城市少数民族社区安全及其对身体活动的影响:促进健康和健康公平中心 - 种族和民族社区健康方法(CPHHE-REACH)倡议。
Urban Minority Community Safety and its Impact on Physical Activity: The Center for Promoting Health and Health Equity-Racial and Ethnic Approaches to Community Health (CPHHE-REACH) Initiative.
机构信息
Creighton University Center for Promoting Health and Health Equity (CPHHE) and Health Sciences-Multicultural and Community Affairs (HS-MACA), Racial and Ethnic Approaches to Community Health (REACH) Grant, School of Medicine, USA.
Department of Allied Health, College of Health Professions, Northern Kentucky University, USA.
出版信息
J Natl Med Assoc. 2019 Jun;111(3):334-344. doi: 10.1016/j.jnma.2019.01.001. Epub 2019 Jan 31.
BACKGROUND/PURPOSE: Daily physical activity is known to improve personal health and well-being and can often be influenced by one's living environment. A qualitative secondary data analysis of a focus group study, performed by the Creighton University Center for Promoting Health and Health Equity (CPHHE) - Racial and Ethnic Approaches to Community Health (REACH), assesses behavioral changes in individuals who participated in newly established physical activities in faith-based organizations, local residential towers, and the local community health center.
METHOD
Applying thematic analysis within the Health Belief Model framework, the investigators further investigated the relationships between its constructs and levels of physical activity in urban minority neighborhoods.
RESULTS
Results indicated that residents who perceived their neighborhoods as unsafe had a negative attitude toward physical activity. In contrast, building social relationships and camaraderie that enhanced social cohesion were major themes that increased participants' self-efficacy, resulting in positive changes in health behavior.
CONCLUSION
Community partnerships had a positive impact on motivating individuals to live healthier lifestyles. An interesting concept was that of community efficacy, which reflects the community's confidence in its ability to generate behavioral changes in individuals.
背景/目的:众所周知,日常身体活动有益于增进个人健康和幸福感,而其往往受到居住环境的影响。凯萨琳健康中心(Creighton University Center for Promoting Health and Health Equity,CPHHE)- 种族和民族社区卫生(Racial and Ethnic Approaches to Community Health,REACH)采用焦点小组研究的二次定性数据分析,评估了在信仰组织、当地居民楼和当地社区卫生中心新开展的身体活动中参与者的行为变化。
方法
研究人员应用健康信念模型框架中的主题分析,进一步研究了其结构与城市少数民族社区身体活动水平之间的关系。
结果
结果表明,认为社区不安全的居民对身体活动持消极态度。相比之下,建立增强社会凝聚力的社会关系和友谊是提高参与者自我效能感的主要主题,从而对健康行为产生积极的变化。
结论
社区伙伴关系对激励个人过上更健康的生活方式产生了积极影响。一个有趣的概念是社区效能,它反映了社区对其在个体中产生行为变化的能力的信心。