Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, 1400 Pressler, Suite FCT9.6073, Houston, TX, 77030, USA.
Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center (UTHealth), School of Public Health, Houston, TX, USA.
J Immigr Minor Health. 2020 Jun;22(3):555-562. doi: 10.1007/s10903-019-00920-7.
The purpose of this study was to identify longitudinal correlates of low-income, urban, Latino adults' use of recreational facilities and engagement in physical activity (PA). This secondary data analysis is from a placed-based initiative; the parent study recruited a cohort of parents of kindergarteners from schools in intervention and control communities. Using a self-administered questionnaire, we collected baseline correlates and 1-year follow-up recreational facilities use and PA outcomes. We conducted ordinal logistic regression to assess correlates for recreational facilities use and PA outcomes. Our sample of 273 Latino adults was mostly female and married or living with partners. Meeting PA guidelines at baseline was associated with higher odds of using parks, walking, and moderate- and vigorous-intensity PA. Those who considered PA to be important had higher odds of using trails (adjusted OR = 2.36, 95% CI 1.15-4.84) and of moderate-intensity PA (adjusted OR = 2.68, 95% CI 1.21-5.91). Reported perception that the neighborhood is very safe to walk was associated with higher odds of using trails (adjusted OR 3.45, 95% CI 1.39-8.53) and parks (adjusted OR 2.92, 95% CI 1.19-7.16). Quality of recreational facilities was directly associated with walking (adjusted OR = 1.61 95% CI 1.01-2.57). Speaking English was associated with higher odds of engaging in moderate-intensity PA (adjusted OR = 3.28 95% CI 1.70-6.33). Results from this study of urban, low-income Latinos indicate that promotion is needed not only for sustained use of recreational facilities among current users, but also for concerted efforts to reach less acculturated Latinos and make recreational facilities appealing to currently inactive adults. Both individual-level and neighborhood-level interventions are needed to build positive attitudes towards PA, while also enhancing neighborhood safety and the quality of neighborhood recreational facilities.
本研究旨在确定低收入、城市、拉丁裔成年人使用娱乐设施和参与体育活动（PA）的纵向相关性。这是一项基于地点的倡议的二次数据分析；该研究从干预和对照社区的学校招募了一群幼儿园家长的队列。我们使用自我管理的问卷收集了基线相关性和 1 年随访的娱乐设施使用和 PA 结果。我们进行了有序逻辑回归分析，以评估娱乐设施使用和 PA 结果的相关性。我们的 273 名拉丁裔成年人样本主要是女性，已婚或与伴侣生活在一起。在基线时符合 PA 指南与使用公园、散步和中等强度及剧烈强度 PA 的几率较高有关。那些认为 PA 很重要的人使用步道（调整后的 OR=2.36，95%CI 1.15-4.84）和中等强度 PA（调整后的 OR=2.68，95%CI 1.21-5.91）的几率较高。报告认为邻里非常安全可步行与使用步道（调整后的 OR=3.45，95%CI 1.39-8.53）和公园（调整后的 OR=2.92，95%CI 1.19-7.16）的几率较高有关。娱乐设施的质量与散步直接相关（调整后的 OR=1.61，95%CI 1.01-2.57）。说英语与参与中等强度 PA 的几率较高有关（调整后的 OR=3.28，95%CI 1.70-6.33）。这项针对城市低收入拉丁裔人群的研究结果表明，不仅需要促进当前使用者持续使用娱乐设施，还需要共同努力吸引较少融入的拉丁裔人群，并使娱乐设施对目前不活跃的成年人具有吸引力。需要进行个人层面和邻里层面的干预，以建立对 PA 的积极态度，同时增强邻里安全和邻里娱乐设施的质量。
