Mabweazara Smart Z, Ley Clemens, Leach Lloyd L
a Department of Sport Recreation and Exercise Science , University of the Western Cape , Bellville , South Africa.
b Institute of Sport Science , University of Vienna , Vienna , Austria.
Afr J AIDS Res. 2018 Jul;17(2):203-212. doi: 10.2989/16085906.2018.1475400.
Physical activity can be used for the effective and comprehensive management of HIV and AIDS. Social support and socio-economic status (SES) are two factors that shape physical activity behaviours. Individuals of low SES carry a disproportionate burden of the HIV and AIDS epidemic. In addition, limited resources constitute socio-ecological barriers predisposing such individuals to physical inactivity. The purpose of this narrative review is to examine the available literature on physical activity, social support and SES and to generate recommendations for designing and implementing physical activity interventions targeting people living with HIV and AIDS (PLWHA) of low SES. The review used literature from Google, Google Scholar and PubMed on physical activity of PLWHA, social support for physical activity, and SES and physical activity. Qualitative and quantitative studies in English were included from 1970 to 2016. The results show that social support plays a major role in promoting physical activity and counteracting the barriers to PA in PLWHA of low SES. The results on the role of social support and the influence of SES are integrated to help design appropriate physical activity interventions for PLWHA of low SES. Well-designed interventions should utilise social support and be contextualised for PLWHA of low SES, whose living conditions present multiple barriers to physical activity.
体育活动可用于有效且全面地管理艾滋病毒和艾滋病。社会支持和社会经济地位是塑造体育活动行为的两个因素。社会经济地位低的个体承受着不成比例的艾滋病毒和艾滋病流行负担。此外，资源有限构成了社会生态障碍，使这些个体容易出现身体活动不足的情况。本叙述性综述的目的是审视关于体育活动、社会支持和社会经济地位的现有文献，并为设计和实施针对社会经济地位低的艾滋病毒和艾滋病感染者（PLWHA）的体育活动干预措施提出建议。该综述使用了来自谷歌、谷歌学术和PubMed的关于艾滋病毒和艾滋病感染者的体育活动、体育活动的社会支持以及社会经济地位与体育活动的文献。纳入了1970年至2016年的英文定性和定量研究。结果表明，社会支持在促进体育活动以及消除社会经济地位低的艾滋病毒和艾滋病感染者体育活动障碍方面发挥着主要作用。整合了关于社会支持作用和社会经济地位影响的结果，以帮助为社会经济地位低的艾滋病毒和艾滋病感染者设计合适的体育活动干预措施。精心设计的干预措施应利用社会支持，并根据社会经济地位低的艾滋病毒和艾滋病感染者的情况进行调整，他们的生活条件给体育活动带来了多重障碍。
