Department of Care Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, 20506, Malmö, Sweden.
Department of Biomedical Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, 20506, Malmö, Sweden.
Sci Rep. 2023 Oct 20;13(1):17972. doi: 10.1038/s41598-023-45239-4.
The lack of culturally and contextually oriented interventions promoting physical activity (PA) has led to increased physical inactivity among women living in disadvantaged neighbourhoods in Sweden. In this study one such intervention informed by community-based participatory research (CBPR) has been evaluated among 34 women from a disadvantaged neighbourhood before and during COVID-19. Health-related quality of life (HRQOL), behavioural and biomedical outcomes were assessed directly prior and post-intervention, followed by evaluations at 6-months and 18-months follow-up during COVID-19. The results revealed that HRQOL, particularly psychological, social, and environmental health significantly increased post-intervention compared to prior to intervention but reversed back at 6-months follow-up. Perceived health satisfaction and environmental health increased at 18-months follow-up during COVID-19. Participation in PA improved post-intervention and at 6-months follow-up. Everyday activities and fruit and vegetable intake continued to increase through all timepoints. Systolic blood pressure significantly decreased post-intervention and 6-months follow-up; blood flow rate increased significantly at all timepoints. Overall, the findings underscores the potential effectiveness of CBPR approaches in promoting and sustaining healthy lifestyles, even during acute situations such as the COVID-19. It may even serve as a future model for promoting health and addressing health disparities in similar groups.
缺乏针对促进身体活动（PA）的文化和背景导向的干预措施，导致瑞典贫困社区的女性身体活动减少。在这项研究中，在 COVID-19 之前和期间，在一个贫困社区中对 34 名女性进行了一项基于社区参与性研究（CBPR）的干预措施评估。在干预之前和之后直接评估了与健康相关的生活质量（HRQOL）、行为和生物医学结果，然后在 COVID-19 期间进行了 6 个月和 18 个月的随访评估。结果表明，与干预前相比，干预后 HRQOL，特别是心理、社会和环境健康明显提高，但在 6 个月的随访时又恢复到干预前的水平。在 COVID-19 期间，健康满意度和环境健康在 18 个月的随访时增加。在干预后和 6 个月的随访时，PA 的参与度增加。日常活动和水果及蔬菜的摄入量在所有时间点都持续增加。收缩压在干预后和 6 个月的随访时显著降低；血流速度在所有时间点都显著增加。总的来说，这些发现强调了 CBPR 方法在促进和维持健康生活方式方面的潜在有效性，即使在 COVID-19 等急性情况下也是如此。它甚至可以作为未来在类似群体中促进健康和解决健康差异的模式。
