University of Texas, Health Science Center at Houston, School of Public Health, Dallas Regional Campus, Dallas, TX, USA.
Health Educ Res. 2011 Dec;26(6):1010-24. doi: 10.1093/her/cyr068. Epub 2011 Aug 26.
Physical inactivity is a leading cause of premature death, disability and numerous chronic diseases. Minority and underserved populations in the United States and worldwide have a higher prevalence of physical inactivity affecting their morbidity and mortality rates. In the United States, African Americans are less physically active and have a higher proportion of many chronic diseases in comparison to Caucasians. This disparity needs to be well understood in order to design and implement effective interventions aimed at increasing physical activity levels among African Americans. In the present study, we conduct a systematic review (through 2010) of the qualitative literature pertaining to impediments and enablers to physical activity participation among African Americans. This review focuses on qualitative research due to its advantages in understanding attitudes and perceptions related to health behavior within the context of participants' natural environment. Findings are stratified by gender and age, to explore unique impediments and enablers based on age and sex and results are discussed within the socio-ecological model to account for the multi-level nature of factors affecting physical activity. Findings should be taken into account by researchers, program planners and policymakers when tailoring physical activity interventions to African American communities in the United States.
身体活动不足是导致过早死亡、残疾和多种慢性疾病的主要原因。美国和世界各地的少数族裔和服务不足人群身体活动不足的发病率和死亡率更高。在美国，与白种人相比，非裔美国人身体活动较少，患多种慢性疾病的比例也更高。为了设计和实施旨在提高非裔美国人身体活动水平的有效干预措施，需要充分了解这种差异。在本研究中，我们对 2010 年前与非裔美国人身体活动参与相关的障碍和促进因素的定性文献进行了系统回顾。这一综述侧重于定性研究，因为它在理解参与者自然环境中与健康行为相关的态度和观念方面具有优势。研究结果按性别和年龄进行分层，以探索基于年龄和性别的独特障碍和促进因素，并根据社会生态学模型讨论结果，以说明影响身体活动的多层面因素。在为美国非裔美国人社区量身定制身体活动干预措施时，研究人员、项目规划人员和政策制定者应考虑这些发现。
