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http://dx.doi.org/10.5932/JKPHN.2016.30.2.311

Factors Affecting Physical Activity of Korean Adults in Some County Areas : A Multilevel analysis  

Kim, Bongjeong (Department of Nursing, Cheongju University)
Publication Information
Journal of Korean Public Health Nursing / v.30, no.2, 2016 , pp. 311-325 More about this Journal
Abstract
Purpose: This study was conducted to examine the individual and community level factors associated with physical activity and to identify its relative effects using a multilevel analysis among Korean adults in certain counties. Methods: A cross-sectional data of 39,547 adults (age range of 19~64 years) living in 82 counties from the 2013 Korean Community Health Survey (KCHS) was analyzed. Individual and social correlates from KCHS and physical environmental data from the Korean Statistical Information Service were collected. A multilevel logistic regression was performed using Stata 10.0 IC. Results: Multilevel analyses showed that the effect of social and physical environmental on engaging in moderate or vigorous physical activity (MVPA) was significant in comparison to the influence of individual correlates. The individual factors that were associated with participating in MVPA included gender, marital status, education, job, and household income. In the community level, social environmental factors associated with engagement in MVPA were higher satisfaction with healthcare service (OR=3.410, 95% CI=1.109~11.269), a high level of social support (OR=5.920, 95% CI=1.459~22.657) and social network (OR=1.025, 95% CI= 1.017~1.032). Conclusion: To promote moderate or vigorous physical activity in Korean adults in some counties, social environmental factors should be considered along with individual correlates.
Keywords
Physical activity; Multilevel analysis; Social environment; Adults;
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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   DOI
2 Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1-10.   DOI
3 Bauman, A. E. & Bull, F. C. (2007). Environmental correlates of physical activity and walking in adults and children: A review of reviews. London: National Centre for Physical Activity and Health. Retrieved December 23, 2015, from https://www.nice.org.uk/guidance/ph8/evidence/environmental-correlates-of-physical-activity-review2
4 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.   DOI
5 Brownson, R. S., Hoehner, C. M., Day, K., Forsyth, A., & Sallis, J. F. (2009). Measuring the built environment for physical activity: state of science. American Journal of Preventive Medicine, 36(4S), S99-S123.   DOI
6 Cleland, V., Hughes, C., Thornton, L., Venn, A., Squibb, K., & Ball, K. (2015). A qualitative study of environmental factors important for physical activity in rural adults. PLoS ONE, 10(11), e0140659. http://dx.doi:10.1371/journal.pone.0140659   DOI
7 Due, P., Holstein, B., Lund, R., Modvig, J., & Avlund, K. (1999). Social relations: Network, support and relational strain. Social Science & Medicine, 48, 661-673.   DOI
8 Frost, S. S., Goins, R. T., Hunter, R. H., Hooker, S. P., Bryant, L. L., Kruger, J., & Pluto, D. (2010). Effects of the built environment on physical activity of adults living in rural settings. American Journal of Health Promotion. 24(4), 267-283. http://dx.doi:10.4278/ajhp.08040532.   DOI
9 Galster, G. C. (2010, February). The mechanism(s) of neighborhood effects: theory, evidence, and policy implications. Paper presented at the seminar of the Economic and Social Research Council, St. Andrews University, Scotland, UK.
10 Giles-Corti, B. & Donovan, R. J. (2002). The relative influence of individual, social and physical environment determinants of physical activity. Social Science and Medicine, 54, 1793-1812.   DOI
11 Kim, B. (2015). Neighborhood environment associated with physical activity among rural adults: Applying zero-inflated negative binominal regression modeling. Journal of Korean Public Health Nursing, 29(3), 488-502.   DOI
12 Lee, C. Y., Hwang, S. Y., & Ham, O. K. (2007). Factors associated with physical inactivity among Korean men and women. American Journal of Health Behavior, 31(5), 484-494.   DOI
13 Korea Centers for Disease Control and Prevention. (2015). 2013 community health survey. Retrieved December 23, 2015, from https://chs.cdc.go.kr/chs/index.do
14 Korean Statistical Information Service. (2015). 2013 National public sports facilities and e-regional indices. Retrieved December 28, 2015, from http://kosis.kr/wnsearch/totalSearch.jsp
15 Kreft, I. & De Leeuw, J. (1998). Introducing multilevel modeling. London.Thousand Oaks.New Delhi: SAGE Publications.
16 Mama, S. K., Diamondb, P. M., McCurdy, S. A., Evans, A. E., McNeill, L. H., & Lee, R. E. (2015). Individual, social and environmental correlates of physical activity in overweight and obese African American and Hispanic women: A structural equation model analysis. Preventive Medicine Reports, 2, 57-64. http://dx.doi.org/10.1016/j.pmedr.2015.01.001   DOI
17 Martin, S. L., Kirkner, G. J, Mayo, K., Matthews, C. E., Durstine, J. L., & Hebert, J. R. (2005). Urban, rural, and regional variations in physical activity. Journal of Rural Health, 21, 239-244.   DOI
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, 1011-1022.   DOI
19 Ministry of Health & Welfare, & Korea Center for Disease Control & Prevention. (2014). Korea health statistics 2013: Korea national health and nutrition examination survey (KNHANES VI-1). Chungbuk: Author.
20 Moon, S. (2012). Physical activities and related factors among low-income middle-aged people. Journal of Korean Public Health Nursing, 26(1), 38-50.   DOI
21 Richards, E. L., Riner, M. E., & Sands, L. P.(2008). A social ecological approach of community efforts to promote physical activity and weight management. Journal of Community Health Nursing, 25, 179-192.   DOI
22 Park, E. (2012). A comparison of community health status by region and an investigation of related factors using community health indicators. Journal of Community Health Nursing, 23(1), 31-39.
23 Parks, S. E., Housemann, R. A., & Brownson, R. C. (2003). Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States. Journal of Epidemiology and Community Health, 57(1), 29-35.   DOI
24 Rech, C. R., Reis, R. S., Hino, A. F., & Hallal, P. C. (2014). Personal, social and environmental correlates of physical activity in adults from Curitiba, Brazil. Preventive Medicine, 58, 53-57.   DOI
25 Sallis, J. F., Cervero, R., Ascher, W., Henderson, K., Kraft, M., & Kerr, J. (2006). An ecological approach to creating active living communities. Annual Review of Public Health, 27, 297-322. http://dx.doi:10.1146/annurev.publhealth.27.021405.102100   DOI
26 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 (pp. 465-486). 4th ed. San Francisco: Jossey-Bass.
27 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:10.1186/1479-5868-10-129.   DOI
28 Yoon, N. H. & Kwon, S. (2014). The effect of community environmental factors on obesity among Korean adults: A multilevel analysis, Epidemiology and Health, 36, e2014036. http://dx.doi:10.4178/epih/e2014036.   DOI
29 World Health Organization. (2010). Global recommendations on physical activity for health. Retrieved July 3, 2015, from http://www.who.int/dietphysicalactivity/publications/ 9789241599979/en/