Terri-Ann Kelly, PhD, RN, is an Assistant Professor, School of Nursing, Rutgers University-Camden, Camden, New Jersey, USA. Chioma Woko, BS, is a Doctoral Student, Annenberg School of Communication, University of Pennsylvania, Philadelphia, Pennsylvania, USA. Loretta S. Jemmott, PhD, RN, FAAN, is Vice President, Health and Health Equity; and Professor, Drexel University College of Nursing and Health Professions, Philadelphia, Pennsylvania, USA. Larry Icard, PhD, DSW, is an Honorary Professor, Center for Community Technologies, Nelson Mandela University, Port Elizabeth, South Africa; and Professor Emeritus, College of Public Health, School of Social Work, Temple University, Philadelphia, Pennsylvania, USA. Deepti Chittamuru, PhD, is a Post-Doctoral Student, School of Social Sciences, Humanities and Arts, University of California, Merced, California, USA. John B. Jemmott III, PhD, is Director, Center for Health and Communication Research; and Professor, Annenberg School of Communication, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J Assoc Nurses AIDS Care. 2021;32(1):47-56. doi: 10.1097/JNC.0000000000000196.
Physical activity (PA) is associated with a reduced incidence of chronic diseases. However, little is known about the predictors of PA among African American men living with HIV. We report secondary analyses examining the strength of the relationships between the reasoned action approach constructs, attitude, subjective norm, descriptive norm, and self-efficacy and intention to exercise and self-reported adherence to Department of Health and Human Services PA guidelines using baseline data from a trial of a PA intervention with 302 African American men, between 40 and 88 years of age (M = 53.9; SD = 7.2) living with HIV. Multiple regression revealed that attitude, subjective norm, and self-efficacy were positively associated with intention. Logistic regression revealed higher odds of meeting PA guidelines as self-efficacy increased. Self-efficacy and descriptive norm predicted meeting the aerobic guideline. Self-efficacy predicted meeting the muscle-strengthening guideline. Interventions targeting reasoned action approach variables may contribute to efforts to improve PA among African American men living with HIV.
身体活动(PA)与慢性病发病率降低有关。然而,对于生活在 HIV 中的非裔美国男性的 PA 预测因素知之甚少。我们报告了二次分析,使用一项 PA 干预试验的基线数据,检查理性行为方法构念、态度、主观规范、描述性规范和自我效能与锻炼意向以及自我报告的遵守美国卫生与公众服务部 PA 指南之间的关系强度,该试验有 302 名年龄在 40 岁至 88 岁(M = 53.9;SD = 7.2)之间的 HIV 感染者。多元回归显示,态度、主观规范和自我效能与意向呈正相关。逻辑回归显示,自我效能越高,满足 PA 指南的可能性就越大。自我效能和描述性规范预测符合有氧运动指南。自我效能预测符合肌肉强化指南。针对理性行为方法变量的干预措施可能有助于提高生活在 HIV 中的非裔美国男性的 PA。