Robinson Jennifer C, Carson Tiffany L, Johnson Erica R, Hardy Claudia M, Shikany James M, Green Eva, Willis Lillie M, Marron John V, Li Yufeng, Lee Choo Hyung, Baskin Monica L
School of Nursing, University of Mississippi Medical Center, Jackson, MS, USA.
Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Prev Med. 2014 Sep;66:28-33. doi: 10.1016/j.ypmed.2014.05.021. Epub 2014 Jun 2.
Leisure-time physical activity in the United States is lower rural areas and the South and has been linked to socioeconomic and environmental aspects of where people live. The purpose of this study is to assess the built environment and policies for physical activity in rural communities.
Eight rural communities in Alabama and Mississippi were assessed in 2011 using the Rural Active Living Assessment (RALA) street segment (SSA), town-wide (TWA), and town program and policies (PPA) assessment tools. Community Health Advisors Trained as Research Partners (CHARPS) and local staff conducted the assessments. The TWA and PPA were scored by domain and total scores. Data were analyzed using descriptive and nonparametric statistics.
117 segments were assessed in 22 towns in 8 counties. Built environmental barriers existed in all communities. Sidewalks were available in only 10-40% of the segments. TWA identified parks and playgrounds as the most available community feature. PPA scores indicated few policies for physical activity outside of school settings with mean scores higher in Mississippi compared to Alabama (61 vs. 49, respectively).
Multiple components of rural communities can be successfully assessed by CHARPs using RALA tools, providing information about resources and barriers for physical activity.
美国农村地区及南部的休闲体育活动水平较低，且与人们居住地点的社会经济和环境因素相关。本研究旨在评估农村社区的建筑环境及体育活动政策。
2011年，使用农村积极生活评估（RALA）街道段（SSA）、全镇范围（TWA）以及全镇项目与政策（PPA）评估工具，对阿拉巴马州和密西西比州的8个农村社区进行了评估。经过培训成为研究伙伴的社区健康顾问（CHARPS）和当地工作人员开展了评估工作。TWA和PPA按领域和总分进行评分。使用描述性和非参数统计方法对数据进行分析。
在8个县的22个城镇中评估了117个街道段。所有社区均存在建筑环境障碍。只有10%至40%的街道段设有人行道。TWA将公园和游乐场确定为最常见的社区设施。PPA评分显示，校外体育活动政策较少，密西西比州的平均得分高于阿拉巴马州（分别为61分和49分）。
CHARPs使用RALA工具能够成功评估农村社区的多个组成部分，提供有关体育活动资源和障碍的信息。
