Sanderson Bonnie K, Foushee H Russell, Bittner Vera, Cornell Carol E, Stalker Verana, Shelton Stacie, Pulley LeaVonne
Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Am J Prev Med. 2003 Oct;25(3 Suppl 1):30-7. doi: 10.1016/s0749-3797(03)00162-4.
Physical inactivity is prevalent among African-American women in rural Alabama. The purpose of this study was to explore personal, social, and physical environmental factors associated with activity to help plan interventions.
As part of the Women's Cardiovascular Health Network Project, telephone surveys were collected from African-American women residing in three rural counties. The women reported the number of minutes engaged in moderate or vigorous activities and were categorized into the following groups: (1) inactive (no moderate or vigorous activities), (2) insufficient (not meeting recommendations), and (3) meets recommendations (engaged in moderate activity five times per week for at least 30 minutes or vigorous activity three times per week for at least 20 minutes). Logistic regression modeling was used to identify personal, social, and physical environmental factors associated with the more active groups.
Among the 567 women who were classified in physical activity groups, 221 (39%) met the recommendations, 260 (46%) were insufficiently active, and 86 (15%) were inactive. In the adjusted model, the social environmental factors associated with women meeting the recommendations (versus inactive) were attending religious services and seeing people exercise in the neighborhood. Attending religious services, knowing people who exercise, and a higher social issue score were associated with women who reported any activity (versus inactive). No physical environmental factors were associated with the more active groups.
Social environmental factors were associated with higher levels of activity and need to be considered when planning interventions. More research is needed to identify associations between specific aspects of the social environment and physical activity behaviors.
阿拉巴马州农村地区的非裔美国女性普遍缺乏身体活动。本研究的目的是探索与身体活动相关的个人、社会和物理环境因素，以帮助制定干预措施。
作为女性心血管健康网络项目的一部分，对居住在三个农村县的非裔美国女性进行了电话调查。这些女性报告了进行中等强度或剧烈活动的分钟数，并被分为以下几组：（1）不活动（无中等强度或剧烈活动），（2）活动不足（未达到建议水平），（3）达到建议水平（每周进行五次中等强度活动，每次至少30分钟或每周进行三次剧烈活动，每次至少20分钟）。采用逻辑回归模型来确定与更活跃组相关的个人、社会和物理环境因素。
在567名被分类到身体活动组的女性中，221名（39%）达到了建议水平，260名（46%）活动不足，86名（15%）不活动。在调整后的模型中，与达到建议水平（相对于不活动）的女性相关的社会环境因素是参加宗教仪式和看到邻居锻炼。参加宗教仪式、认识锻炼的人以及较高的社会问题得分与报告有任何活动（相对于不活动）的女性相关。没有物理环境因素与更活跃的组相关。
社会环境因素与较高水平的身体活动相关，在制定干预措施时需要考虑。需要更多的研究来确定社会环境的具体方面与身体活动行为之间的关联。
