Social and Cardiovascular Epidemiology Research Group, School of Medicine, Universidad de Alcala, Alcala de Henares, 28871 Madrid, Spain.
Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA 19104, USA.
Int J Environ Res Public Health. 2019 Mar 1;16(5):749. doi: 10.3390/ijerph16050749.
A current challenge in physical activity research is engaging citizens with co-creating policies that support physical activity participation. Using Photovoice, a participatory action research method, the objectives of this study were to: 1) Identify community perceptions of urban built, social, and political/economic environment factors associated with physical activity; and 2) generate community-driven policy recommendations to increase physical activity. Two districts in Madrid of varying socio-economic status (SES) were selected. Overall, 24 residents participated in 4 groups stratified by sex and district (6 participants per group). Groups met weekly for 4 weeks to discuss and analyze their photographs. Participants coded photographs into categories, which were then regrouped into broader themes. The categories were transformed into policy recommendations using an adaptation of the logical framework approach. Participants took 161 photos, which were classified into 61 categories and 14 broader themes (e.g., active transportation, sport in the city). After this, participants generated a set of 34 policy recommendations to improve the urban environment to support physical activity (e.g., to redistribute sports facilities). Collaboration between citizens and researchers led to a deeper understanding of the community perceptions of urban built, social, and political/economic environment factors associated with physical activity in two districts of Madrid, while engaging citizens in recommending public policies.
目前，体力活动研究面临的一个挑战是让公民参与共同制定支持体力活动参与的政策。本研究采用参与式行动研究方法 Photovoice，旨在：1）确定社区对与体力活动相关的城市建筑、社会和政治/经济环境因素的看法；2）制定社区驱动的政策建议，以增加体力活动。选择了马德里两个社会经济地位（SES）不同的区。共有 24 名居民参加了 4 个按性别和区分层的小组（每组 6 名参与者）。小组每周开会 4 周，讨论和分析他们的照片。参与者将照片分类为不同的类别，然后将其重新组合成更广泛的主题。使用逻辑框架方法的改编版将这些类别转化为政策建议。参与者拍摄了 161 张照片，分为 61 个类别和 14 个更广泛的主题（例如，主动交通，城市运动）。之后，参与者提出了一系列 34 项政策建议，以改善城市环境，支持马德里两个区的体力活动（例如，重新分配体育设施）。公民和研究人员之间的合作使人们更深入地了解马德里两个区与体力活动相关的城市建筑、社会和政治/经济环境因素的社区看法，同时让公民参与推荐公共政策。
