Moola Fiona, Fusco Caroline, Kirsh Joel A
University of Toronto, Canada.
Adapt Phys Activ Q. 2011 Jan;28(1):56-77. doi: 10.1123/apaq.28.1.56.
Despite the benefits of physical activity for youth with congenital heart disease (CHD), most patients are inactive. Although literature has addressed medical and psychological barriers to participation, little is known about the social barriers that youth encounter. This qualitative study explored sociocultural barriers to physical activity from the perspective of 17 youth with CHD. The main theme, "what I wish you knew," was related to all other themes-youths' efforts to resolve "disclosure dilemmas," the barriers they encounter during physical education, and their struggle to understand themselves as normal. The participants' narratives illuminate the centrality of their sociocultural world to physical activity. The findings call on researchers and educators to attend to the social and cultural environments where these youth live and play.
尽管体育活动对患有先天性心脏病（CHD）的青少年有益，但大多数患者都缺乏运动。虽然已有文献探讨了参与体育活动的医学和心理障碍，但对于青少年所面临的社会障碍却知之甚少。这项定性研究从17名患有先天性心脏病的青少年的角度探讨了体育活动的社会文化障碍。主要主题“我希望你了解的事”与所有其他主题相关——青少年解决“披露困境”的努力、他们在体育课上遇到的障碍，以及他们努力将自己理解为正常人的过程。参与者的叙述揭示了他们的社会文化世界对体育活动的核心意义。研究结果呼吁研究人员和教育工作者关注这些青少年生活和玩耍的社会和文化环境。
