J Phys Act Health. 2019 Apr 1;16(4):243-250. doi: 10.1123/jpah.2018-0355. Epub 2019 Mar 12.
This study investigated whether reported neighborhood variables explained variance in time spent walking, exercising, and being sedentary, in addition to mental health and demographic variables among Ugandan outpatients with mental illness.
Ninety-nine outpatients (78 men; 31.1 [8.6] y) of the Butabika National Referral Hospital in Uganda completed the Neighborhood Environment Walkability Scale for Africa, the Simple Physical Activity Questionnaire, and the Brief Symptoms Inventory-18. Multiple regression analyses were performed.
Seven percent of the variance in walking time was explained by the variance in anxiety/depression and an additional 13% by the variance in perceived mixed land use and the availability of roads and walking paths. Eight percent of the variance in exercise time was explained by variance in age and an additional 6% by the variance anxiety/depression. The availability of recreational space added 8%. Six percent of variance in time spent sedentary was explained by family income, while availability of roads and walking paths added another 6%.
This study shows the relevance of availability of roads and walking paths and recreational space for more physical activity and less sedentary behavior in people with mental illness. This is particularly relevant in low-income countries where a rapid urbanization is taking place.
本研究旨在探讨在乌干达门诊精神疾病患者中，除心理健康和人口统计学变量外，报告的邻里变量是否能解释在散步、锻炼和久坐时间上的差异。
乌干达布塔比卡国家转诊医院的 99 名门诊患者（78 名男性；31.1[8.6]岁）完成了非洲邻里环境步行能力量表、简单体力活动问卷和 18 项简明症状清单。进行了多元回归分析。
步行时间的 7%差异可由焦虑/抑郁的差异解释，另有 13%可由感知混合土地利用和道路及步行道的可用性的差异解释。锻炼时间的 8%差异可由年龄的差异解释，另有 6%可由焦虑/抑郁的差异解释。休闲空间的可用性增加了 8%。6%的静坐时间差异可由家庭收入解释，而道路和步行道的可用性则增加了 6%。
本研究表明，对于精神疾病患者来说，道路和步行道以及休闲空间的可用性与更多的体育活动和更少的久坐行为有关。这在快速城市化的低收入国家尤为重要。
