Umstattd Meyer M Renée, Ylitalo Kelly R, Prochnow Tyler, Gómez Luis A, Sharkey Joseph R
Baylor University, Robbins College of Health and Human Sciences, One Bear Place #97303, Waco, TX, 76798, USA.
Baylor University, Department of Public Health, One Bear Place #97343, Waco, TX, 76798, USA.
Health Place. 2020 Nov;66:102443. doi: 10.1016/j.healthplace.2020.102443. Epub 2020 Oct 1.
Despite benefits of physical activity (PA), most Americans are not regularly active, with notable disparities for residents of low-income communities. PA is positively correlated with resource availability and quality, which can be measured and quantified by PA resource assessment tools. However, community members' perceptions are often not considered. This study incorporates community perceptions with systematic environmental observations to identify community PA resource priorities. The PA Space Methodology for Assessment and Prioritization (PASMAP) includes three phases. Phase 1: Promotora-researchers completed 57 PA Resource Assessments (PARAs) in colonias along the Texas-Mexico border assessing quantity and quality of features, amenities, and incivilities. Characteristics were ranked using average PARA scores from all PA spaces. Phase 2: community advisory board (CAB) members (n = 36 from 3 CABs) ranked the importance of each feature, amenity, and incivility respectively; rankings were averaged and ordered. Phase 3: differences between phases 1 and 2 were calculated. Large differences indicated high discordance between systematic observations and perceived importance. Phase 1: highest ranked PARA characteristics were sidewalks, non-street lighting, and noise. Phase 2: CAB members ranked trails/paths, sidewalks, play equipment, bathrooms, drinking fountains, substance abuse evidence, and litter most important. Phase 3: multiple characteristics had high discordance: trails/paths, fenced-in open fields (features), drinking fountains (amenity), and litter (incivility); low quantity/poor quality yet perceived as highly important. Discordant characteristics identified through PASMAP provide evidence-based, community-valued recommendations on PA resource priorities for planning and advocacy. Future work should incorporate perceptions from additional community members and apply PASMAP methods to other environmental assessments.
尽管体育活动(PA)有益,但大多数美国人并没有经常进行体育活动,低收入社区居民之间存在显著差异。体育活动与资源可用性和质量呈正相关,这可以通过体育活动资源评估工具进行测量和量化。然而,社区成员的看法往往未被考虑在内。本研究将社区看法与系统的环境观察相结合,以确定社区体育活动资源的优先事项。体育活动空间评估与优先排序方法(PASMAP)包括三个阶段。第一阶段:推广研究人员在得克萨斯州与墨西哥边境沿线的聚居区完成了57项体育活动资源评估(PARA),评估了设施、便利设施和不文明行为的数量和质量。根据所有体育活动空间的平均PARA分数对各项特征进行排名。第二阶段:社区咨询委员会(CAB)成员(来自3个CAB的36名成员)分别对每项设施、便利设施和不文明行为的重要性进行排名;排名进行平均并排序。第三阶段:计算第一阶段和第二阶段之间的差异。差异大表明系统观察与感知重要性之间存在高度不一致。第一阶段:排名最高的PARA特征是人行道、非街道照明和噪音。第二阶段:CAB成员将步道/小径、人行道、游乐设备、卫生间、饮水机、药物滥用证据和垃圾视为最重要的。第三阶段:多个特征存在高度不一致:步道/小径、围栏围起来的空地(设施)、饮水机(便利设施)和垃圾(不文明行为);数量少/质量差但被视为非常重要。通过PASMAP确定的不一致特征为规划和宣传提供了基于证据且受社区重视的体育活动资源优先事项建议。未来的工作应纳入更多社区成员的看法,并将PASMAP方法应用于其他环境评估。