Health promotion interventions for ethnic minority populations living with multiple long-term conditions (H-PRIME) in OECD countries: a scoping review
Abstract
People living with multiple long-term conditions (MLTC, also called multimorbidity) experience substantial health burden, with those from ethnic minority populations disproportionately affected due to persistent health inequalities. This scoping review identified health promotion interventions designed to address MLTC in ethnic minority populations. Five databases and Google Scholar were searched from inception to June 2025 for studies conducted in the Organization for Economic Co-operation and Development (OECD) countries that included ≥50% ethnic minority participants living with MLTC. Health promotion interventions were defined as programmes, activities, or initiatives delivered in any setting that operate at one or more levels (individual, health system, community, societal, and policy), consistent with the five action areas of the Ottawa Charter for Health promotion. Descriptive and qualitative content analysis was undertaken, with interventions mapped against the Ottawa Charter action areas. Twenty-six studies were included in total, with the majority from the United States of America (USA; n = 24, 92%). One study each was conducted in Canada (n = 1, 4%) and Australia (n = 1, 4%). The interventions aligned with four of the five Ottawa Charter action areas: developing personal skills (26, 100%), creating supportive environments (n = 23, 88%), strengthening community action (n = 14, 54%), and reorienting health services (n = 21, 81%). No intervention directly addressed building healthy public policy. Evidence on health promotion interventions for ethnic minority populations with MLTC is currently underdeveloped, concentrated in the USA, with clear gap in policy action. There is an urgent need for research in OECD countries embedding a multi-level approach to address gaps in policy-actions.
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BibTeX
@article{ikhile2026health,
title = {{Health promotion interventions for ethnic minority populations living with multiple long-term conditions (H-PRIME) in OECD countries: a scoping review}},
author = {Deborah Ikhile and Shabana Cassambai and Shavez Jeffers and Zaynab Randera and Krishna Patel and Brenda Hayanga and Mark P Funnell and Ricky Shah and Riya Patel and Kamlesh Khunti and Angela Harden},
journal = {Health Promotion International},
year = {2026},
month = oct,
doi = {10.1093/heapro/daag147},
url = {https://doi.org/10.1093/heapro/daag147},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Health promotion interventions for ethnic minority populations living with multiple long-term conditions (H-PRIME) in OECD countries: a scoping review
AU - Deborah Ikhile
AU - Shabana Cassambai
AU - Shavez Jeffers
AU - Zaynab Randera
AU - Krishna Patel
AU - Brenda Hayanga
AU - Mark P Funnell
AU - Ricky Shah
AU - Riya Patel
AU - Kamlesh Khunti
AU - Angela Harden
PY - 2026
DA - 2026/10/27
JO - Health Promotion International
DO - 10.1093/heapro/daag147
UR - https://doi.org/10.1093/heapro/daag147
AB - People living with multiple long-term conditions (MLTC, also called multimorbidity) experience substantial health burden, with those from ethnic minority populations disproportionately affected due to persistent health inequalities. This scoping review identified health promotion interventions designed to address MLTC in ethnic minority populations. Five databases and Google Scholar were searched from inception to June 2025 for studies conducted in the Organization for Economic Co-operation and Development (OECD) countries that included ≥50% ethnic minority participants living with MLTC. Health promotion interventions were defined as programmes, activities, or initiatives delivered in any setting that operate at one or more levels (individual, health system, community, societal, and policy), consistent with the five action areas of the Ottawa Charter for Health promotion. Descriptive and qualitative content analysis was undertaken, with interventions mapped against the Ottawa Charter action areas. Twenty-six studies were included in total, with the majority from the United States of America (USA; n = 24, 92%). One study each was conducted in Canada (n = 1, 4%) and Australia (n = 1, 4%). The interventions aligned with four of the five Ottawa Charter action areas: developing personal skills (26, 100%), creating supportive environments (n = 23, 88%), strengthening community action (n = 14, 54%), and reorienting health services (n = 21, 81%). No intervention directly addressed building healthy public policy. Evidence on health promotion interventions for ethnic minority populations with MLTC is currently underdeveloped, concentrated in the USA, with clear gap in policy action. There is an urgent need for research in OECD countries embedding a multi-level approach to address gaps in policy-actions.
SN - 0957-4824
SN - 1460-2245
ER -