Hafoka Siosaia F, Carr Sara J
University of Hawai'i at Māanoa, Honolulu, HI, USA.
Northeastern University, Boston, MA, USA.
Asian Pac Isl Nurs J. 2018;3(4):160-167. doi: 10.31372/20180304.1015.
A large body of existing literature suggests associations between perceptions of the environment and physical activity status, but very few studies have examined perceptions among Native Hawaiian and Pacific Islander (NHPI) communities. The purpose of this study was to examine perceptions of the active living environment in Hawai'i in rural communities with a high proportion of NHPI. A total of thirteen adults were purposefully selected to participate in the study, and the Photovoice method was used to capture their perceptions. Three sessions were used to describe the purpose of the study, select and describe photographs, and identify emerging themes. A total of nine overarching themes were identified by participants and placed into three categories. Participants identified facilitators to being physically active, but also identified several barriers in their community such as the lack of available physical and built amenities, social norms, and safety. Participants proposed four action items to improve their active living environment: promote programs that are organized by community members, contact the local university to provide access to physical activity equipment, contact Honolulu City & County officials to voice concerns regarding barriers that prevent physical activity in the community, and working with employers in the community to create policies that promote physical activity at the workplace.
大量现有文献表明环境认知与身体活动状况之间存在关联，但很少有研究考察夏威夷原住民和太平洋岛民（NHPI）社区的认知情况。本研究的目的是调查在NHPI比例较高的夏威夷农村社区中对积极生活环境的认知。总共特意挑选了13名成年人参与该研究，并采用照片心声法来获取他们的认知。通过三个环节来描述研究目的、挑选并描述照片以及确定新出现的主题。参与者总共确定了九个总体主题，并将其分为三类。参与者指出了促进身体活动的因素，但也指出了他们社区中的一些障碍，如缺乏可用的体育和建筑设施、社会规范以及安全问题。参与者提出了四项行动事项以改善他们的积极生活环境：推广由社区成员组织的项目、联系当地大学以获取体育活动设备、联系檀香山市和县官员以表达对社区中阻碍身体活动的障碍的担忧，以及与社区中的雇主合作制定促进工作场所身体活动的政策。
