Division of Medical Sciences, University of Northern British Columbia, Prince George, BC, Canada.
Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
J Phys Act Health. 2024 Apr 4;21(7):645-656. doi: 10.1123/jpah.2023-0254. Print 2024 Jul 1.
We used nationally representative data to explore associations among location of residence (rural/urban) and perceived barriers to physical activity (PA) in Canadian youth.
We analyzed the 2017 Canadian Community Health Survey, Barriers to Physical Activity Rapid Response data for 12- to 17-year-old youth. Nine items from the survey assessing perceived barriers to PA were combined into 3 barrier domains: resources, motivational, and socioenvironmental. The likelihood of reporting barriers to PA based on rural-urban location was examined using survey-weighted binary logistic regression following a model fitting approach. Sociodemographic factors were modeled as covariates and tested in interaction with location. For each barrier domain, we derived the best-fitting model with fewest terms.
There were no location-specific effects related to reporting any barrier or motivation-related PA barriers. We found a sex by location interaction predicting the likelihood of reporting resource-related barriers. Rural boys were less likely to report resource-related barriers compared with urban boys (odds ratio [OR] = 0.42 [0.20, 0.88]). Rural girls were more likely to report resource-related barriers compared with boys (OR = 3.72 [1.66, 8.30]). Regarding socioenvironmental barriers, we observed a significant body mass index by location interaction demonstrating that rural youth with body mass index outside the "normal range" showed a higher likelihood of reporting socioenvironmental barriers compared with urban youth (OR = 2.38 [1.32, 4.30]). For urban youth, body mass index was unrelated to reporting socioenvironmental barriers (OR = 1.07 [0.67, 1.71]).
PA barriers are not universal among Canadian youth. Our analyses highlight the importance of testing interactions in similar studies as well as considering key sociodemographic characteristics when designing interventions.
我们利用全国代表性数据探讨了加拿大青年的居住地点（农村/城市）与体育活动（PA）感知障碍之间的关联。
我们分析了 2017 年加拿大社区健康调查和 PA 障碍快速反应数据，这些数据来自 12 至 17 岁的青年。该调查中有 9 项评估 PA 感知障碍的项目，被合并为 3 个障碍领域：资源、动机和社会环境。使用调查加权二元逻辑回归方法，根据城乡位置，检查报告 PA 障碍的可能性。将社会人口统计学因素建模为协变量，并与位置进行交互测试。对于每个障碍领域，我们使用最少的术语得出最佳拟合模型。
没有与报告任何障碍或与动机相关的 PA 障碍相关的特定位置效应。我们发现性别与位置之间的交互作用预测了报告资源相关障碍的可能性。与城市男孩相比，农村男孩报告资源相关障碍的可能性较小（比值比[OR] = 0.42[0.20, 0.88]）。与男孩相比，农村女孩更有可能报告资源相关障碍（OR = 3.72[1.66, 8.30]）。关于社会环境障碍，我们观察到 BMI 与位置之间存在显著的交互作用，表明 BMI 处于“正常范围”之外的农村青年报告社会环境障碍的可能性高于城市青年（OR = 2.38[1.32, 4.30]）。对于城市青年，BMI 与报告社会环境障碍无关（OR = 1.07[0.67, 1.71]）。
PA 障碍在加拿大青年中并非普遍存在。我们的分析强调了在类似研究中测试交互作用的重要性，以及在设计干预措施时考虑关键社会人口统计学特征的重要性。
