Uddin Riaz, Burton Nicola W, Khan Asaduzzaman
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, QLD 4072, Australia.
School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Brisbane, QLD, Australia.
Int Health. 2018 Jan 1;10(1):40-46. doi: 10.1093/inthealth/ihx057.
Physical activity (PA) has demonstrated health benefits, but participation is low in many countries. Little is known about environmental barriers to PA among young Asian adults. The purpose of this study was to identify common perceived environmental barriers to PA in young adults in Dhaka, Bangladesh and to examine if these barriers differed by gender.
This was a cross-sectional study with a self-administered survey and data collected from a convenience sample of 573 students aged 20.71±1.35 years (female 45%) in Dhaka. Binary logistic regression analysis was used to examine the association between environmental barriers and gender, adjusting for potential confounders.
Poor street lighting at night (62%) and a lack of convenient places to do PA (56%) were the most frequently reported environmental barriers to PA. Females were more likely than males to identify a lack of neighbourhood safety (OR 4.65 [95% CI 3.09-7.00]), poor street lighting (OR 2.82 [95% CI 1.95-4.11]), lack of convenient places (OR 2.04 [95% CI 1.39-3.00]), unclean and untidy neighbourhood (OR 1.84 [95% CI 1.25-2.72]) and poor weather (OR 1.61 [95% CI 1.11-2.33]) as barriers to PA, after adjusting for a set of confounders.
Findings suggest that environmental barriers to PA are particularly salient to young females in urban Bangladesh. This study underscores the need for safe and convenient options for PA that are also female friendly.
体育活动已证明对健康有益，但在许多国家参与率较低。对于亚洲年轻成年人参与体育活动的环境障碍知之甚少。本研究的目的是确定孟加拉国达卡年轻成年人中普遍认为的体育活动环境障碍，并检验这些障碍是否因性别而异。
这是一项横断面研究，采用自填式调查问卷，数据收集自达卡573名年龄为20.71±1.35岁（45%为女性）的学生的便利样本。采用二元逻辑回归分析来检验环境障碍与性别的关联，并对潜在混杂因素进行调整。
夜间街道照明差（62%）和缺乏方便的体育活动场所（56%）是最常报告的体育活动环境障碍。在调整了一系列混杂因素后，女性比男性更有可能将缺乏社区安全性（比值比4.65 [95%置信区间3.09 - 7.00]）、街道照明差（比值比2.82 [95%置信区间1.95 - 4.11]）、缺乏便利场所（比值比2.04 [95%置信区间1.39 - 3.00]）、社区不整洁（比值比1.84 [95%置信区间1.25 - 2.72]）和天气不好（比值比1.61 [95%置信区间1.11 - 2.33]）视为体育活动的障碍。
研究结果表明，在孟加拉国城市地区，体育活动的环境障碍对年轻女性尤为突出。本研究强调需要提供安全、便利且对女性友好的体育活动选择。
