Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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Personal and Social Environmental Factors Affecting Leisure Time Physical Activity in Adults Living in Rural Areas

읍면지역 성인의 여가시간 신체활동에 영향을 미치는 개인적, 사회적 환경 요인

  • 김봉정 (청주대학교 보건의료과학대학 간호학과)
  • Received : 2018.03.04
  • Accepted : 2018.04.18
  • Published : 2018.04.30
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Abstract

Purpose: This study was conducted to examine the personal and social environmental factors affecting leisure time physical activity (LTPA) among adults living in rural communities. Methods: A cross-sectional study was conducted with a convenience sample of 282 adults living in three rural towns of Chungcheongbuk province. Leisure time physical activity was assessed through the Korean version of the Global Physical Activity Questionnaire (GPAQ), and social influence and social cohesion of social environment were assessed using reliable and validated measures. Multiple logistic regression analysis was conducted to explore personal and social environmental factors associated with LTPA. Results: The overall prevalence of leisure-time physical activity (LTPA) was 40.0%. Multiple logistic regression analysis showed that LTPA participation was associated with gender (OR=2.60, 95% CI=1.47-4.58), healthy eating (OR=1.15, 95% CI=1.01-1.31), unhealthy eating (OR=0.70, 95% CI=0.53-0.93) and social influence for physical activity (OR=1.11, 95% CI=1.03-1.20). However, social cohesion was not correlated with engaging in LTPA. Conclusion: Both personal and social environmental factors are associated with LPTA among rural adults living in Eup-Myen regions. Interventions to promote LTPA would likely benefit from considering healthy dietary intake and social influence for physical activity.

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References

  1. Andersen, L., Gustat, J., & Becker, A. B. (2015). The relationship between the social environment and lifestyle-related physical activity in a low-income African American inner-city southern neighborhood. Journal of Community Health, 40(5), 967-974. http://dx.doi.org/10.1007/s10900-015-0019 -z
  2. Armstrong, T., & Bull, F. (2006). Development of the World Health Organization global physical activity questionnaire (GPAQ). Journal of Public Health, 14(2), 66-70. http://dx.doi.org/10.1007/s10389-006-0024 -x
  3. Bauman, A. E., Reis, R. S., Sallis, J. F., Wells, J. C., Loos, R. J. F., & Martin, B. W. (2012). Correlates of physical activity: why are some people physically active and others not? Lancet, 380, 258-271. http://dx.doi.org/ 10.1016/S0140-6736(12)60735-1
  4. Cleland, V., Ball, K., Hume, C., Timperio, A., King, A. C., & Crawford, D. (2010). Individual, social and environmental correlates of physical activity among women living in socioeconomically disadvantaged neighbourhoods. Social Science & Medicine, 70(12), 2011-2018. http://dx.doi.org/10.1016/j.socscimed.2010. 02.028
  5. Cradock, A. L., Kawachi, I., Colditz, G. A., Gortmaker, S. L., & Buka, S. L. (2009). Neighborhood social cohesion and youth participation in physical activity in Chicago. Social Science & Medicine, 68(3), 427-435. http://dx.doi.org/10.1016/j.socscimed.2008. 10.028
  6. Emmons, K. M., Barbeau, E. M., Gutheil, C., Stryker, J. E., & Stoddard, A. M. (2007). Social influences, social context, and health behaviors among working-class, multi-ethnic adults. Health Education Behavior, 34(2), 315-334. http://dx.doi.org/10.1177/109019 8106288011
  7. Ford, E. S., Zhao, G., Tsai, J., & Li, C. (2011). Low-risk lifestyle behaviors and all-cause mortality: findings from the National Health and Nutrition Examination Survey III mortality study. American Journal of Public Health, 101(10), 1922-1929. http://dx.doi. org/10.2105/AJPH.2011.300167
  8. Gao, J., Fu, H., Li, J. & Jia, Y. (2015). Association between social and built environments and leisure-time physical activity among Chinese older adults: a multilevel analysis. BMC Public Health, 15, 1317-1327. http://dx.doi.org/10.1186/s12889 -015-2684-3
  9. Gomes, C. S., Matozinhos, F. P., Mendes, L. L., Pessoa, M. C., & Velasquez-Melendez, G. (2016). Physical and social environment are associated to leisure time physical activity in adults of a Brazilian city: A cross-sectional study. PLoS ONE, 11(2), e0150017. http://dx.doi.org/10.1371/journal. pone.0150017
  10. Holtermann, A., Hansen, J. V., Burr, H., Sogaard, K., & Sjogaard, G. (2012). The health paradox of occupational and leisure-time physical activity. British Journal of Sports Medicine, 46(4), 291-295. http://dx.doi.org/10.1136/bjsm.2010.079582
  11. Jung,S. Y., Kim, E. J., Kim, S. J., & Ok, J. H. (2017). The Associations between Physical Activity, Depression and Perceived Stress in Korean Adults Aged 50-59: The Sixth Korea National Health and Nutrition Examination Survey-2. Korean Journal of Family Practice, 7(6), 945-950. http://dx.doi. org/10.21215/kjfp.2017.7.6.945
  12. Kawachi, I., & Berkman, L. F. (2000). Social cohesion, social capital, and health. In L. F. Berkman & I. Kawachi (Eds.), Social epidemiology. (pp. 174-190). New York: Oxford University Press.
  13. Keresztes, N., Piko, B. F., Pluhar, Z. F., & Page, R. M. (2008). Social influences in sports activity among adolescents. The Journal of the Royal Society for the Promotion of Health, 128(1), 21-25. https://doi.org/10.1177/1466424007085228
  14. Kim, B. (2015). Neighborhood environment associated with physical activity among rural adults: Applying zero-inflated negative binominal regression modeling. Journal of Public Health Nursing, 29(3), 488-502. http://dx.doi.org/10.5932/JKPHN.2015.29. 3.488
  15. Kim, G. S., Lee, C. Y,, Kim, I. S., Lee, T. H., Cho, E., Lee, H., Lee, K., Kim, S., Kwon, S. H., Moon, S. H., Lim, S, & Kim, S. H. (2013). Assessing correlates of physical activity levels in female university students. Journal of Public Health Nursing, 27(3), 466-479. http://dx.doi.org/10.5932/JKPHN. 2013.27.3.466
  16. Korea Center for Disease Control & Prevention. (2013). Development of the Korean version of Global Physical Activity Questionnaire and assessment of reliability and validity. Retrieved from http://cdc.go.kr/CDC/cms/cmsFileDownload.jsp?fid=28&cid=25567&fieldName=attach1&index=1
  17. Li, J., Loerbroks, A., & Angerer, P. (2013). Physical activity and risk of cardiovascular disease: what does the new epidemiological evidence show? Current Opinion Cardiology, 28(5), 575-583. http://dx.doi.org/10.1097/ HCO.0b013e328364289c
  18. McNeill, L. H., Kreuter, M. W., Subramanian, S. V. (2006). Social environment and physical activity: A review of concepts and evidence. Social Science & Medicine, 63(4), 1011-1022. http://dx.doi.org/10.1016/j.socscimed. 2006.03.012
  19. Ministry of Health and Welfare. (2013-a). Dietary guideline for Korean Adults. Retrieved from http://www.mohw.go.kr/react/jb/sjb030301vw.jsp
  20. Ministry of Health and Welfare. (2013-b). The Physical Activity Guideline for Korean. Retrieved from http://www.mohw.go.kr/react/jb/sjb030301vw.jsp
  21. Ministry of Health & Welfare, & Korea Center for Disease Control & Prevention. (2017). Korea health statistics 2016: Korea national health and nutrition examination survey (KNHANES VII-1). Chungbuk: Author.
  22. Sallis, J. F. & Glanz, K. (2009). Physical activity and food environments: Solutions to the obesity epidemic. The Milbank Quarterly, 87(1), 123-154. http://dx.doi.org/10.1111/ j.1468-0009.2009.00550.x.
  23. Sallis, J. F., Owen, N., & Fisher, E. B. (2008). Ecological models of health behavior. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice. 4th ed. (pp. 465-486). San Francisco: Jossey-Bass.
  24. Sampson, R. J., Raudenbush, S. W., & Earls, F. (1997). Neighborhoods and violent crime: a multilevel study of collective efficacy. Science, 277, 918-924. http://dx.doi.org/ 10.1126/science.277.5328.918
  25. Sodergren, M., McNaughton, S. A., Salmon, J., Ball, K., & Crawford, D. A. (2012). Associations between fruit and vegetable intake, leisure-time physical activity, sitting time and self-rated health among older adults: cross-sectional data from the WELL study. BMC Public Health, 12, 551. http://dx.doi.org/10.1186/1471-2458-12-551
  26. Solomon, E., Rees, T., Ukoumunne, O. C., Metcalf, B., & Hillsdon, M. (2013). Personal, social, and environmental correlates of physical activity in adults living in rural south-west England: a cross-sectional analysis. International Journal of Behavioral Nutrition and Physical Activity, 10, 129. http://dx.doi.org/10.1186/1479-5868-10-129
  27. Sriram, U., Morgan, E. H., Graham, M. L., Folta, S. C., & Seguin, R. A. (2016). Support and sabotage: A qualitative study of social influences on health behaviors among rural adults. The Journal of Rural Health, 34(1), 88-97. http://dx.doi.org/ 10.1111/jrh.12232
  28. Suglia, S. F., Shelton, R. C., Hsiao, A., Wang, Y. C., Rundle, A., & Link, B. G. (2016). Why the neighborhood social environment is critical in obesity prevention. Journal of Urban Health, 93(1), 206-212. http://dx.doi.org/ 10.1007/s11524-015-0017-6
  29. Trapp, G. S. A., Hickling, S., Christian, H. E., Bull, F., Timperio, A. F., Boruff, B., Shrestha, D., & Giles-Corti, B. (2015). Individual, social, and environmental correlates of healthy and unhealthy eating. Health Education & Behavior, 42(6), 759-768. http://dx.doi.org/ 10.1177/ 109019 8115578750
  30. World Health Organization. (2010). Global recommendations on physical activity for health. Retrieved from http://www.who.int/ dietphysicalactivity/publications/978924159 9979/en/