Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Global Health and Migration Unit, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
BMJ Open. 2024 Aug 29;14(8):e085356. doi: 10.1136/bmjopen-2024-085356.
People living in socioeconomically disadvantaged neighbourhoods in Sweden engage less in physical activity compared with the general population, contributing to an elevated risk of cardiometabolic diseases. To inform targeted and effective public health interventions, understanding residents' lived experiences is essential. This study sought to understand the values and priorities associated with physical activity by people living in a socioeconomically disadvantaged neighbourhood in Region Uppsala, Sweden, informing a public health intervention to prevent cardiometabolic diseases and promote healthy and active living.
The study employed a photo-elicitation methodology, combining participants' photographs with semistructured interviews. Data were analysed using reflexive thematic analysis.
A socioeconomically disadvantaged neighbourhood in the city of Uppsala, Sweden, characterised by a large proportion of households with low income, a large percentage of individuals living on economic aid, high unemployment rates, low educational attainment and high levels of poor health.
A total of 15 participants (8 women and 7 men) were purposively sampled between February and August 2023 and recruited via fieldwork, social media and local stakeholders.
Participants described challenging conditions for physical activity, including conflicting values and priorities between themselves and the local authorities. Four main areas emerged as sources of tension; difficulties influencing decision-making processes affecting the neighbourhood, unmet needs of gender-separated physical activity spaces, discrepancy between the perceived pressure and individual motivation to be active, and their perception of health being solely an individualised responsibility, but their need of support.
This study underscores the importance of understanding and navigating the values and priorities influencing physical activity among residents in a socioeconomically disadvantaged neighbourhood, when designing public health interventions. Findings reveal that residents' needs for being physically active are not met by the authorities who are perceived to have different priorities, and that the lack of influence of citizen voices undermines trust in the local authorities.
与一般人群相比，居住在瑞典社会经济贫困社区的人较少参与体育活动，这增加了患心血管代谢疾病的风险。为了提供有针对性和有效的公共卫生干预措施，了解居民的生活体验至关重要。本研究旨在了解瑞典乌普萨拉地区一个社会经济贫困社区居民与体育活动相关的价值观和优先事项，为预防心血管代谢疾病和促进健康积极的生活方式提供公共卫生干预措施。
本研究采用照片引发法，将参与者的照片与半结构化访谈相结合。使用反思性主题分析对数据进行分析。
瑞典乌普萨拉市的一个社会经济贫困社区，其特点是低收入家庭比例大、靠经济援助生活的人比例大、失业率高、教育程度低、健康状况差。
2023 年 2 月至 8 月期间，通过实地考察、社交媒体和当地利益相关者，有针对性地选取了 15 名参与者（8 名女性和 7 名男性）参与研究。
参与者描述了体育活动的困难条件，包括他们自己与地方当局之间的价值观和优先事项之间的冲突。四个主要领域出现了紧张局势的来源；影响影响社区的决策过程的困难、性别分离的体育活动空间的未满足需求、感知到的压力与个人积极主动的动机之间的差距，以及他们认为健康是个人责任，但需要支持。
本研究强调了在设计公共卫生干预措施时，了解和驾驭社会经济贫困社区居民体育活动的价值观和优先事项的重要性。研究结果表明，居民对体育活动的需求没有得到当局的满足，当局被认为有不同的优先事项，而公民声音缺乏影响力则破坏了对地方当局的信任。
