Exploring the lived experience of alcohol use disorder patients in accessing hospitalized treatment care in Rwanda.

Physical activity (PA) is essential for health and well-being at all ages, with increasing benefits in later life. In older adults, regular PA helps prevent or manage age-related conditions, supports functional ability, and reduces the risk of falls and injuries [, ]. PA also improves cognitive function and reduces the risk of dementia []. Additionally, it promotes social interaction, helping to reduce loneliness []. Even low levels of moderate-to-vigorous PA are linked to a 22% reduction in mortality among older adults []. According to World Health Organization (WHO) guidelines [], adults aged 65 and over should engage in at least 150 min of moderate or 75 min of vigorous PA per week, along with balance and strength exercises at least twice weekly, such as dancing or Tai Chi []. Although the benefits of PA are well-documented, physical inactivity is common worldwide. The prevalence of physical inactivity increases with age []. In the UK the most recent data from the Active Lives Survey conducted by Sport England 2021–2022 shows that PA levels generally decrease with age, with the sharpest decrease coming at age 75 +; around 41% of adults aged 75 and over were classified as being physically inactive []. The 2021 Health Survey for England also highlights the lower PA levels among older adults: for example, over one third (36%) of adults aged 65 and over were classified as being physically inactive []. Physical inactivity is more prevalent among older ethnic minority groups. For example, in the UK, among individuals aged 55–74, the Chinese ethnic group has a lower proportion of people classified as 'physically active' compared to the national average []. Only 58% of Chinese adults met the recommended guidelines, compared with 65% of White British and 71% of those of Mixed ethnicity []. The ethnic disparities in PA levels can be influenced by cultural factors, access to resources, and socioeconomic factors [–]. In the year ending June 2023, Chinese nationals were among the top three non-EU immigrant groups in the UK []. They are likely to encounter barriers to accessing health-related initiatives, including cultural and language barriers []. Older adults from the Chinese diaspora community typically maintain a strong affinity with Chinese culture, which influences their health beliefs and behaviours []. However, the limited scope of research restricts the comprehensive understanding necessary to devise targeted interventions specifically tailored to meet the needs of these diverse communities. Our recent systematic review aimed to identify the barriers and facilitators influencing PA engagement among older adults from the Chinese diaspora []. There was only one study targeting older Chinese adults in the UK, published in 2015 []. The study found that older Chinese adults often self-managed exercise based on cultural beliefs rather than professional guidance, which may pose risks without person-centred advice,however, insights into social and physical environmental influences on PA were limited.