Greaney Mary L, Askew Sandy, Foley Perry, Wallington Sherrie F, Bennett Gary G
Health Studies and Department of Kinesiology, University of Rhode Island, 25 West Independence Way, Kingston, RI, 02881, USA.
Duke Global Digital Health Science Center, Duke Global Health Institute, Duke University, Durham, NC, 27710, USA.
Transl Behav Med. 2017 Jun;7(2):341-348. doi: 10.1007/s13142-016-0431-7.
Given the increasing interest in expanding obesity prevention efforts to cover community-based programs, we examined whether individuals would access a YMCA for physical activity promotion. We provided a no-cost 12-month YMCA membership to socioeconomically disadvantaged black women who were randomized to the intervention arm of a weight gain prevention trial (n = 91). Analyses examined associations of membership activation and use with baseline psychosocial, contextual, health-related, and sociodemographic factors. Many participants (70.3 %) activated their memberships; however, use was low (42.2 % had no subsequent visits, 46.9 % had one to ten visits). There were no predictors of membership activation, but individuals living below/borderline the federal poverty line were more likely to use the center (1+ visits), as were those who met physical activity guidelines at baseline. More comprehensive and intensive interventions may be necessary to promote use of community resources-even when provided free-among high-risk populations of women with obesity that live in rural areas of the USA.
鉴于将肥胖预防工作扩展到社区项目的兴趣日益浓厚，我们研究了个人是否会利用基督教青年会（YMCA）来促进体育活动。我们为社会经济地位不利的黑人女性提供了为期12个月的免费基督教青年会会员资格，这些女性被随机分配到一项体重增加预防试验的干预组（n = 91）。分析考察了会员激活和使用与基线心理社会、环境、健康相关及社会人口学因素之间的关联。许多参与者（70.3%）激活了他们的会员资格；然而，使用率较低（42.2%没有后续到访，46.9%有一到十次到访）。没有预测会员激活的因素，但生活在联邦贫困线以下/处于贫困线边缘的个体更有可能使用该中心（到访1次及以上），基线时符合体育活动指南的个体也是如此。在美国农村地区肥胖的高危女性群体中，可能需要更全面、更深入的干预措施来促进社区资源的利用——即使是免费提供的资源。
