Table 3.

Recommendations for physical activity promotion among Somali men

Organizational level Assure a “critical mass” of Somali participants to avoid sociolinguistic isolation and embarrassment. Foster acceptance of non-standard exercise clothing. Facilitate opportunities for a broad “menu” of individual aerobic exercises, strength training, and team-based activities. Assign exercise guides (coaches) for exercise opportunities. Develop a “buddy system” for accountability and socialization. Avoid structured group exercise classes. Incorporate walking groups into programs, particularly with elders. Explore low-cost options for exercise. Facilitate transportation (e.g., community-based car pooling) for elders. Maintain rigorous indoor physical activity options, particularly in the winter.

Community level Draw on existing channels of community advocacy within the Somali community to lead and facilitate “word of mouth” action. In spite of obstacles, promote physical activity as an opportunity to embrace and integrate with the broader, non-Somali communities. Maintain an atmosphere of complete intolerance for harassment of and false assumptions about a group of Somali men.