Linking social and built environmental factors to leisure-time physical activity in rural cancer survivors.

Autor:	Stevens CJ; Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.; Cancer Population Sciences, Dartmouth Cancer Center, Lebanon, NH, USA., Liao Y; Department of Kinesiology, University of Texas at Arlington, Arlington, TX, USA., Chen M; Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA., Heredia NI; Department of Health Promotion and Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, USA., Arem H; Healthcare Delivery Research Program, Medstar Health Research Institute, Washington, DC, USA.; Department of Oncology, Georgetown University, Washington, DC, USA., Sukumar J; Department of Breast Medical Oncology, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA., Joffe L; Department of Pediatric Hematology, Oncology, and Stem Cell Transplantation, Cohen Children's Medical Center, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, USA., Schmitz KH; Hillman Cancer Center and Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA., Mama SK; Department of Health Disparities Research, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jazyk:	angličtina
Zdroj:	Journal of the National Cancer Institute. Monographs [J Natl Cancer Inst Monogr] 2023 May 04; Vol. 2023 (61), pp. 125-132.
DOI:	10.1093/jncimonographs/lgad004
Abstrakt:	Background: This study explored associations between social and built environmental factors and leisure-time physical activity (LTPA) in rural cancer survivors (RCS) and whether these associations differed by exercise stage of change (SOC). Method: RCS (n = 219) completed questionnaires assessing LTPA, SOC, and social (social status, connectedness, support) and environmental (home environment, neighborhood environment) factors. Linear regression models examined associations between social and built environmental factors and LTPA and tested for moderation by SOC. Results: Half (50.7%) of RCS were physically active, and 49.3% were not active. Social factors positively associated with LTPA included subjective social status in the community (B = 89.0, P = .014) and in the United States (B = 181.3, P < .001), social connectedness (B = 122.3, P = .024), and social support for physical activity from family (B = 41.9, P < .001) and friends (B = 44.3, P < .001). Environmental factors positively associated with LTPA included the home environment (B = 111.2, P < .001), perceived environmental support for PA (B = 355.4, P = .004), and neighborhood attributes, including bicycling infrastructure (B = 191.3, P = .003), proximity to recreation facilities (B = 140.1, P = .021), traffic safety (B = 184.5, P = .025), and aesthetics (B = 342.6, P < .001). SOC statistically significantly moderated the association between social status in the United States and LTPA (B = 160.3, P = .031). Conclusions: Social and built environmental factors were consistently linked with LTPA and provide context for multilevel interventions promoting LTPA in RCS. (© The Author(s) 2023. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
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