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Neighborhood characteristics and effects on physical activity in an urban minority community – application of Health Belief Model to findings from Creighton University Center for Promoting Health and Health Equity (CPHHE-REACH) initiative
International Journal of Health Promotion and Education ( IF 0.8 ) Pub Date : 2020-02-20 , DOI: 10.1080/14635240.2020.1726200
Olúgbémiga Ekúndayò 1 , Omofolasade Kosoko-Lasaki 2 , Jeffrey M. Smith 3 , Garrick I. Hayashi 4 , Raheem Sanders 5 , Aminatu Issaka 5 , John R. Stone 6
Affiliation  

ABSTRACT Physical activity has been strongly associated with better physical and mental health outcomes. However, physical activity for better health outcomes depends on many factors, including the nature of the environment. In resource-challenged settings, the configurations of physical activities for salutogenic effects is rarely characterized. Using the Health Belief Model (HBM), this paper reviews and analyses factors that influence 150–300 minutes per week of Mild to Moderate Physical Activity (MMPA-150) among urban minority residents. Residents of a Racial and Ethnic Approach to Community Health (REACH)-targeted campaign funded by the U.S. Centers for Disease Control and Prevention (CDC), including schools, housing projects, community health center and faith-based organizations in minority neighborhoods in a mid-west city were surveyed with a REACH Health Activity Assessment questionnaire. Using HBM constructs, multinomial logistic regression analyses were applied to determine levels of factors that impact MMPA-150. Black/African Americans were significantly more likely than others to engage in MMPA-150. Perceived vulnerability also predicted MMPA-150 in the bivariate model. There is need for planning and implementation, based on differences in resource access/availability. It is essential to clearly identify salutogenic activities that are living style based, which may not be vulnerable to lack of ‘resources’, for their implementation. Targeting these living style-based activities with health promotion and education interventions may help move the needle forward regarding the salutogenic effects of physical activities, and engaging in them.

中文翻译:

城市少数民族社区的邻里特征和对身体活动的影响——健康信念模型在克赖顿大学促进健康与健康公平中心 (CPHHE-REACH) 倡议的结果中的应用

摘要 身体活动与更好的身心健康结果密切相关。然而,为获得更好的健康结果而进行的体育活动取决于许多因素,包括环境的性质。在资源受到挑战的环境中,很少对具有健康效应的身体活动配置进行表征。本文使用健康信念模型 (HBM),回顾和分析了影响城市少数民族居民每周 150-300 分钟轻度至中度体育锻炼 (MMPA-150) 的因素。由美国疾病控制和预防中心 (CDC) 资助的以种族和民族方法促进社区健康 (REACH) 为目标的运动的居民,包括学校、住房项目、使用 REACH 健康活动评估问卷调查了中西部城市少数民族社区的社区健康中心和信仰组织。使用 HBM 结构,应用多项逻辑回归分析来确定影响 MMPA-150 的因素水平。黑人/非洲裔美国人比其他人更有可能参与 MMPA-150。感知脆弱性还预测了双变量模型中的 MMPA-150。需要根据资源访问/可用性的差异进行规划和实施。必须清楚地确定基于生活方式的有益健康活动,这些活动可能不易受到缺乏“资源”的影响,以便实施。
更新日期:2020-02-20
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