MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Institute of Health and Wellbeing, College of Social Sciences, University of Glasgow, Glasgow, UK.
Sociol Health Illn. 2021 Nov;43(9):2102-2120. doi: 10.1111/1467-9566.13383. Epub 2021 Nov 1.
Amidst public health campaigns urging people to sit less as well as being more physically active, this paper investigates how older adults make sense of their sedentary behaviour. Using an accounts framework focusing on how people rationalise their sitting practices, we analysed data from 44 qualitative interviews with older adults. All interviewees had received information about sedentary behaviour and health, visual feedback on their own objectively measured sitting over a week and guidance on sitting less. Participants used accounts to position sitting as a moral practice, distinguishing between 'good' (active/'busy') and 'bad' (passive/'not busy') sitting. This allowed them to align themselves with acceptable (worthwhile) forms of sitting and distance themselves from other people whose sitting they viewed as less worthwhile. However, some participants also described needing to sit more as they got older. The findings suggest that some public health messaging may lead to stigmatisation around sitting. Future sedentary behaviour guidelines and public health campaigns should consider more relatable guidelines that consider the lived realities of ageing, and the individual and social factors that shape them. They should advocate finding a balance between sitting and moving that is appropriate for each person.
在公众健康运动呼吁人们减少久坐并增加身体活动量的背景下，本文探讨了老年人如何理解他们的久坐行为。本研究采用关注人们如何合理化其坐姿的解释框架，分析了 44 名老年人进行的 44 次定性访谈的数据。所有受访者都收到了关于久坐行为和健康的信息、一周内自身客观测量坐姿的视觉反馈以及减少坐姿的指导。参与者使用解释来定位坐姿作为一种道德实践，区分“好”（积极/忙碌）和“坏”（消极/不忙碌）坐姿。这使他们能够认同可接受（有价值）的坐姿形式，并与他们认为价值较低的其他人保持距离。然而，一些参与者还表示随着年龄的增长，他们需要坐得更多。研究结果表明，一些公众健康信息可能会导致对坐姿的污名化。未来的久坐行为指南和公共卫生运动应考虑更相关的指南，这些指南应考虑到衰老的实际情况以及塑造这些情况的个人和社会因素。它们应倡导在适合每个人的坐姿和活动之间找到平衡。
