Valle Carmina G, Tate Deborah F, Mayer Deborah K, Allicock Marlyn, Cai Jianwen, Campbell Marci K
a Lineberger Comprehensive Cancer Center , University of North Carolina at Chapel Hill , Chapel Hill , North Carolina , USA.
J Health Commun. 2015;20(2):134-46. doi: 10.1080/10810730.2014.917745. Epub 2014 Nov 6.
Many young adults are insufficiently active to achieve the health benefits of regular physical activity. Using signal detection analysis of data from the 2007 Health Information National Trends Survey, the authors examined distinct subgroups of 18-39 year-old adults who vary in their likelihood of not meeting physical activity recommendations. We randomly split the sample and conducted signal detection analysis on the exploratory half to identify subgroups and interactions among sociodemographic and health communication variables that predicted engaging in less than 150 minutes per week of moderate-intensity physical activity (low physical activity). We compared rates of low physical activity among subgroups with similarly defined subgroups in the validation sample. Overall, 62% of participants did not meet physical activity recommendations. Among 8 subgroups identified, low physical activity rates ranged from 31% to 90%. Predictors of low physical activity were general health, body mass index (BMI), perceived cancer risk, health-related Internet use, and trust in information sources. The least active subgroup (90% low physical activity) included young adults in poor to good health with a BMI of 30.8 or more (obese). The most active subgroup (31% low physical activity) comprised those in very good to excellent health, who used a website to help with diet, weight, or physical activity, and had little to no trust in health information on television. Findings suggest potential intervention communication channels and can inform targeted physical activity interventions for young adults.
许多年轻人缺乏足够的运动量,无法从定期体育活动中获得健康益处。作者利用2007年健康信息国家趋势调查的数据进行信号检测分析,研究了18至39岁成年人中不同的亚组,这些亚组未能达到体育活动建议的可能性各不相同。我们随机拆分样本,并在探索性样本上进行信号检测分析,以确定预测每周进行少于150分钟中等强度体育活动(低体育活动量)的社会人口统计学和健康传播变量中的亚组及相互作用。我们将各亚组中的低体育活动率与验证样本中定义相似的亚组进行比较。总体而言,62%的参与者未达到体育活动建议。在确定的8个亚组中,低体育活动率在31%至90%之间。低体育活动量的预测因素包括总体健康状况、体重指数(BMI)、感知到的癌症风险、与健康相关的互联网使用以及对信息来源的信任度。最缺乏运动的亚组(低体育活动率为90%)包括健康状况从较差到良好、BMI为30.8或更高(肥胖)的年轻人。最活跃的亚组(低体育活动率为31%)包括健康状况非常好到极佳、使用网站来帮助控制饮食、体重或进行体育活动且对电视上的健康信息几乎没有或完全不信任的人群。研究结果表明了潜在的干预沟通渠道,并可为针对年轻人的有针对性的体育活动干预提供参考。