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老年人社交资本因素与久坐行为之间的关联:建成环境有影响吗?

The association between social capital factors and sedentary behaviour among older adults: Does the built environment matter?

作者信息

Asiamah N, Kouveliotis K, Petersen C, Eduafo R

机构信息

Teesside University, School of Health and Social Care, Southfield Rd, Middlesbrough TS1 3BX, United Kingdom, e mail:

International Telematic University UNINETTUNO, Department of Health Management, Corso Vittorio Emanuele II, n.39 - 00186, Rome, Italy, e-mail:

出版信息

Adv Gerontol. 2019;32(1-2):234-242.

Abstract

Evidences in the literature uphold social capital factors, namely social networks and support as a buffer against sedentary behaviour. A recent school of thought also contends that the built environment supports these factors to reduce sedentary behaviour. This study examined the role of the built environment in the association between the said social capital factors and sedentary behaviour. Participants of the study were 504 volunteer older adults in Accra, Ghana. A self-reported questionnaire was used to gather data, and structural equation modelling was used to present findings through Amos. The structural model through which the associations were tested produced a good fit (χ2=231,32; p=0,198). The study confirmed that the built factors are directly and indirectly (via social capital factors) associated with sedentary behaviour. «Road structure and safety» and «health and paramedical services» directly reduced sedentary behaviour, while «public security services» was positively associated with sedentary behaviour. All the built environmental factors, except «care and recreational homes», influenced sedentary behaviour through the social capital factors. We conclude that built environmental factors reinforce social capital to reduce sedentary behaviour, but this support may also increase sedentary time if the built environment is not well structured.

摘要

文献中的证据支持社会资本因素,即社会网络和支持作为对抗久坐行为的缓冲因素。最近的一种观点还认为,建成环境有助于这些因素减少久坐行为。本研究考察了建成环境在上述社会资本因素与久坐行为之间的关联中所起的作用。该研究的参与者是加纳阿克拉的504名老年志愿者。使用一份自我报告问卷收集数据,并通过Amos运用结构方程模型来呈现研究结果。用于检验这些关联的结构模型拟合良好(χ2 = 231.32;p = 0.198)。该研究证实,建成因素与久坐行为直接相关,也通过社会资本因素间接相关。“道路结构与安全”以及“健康与辅助医疗服务”直接减少了久坐行为,而“公共安全服务”与久坐行为呈正相关。除“护理与娱乐场所”外,所有建成环境因素都通过社会资本因素影响久坐行为。我们得出结论,建成环境因素强化社会资本以减少久坐行为,但如果建成环境结构不佳,这种支持也可能增加久坐时间。

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