Folkhälsan Research Centre, Helsinki, Finland.
Scand J Public Health. 2013 Aug;41(6):553-9. doi: 10.1177/1403494813481642. Epub 2013 Mar 18.
Socioeconomic health inequalities are partly attributed to different physical activity (PA) patterns. Psychosocial factors interacting with PA are suggested to explain the socioeconomic differences in PA to some extent. The aim of the present study was to examine whether PA self-efficacy, PA social support, and general self-control contribute to the socioeconomic status (SES) differences in leisure time physical activity (LTPA) and in total PA.
The sample consisted of 25-74-year-old Finnish men (n = 2325) and women (n = 2699), who participated in the cross-sectional FINRISK Study in 2007. Physical activity was measured as total PA (MET-h/week) and as LTPA (inactive/active). A psychosocial factor questionnaire included scales measuring PA self-efficacy, PA social support, and general self-control. SES was defined by household gross income and years of education.
Both higher education and income were associated with higher levels of LTPA, whereas total PA was higher among those with lower SES. Subjects with high SES reported higher levels of PA self-efficacy and PA social support, but general self-control correlated only with higher income. PA self-efficacy, PA social support and general self-control had positive associations with both LTPA and total PA. These psychosocial factors partly explained the SES differences in LTPA, but not in total PA.
Future intervention studies should examine whether, by influencing PA self-efficacy, PA social support, and general self-control, it is possible to diminish the SES differences in PA.
社会经济健康不平等部分归因于不同的身体活动(PA)模式。有研究表明,与 PA 相互作用的心理社会因素在一定程度上可以解释 PA 方面的社会经济差异。本研究旨在检验 PA 自我效能感、PA 社会支持和一般自我控制是否有助于解释休闲时间体力活动(LTPA)和总 PA 方面的社会经济地位(SES)差异。
该样本包括参加 2007 年芬兰横断面 FINRISK 研究的 25-74 岁芬兰男性(n=2325)和女性(n=2699)。PA 以总 PA(MET-h/周)和 LTPA(不活动/活跃)来衡量。心理社会因素问卷包括衡量 PA 自我效能感、PA 社会支持和一般自我控制的量表。SES 由家庭总收入和受教育年限定义。
受教育程度和收入越高,LTPA 水平越高,而 SES 较低的人总 PA 水平更高。SES 较高的人报告 PA 自我效能感和 PA 社会支持水平较高,但一般自我控制仅与较高的收入相关。PA 自我效能感、PA 社会支持和一般自我控制与 LTPA 和总 PA 均呈正相关。这些心理社会因素部分解释了 LTPA 方面的 SES 差异,但对总 PA 没有影响。
未来的干预研究应检验通过影响 PA 自我效能感、PA 社会支持和一般自我控制,是否有可能减少 PA 方面的 SES 差异。