors that may be CatalystsMediating Factors that may be BarriersConceptual Framework – Model Proposed for the study Source: Spector RE. Cultural diversity in health and illness 1985; Oxford University Press Inc. Components of Ayurvedic philosophy/ Indo-Canadian way of lifeDiet(Fruit and Veg. consumption)Detoxification(Food Choices)Physical Exercise(Physical activities)Relaxation Technique(Leisure activities)Rejuvenation Techniques(Dietary Supplement use) (Changes made to improve healthReligion/SpiritualityOral Health(Dental visits)ReligionSocializationCultureEthnicityWellness(SRH)Length of Stay in Canada
اسلاید ۸: ۱. Diet (Total Fruit and Vegetable Consumption); 2. Detoxification (chooses / Avoids foods for health Reasons); 3. Physical Activity ( Freq. Physical Activity); 4. Relaxation Techniques (Sedentary Activities); 5. Oral Health (# of times one brushes teeth); 6. Rejuvenation Techniques (Dietary Supplement use); 7. Religion and Spirituality (Religion and Spirituality).Variables chosen from the CCHS (2.1) Survey to operationalize the Ayurvedic way of life
اسلاید ۹: IV MethodologyPart 1 – Quantitative
اسلاید ۱۰: CCHS – ۱۴۶ Health Regions (HRs) participated in the study.Sample – ۱۳۵,۵۷۳ un-weighted cases (respondents) from all the HRs answered the survey. Age – ۱۲ and above participated.The Survey is divided into 2 sections – a. Main Modules b. Optional ModulesEach question under these modules (sections) is treated as a variable and some of the questions from each of these sections have been selected to be the proxies for Ayurvedic way of life (ref. model for the study).All the variables were selected based on the review of the Ayurvedic literature.After the questions to use have been selected, some of the variables were re-coded for the purpose of analysis.The Canadian Community Health Survey (CCHS – cycle 2.1)
اسلاید ۱۱: Outcome Variable – Self Rated Health (Wellness).Independent Variables – Total Fruit and Vegetable Consumption; Chooses/Avoids foods for health reasons; Physical activity; Sedentary activities; Freq. of brushing teeth.Demographic Variables / potential Confounders – Age; Gender, Education, Income, Marital Status; Satisfaction with life.Variables used for the Study
اسلاید ۱۲: Table 1 Main Modules in the Survey CCHS (2.1)
اسلاید ۱۳: Optional Modules No. of Health Regions that selected the moduleFrequenciesRejuvenation Techniques(Changes to improve health) (Dietary Supplements)414Valid N 134,433Missing 1,140Valid N 3,948Missing 131,625Oral health (Freq. of Brushing teeth)66Valid N 41,918Missing 93,655Detoxification (Chooses /Avoids foods)85Valid N 101,268Missing 34,305Relaxation Techniques(Sedentary/Leisure Activities)48Valid N 58,169Missing 77,404Satisfaction with life8Valid N 132,279Missing 3,294 Self Esteem7Valid N 8,927Missing 126,646Mastery –Scale6Valid N 1,423Missing 134,150Table 1 Optional Modules in the Survey CCHS (2.1) Contd…
اسلاید ۱۴: Table 1 Optional Modules in the Survey CCHS (2.1) Contd…
اسلاید ۱۵: Table 2 Recoded Variables
اسلاید ۱۶: Table 2 Recoded Variables Contd…
اسلاید ۱۷: Analytical FrameworkAyurvedic way of life1. Fruit and veg. Consumption(Representing diet in Auyrveda)2. Food Choices(Representing Detoxification)3. Physical Activities(Representing Physical activities)4. Leisure Activities(Representing Relaxation Techniques)5. Dietary Supplement Use andChanges made to improve health(Representing Rejuvenation techniques)6. Spirituality(Representing Religion and Spirituality)7. Dental Visits and oral health(Representing Oral Health)Demographics(Age, Gender, Marital Status)Length of StaySocial SupportSatisfaction with lifeUse of CAMSES/ Language(Income, Education)Perceived Control Over Life (mastery)SRH(Wellness)
اسلاید ۱۸: V Results Part 1 Quantitative
اسلاید ۱۹: VariableNon – Indo-Canadians with Cancer n (%)Indo-Canadians With Cancern (%)Indo-Canadians without Cancern (%)Age>6544-6512-44206,142 (47.1)165,690 (37.9)66,576 (15.0)1,672 (26.3)3,506 (55.2)1,170 (18.4)61,423 (6.8)214,120 (23.6)632,882 (69.7)GenderMale Female202,047 (46.2)235,361 (53.8)1,102 (17.4)5,246 (82.6)488,388 (53.8)420,087 (46.2)Marital StatusSingleNot Single105,045 (24.0)290,598 (66.4)1,521 (24.0)3,838 (60.5)67,768 (7.5)571,259 (62.9)Education< than Secondary gradSecondary gradOther-post-sec/ univ. graduate84,133 (19.2)54,381 (12.4)272,377 (62.3)411 (6.5)126 (2.0)5,811 (91.5)46,926 (5.2)97,651 (10.7)695,223 (76.5)Income Low IncomeMiddle or High36,373 (8.3)335,811 (76.8)983 (15.5)5,336 (84.1)100,973 (1
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