Rogers Laura Q, Markwell Stephen J, Courneya Kerry S, McAuley Edward, Verhulst Steven
Department of Medicine, Southern Illinois University School of Medicine, Springfield, IL 62794-9636, USA.
J Rural Health. 2009 Fall;25(4):388-91. doi: 10.1111/j.1748-0361.2009.00249.x.
Rural breast cancer survivors may be at increased risk for inadequate exercise participation.
To determine for rural breast cancer survivors: (1) exercise preference "patterns," (2) exercise resources and associated factors, and (3) exercise environment.
A mail survey was sent to rural breast cancer survivors identified through a state cancer registry, and 483 (30%) responded.
The majority (96%) were white, with mean education of 13 (+/-2.5) years and mean 39.0 (+/-21.5) months since diagnosis. Most participants (67%) preferred face-to-face counseling from an exercise specialist (27%) or other individual (40%). A third (31%) preferred home-based exercise with non face-to-face counseling from someone other than an exercise specialist. Participants preferring face-to-face counseling were more apt to prefer supervised exercise (38% vs 9%, P < 0.001) at a health club (32% vs 8%, P < 0.001). Home exercise equipment was reported by 63%, with 97% reporting home telephone and 67% reporting Internet access. Age, education, self-efficacy, treatment status, and exercise behavior were associated with exercise resources. The physical environment was often not conducive to exercise but a low crime rate and high trust in neighbors was reported.
Rural health education programs encouraging exercise should offer multiple programming options while considering the physical environment and capitalizing on available resources and beneficial social environmental characteristics.
农村乳腺癌幸存者参与运动不足的风险可能更高。
确定农村乳腺癌幸存者的：（1）运动偏好“模式”，（2）运动资源及相关因素，以及（3）运动环境。
向通过州癌症登记处识别出的农村乳腺癌幸存者发送邮件调查问卷，483人（30%）回复。
大多数（96%）为白人，自确诊以来平均受教育年限为13（±2.5）年，平均时间为39.0（±21.5）个月。大多数参与者（67%）更喜欢运动专家（27%）或其他个人（40%）提供的面对面咨询。三分之一（31%）更喜欢在家锻炼，由非运动专家的其他人提供非面对面咨询。更喜欢面对面咨询的参与者更倾向于在健身俱乐部进行有监督的运动（38%对9%，P<0.001）（32%对8%，P<0.001）。63%的人报告有家用健身器材，97%的人报告有家庭电话，67%的人报告可以上网。年龄、教育程度、自我效能感、治疗状态和运动行为与运动资源相关。物理环境通常不利于运动，但报告称犯罪率低且邻里间信任度高。
鼓励运动的农村健康教育项目应提供多种项目选择，同时考虑物理环境并利用现有资源和有益的社会环境特征。
