Community Health Research Program, Hood Center for Children and Families, Dartmouth Medical School, Lebanon, New Hampshire 03756-0001, USA.
J Womens Health (Larchmt). 2010 Dec;19(12):2197-202. doi: 10.1089/jwh.2009.1879. Epub 2010 Oct 25.
The purpose of this study was to identify and determine the influence of perceived intrinsic barriers to physical activity among mothers living in rural areas.
Mothers were identified through a study of child-parent dyads in the predominantly rural states of New Hampshire and Vermont. Using a telephone interview, we asked mothers (n = 1691) about their level of physical activity and assessed eight potential barriers to physical activity. Data were analyzed using chi-square tests, t tests, and analysis of variance (ANOVA) comparisons for groups within each variable. We used multiple regression analysis to assess associations between perceived barriers to physical activity and self-reported levels of physical activity.
Each barrier was inversely associated with physical activity. Multivariate models that included terms for all potential barriers and covariates identified three barriers associated with lower levels of physical activity: lack of self-discipline, lack of time, and lack of interest.
Rural mothers are less likely to be physically active if they identify lack of self-discipline, time, or interest as barriers, suggesting that they have difficulty prioritizing exercise for themselves. Interventions aimed at increasing physical activity for mothers should specifically consider these barriers. One possible solution may be to support infrastructure that facilitates active living as the default option, to remove the issue of having to purposefully engage in physical activity as a separate aspect of a mother's life.
本研究旨在识别并确定农村地区母亲感知到的身体活动内在障碍的影响。
通过对新罕布什尔州和佛蒙特州这两个以农村为主的州的儿童-家长对子的研究，确定了母亲的身份。我们通过电话采访询问了母亲（n=1691）的身体活动水平，并评估了八项潜在的身体活动障碍。使用卡方检验、t 检验和方差分析（ANOVA）比较对每个变量内的组进行数据分析。我们使用多元回归分析评估身体活动障碍与自我报告的身体活动水平之间的关联。
每个障碍都与身体活动呈负相关。包括所有潜在障碍和协变量的多变量模型确定了与较低身体活动水平相关的三个障碍：缺乏自律、缺乏时间和缺乏兴趣。
如果农村母亲将缺乏自律、时间或兴趣视为障碍，她们参与身体活动的可能性就较小，这表明她们难以将锻炼作为自己的首要任务。旨在增加母亲身体活动的干预措施应特别考虑这些障碍。一个可能的解决方案是支持便利积极生活的基础设施，使其成为默认选项，以消除必须将身体活动作为母亲生活的一个单独方面有意参与的问题。
