Deng Yangyang, Moniruzzaman Mohammad, Rogers Breanna, Jones Kelly K, Saint-Maurice Pedro F, Patel Shreya, Berrigan David, Matthews Charles E, Tamura Kosuke
Socio-Spatial Determinants of Health (SSDH) Laboratory, Population and Community Health Sciences Branch, Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, USA.
Neighborhoods and Health Laboratory, Population and Community Health Sciences Branch, Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, USA.
J Urban Health. 2025 Feb;102(1):61-71. doi: 10.1007/s11524-024-00913-4.
The relationship between racial/ethnic residential segregation and physical activity (PA) remains unclear with both positive and negative associations between segregation and PA recently reported. We aimed to examine the relationship between county-level residential segregation and total daily PA and domain-specific PA and whether these associations varied by gender. Participants (N = 2625, mean age [SD] = 45.2 [15.4]) were recruited from the AmeriSpeak panel who completed up to two Activities Completed over Time in 24 Hours (ACT24) previous day recalls in 2019. PA outcomes were created for the following: (1) light PA (LPA), (2) moderate-to-vigorous PA (MVPA), (3) total active time, and (4) domain-specific PA, including leisure, work, household, transport, personal, and other activities. County-level residential segregation based on isolation. Weighted generalized linear models were used to examine the relationship between county-level segregation and each PA outcome, controlling for age, gender, race/ethnicity, income, employment, body mass index, county-level poverty, and census region. Overall, results showed no association between county-level residential segregation and LPA, MVPA, total active time, and domain-specific PA among NH Black and Hispanic populations. Among NH Black females, greater residential segregation was associated with more total hours/day of activity (β = 3.54, 95% CI [0.23, 6.85]). Only NH Black females living in segregated neighborhoods had more total active time. Additionally, it is important to acknowledge that these relationships may vary among NH Black and Hispanic populations. Future studies should examine the interaction between segregation and a broader range of individual, contextual, and environmental factors in relation to PA and domain-specific PA.
种族/族裔居住隔离与身体活动（PA）之间的关系仍不明确，最近有报道称隔离与PA之间存在正相关和负相关。我们旨在研究县级居住隔离与每日总PA以及特定领域PA之间的关系，以及这些关联是否因性别而异。参与者（N = 2625，平均年龄[标准差]= 45.2[15.4]）从美国民意调查小组招募，他们在2019年完成了前一天最多两次的24小时活动回忆（ACT24）。为以下各项创建了PA结果：（1）轻度PA（LPA），（2）中度至剧烈PA（MVPA），（3）总活动时间，以及（4）特定领域PA，包括休闲、工作、家务、交通、个人和其他活动。基于隔离的县级居住隔离。使用加权广义线性模型来研究县级隔离与每个PA结果之间的关系，同时控制年龄、性别、种族/族裔、收入、就业、体重指数、县级贫困和人口普查区域。总体而言，结果显示在非西班牙裔黑人和西班牙裔人群中，县级居住隔离与LPA、MVPA、总活动时间和特定领域PA之间没有关联。在非西班牙裔黑人女性中，居住隔离程度越高，每天的活动总时长越多（β = 3.54，95%置信区间[0.23，6.85]）。只有居住在隔离社区的非西班牙裔黑人女性有更多的总活动时间。此外，必须承认这些关系在非西班牙裔黑人和西班牙裔人群中可能有所不同。未来的研究应该考察隔离与更广泛的个体、背景和环境因素之间的相互作用与PA和特定领域PA的关系。
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