Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, China.
Faculty of Education, The Chinese University of Hong Kong, Hong Kong, China.
Int J Behav Nutr Phys Act. 2023 Feb 27;20(1):23. doi: 10.1186/s12966-023-01411-7.
Physical activity (PA) has many benefits in preventing diseases and maintaining physical and mental health. Women, in particular, can benefit from regular PA. However, women's PA did not increase over the past decade globally, and the situations faced by women are often gender-specific. Healthy young adult women's PA does not receive as much attention as older women and adolescent girls, yet, they face the same situation of low level of PA. This review aims to explore and synthesise the self-identified barriers and facilitators to young adult women's participation in PA from qualitative research studies and offer suggestions for future studies and programs designed for this population.
A systematic search was conducted in Pubmed, Web of Science, Scopus, Medline, and SPORTDiscus for studies published between January 2000 to February 2022 to identify qualitative studies on the barriers and facilitators of young adult women's PA between ages 18 to 40. The search yielded 694 studies initially, of which 23 were included. The research quality of included studies was appraised using the Critical Appraisal Skills Programme (CASP) tool. Data were extracted and thematically analysed based on the tenets of the social-ecological model (SEM).
Identified barriers and facilitators were grouped into different levels of the SEM, with the most frequently cited factors being time, body image and societal beauty standards, family duty and social support, religious and cultural norms, organisation and community facilities and environment, safety issues and physical environment. Descriptive data were thematically analysed and synthesised in line with the five levels: body image, health and beauty; multiple roles, support, and PA; religious identity, cultural identity, and PA; safety issues and women's fears.
This qualitative synthesis revealed in-depth information on barriers and facilitators influencing young adult women's PA. It highlighted that the factors young adult women face are diverse at different levels yet holistic and intertwined. Future studies on young adult women's PA should address the social-cultural influence and would benefit from applying multilevel strategies employing the SEM model. It is critical to create an open and inclusive environment and offer more opportunities for women.
PROSPERO CRD42021290519.
体育锻炼（PA）在预防疾病和保持身心健康方面有许多益处。女性尤其可以从定期体育锻炼中受益。然而，在过去的十年中，全球女性的体育锻炼量并没有增加，而且女性所面临的情况往往是特定于性别的。健康的年轻成年女性的体育锻炼没有像老年女性和少女那样受到关注，但她们也面临着同样的低水平体育锻炼的情况。本综述旨在从定性研究中探讨和综合年轻成年女性参与体育锻炼的自我认同障碍和促进因素，并为针对这一人群的未来研究和项目提供建议。
在 Pubmed、Web of Science、Scopus、Medline 和 SPORTDiscus 中进行了系统检索，以确定 2000 年 1 月至 2022 年 2 月期间发表的关于 18 至 40 岁年轻成年女性体育锻炼障碍和促进因素的定性研究。最初的搜索结果有 694 项研究，其中 23 项被纳入。使用批判性评估技能计划（CASP）工具评估纳入研究的质量。根据社会生态模型（SEM）的原则，提取数据并进行主题分析。
确定的障碍和促进因素被分为 SEM 的不同层次，最常被引用的因素是时间、身体形象和社会审美标准、家庭责任和社会支持、宗教和文化规范、组织和社区设施和环境、安全问题和物理环境。描述性数据按照身体形象、健康和美丽；多重角色、支持和 PA；宗教身份、文化身份和 PA；安全问题和女性恐惧这五个层次进行了主题分析和综合。
这项定性综合研究揭示了影响年轻成年女性体育锻炼的障碍和促进因素的深入信息。它强调了年轻成年女性在不同层次上面临的因素是多样化的，但却是整体的和相互交织的。未来关于年轻成年女性体育锻炼的研究应该解决社会文化的影响，并受益于应用多层面策略，采用 SEM 模型。创造一个开放和包容的环境并为女性提供更多机会至关重要。
PROSPERO CRD42021290519。
