Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study
| Autor: | Stacey A. Slone, Deirdre Dlugonski, Joann Lianekhammy, Rachel Gillespie, Kathryn Cardarelli, Natalie Jones, Emily M. DeWitt |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Rural Population medicine.medical_specialty Health Toxicology and Mutagenesis socioecological model Psychological intervention Community-based participatory research physical activity Kentucky 01 natural sciences Article 03 medical and health sciences Social support 0302 clinical medicine Environmental health medicine Humans 030212 general & internal medicine 0101 mathematics Exercise community-based participatory research Appalachian Region Public health 010102 general mathematics Public Health Environmental and Occupational Health Focus Groups medicine.disease Focus group Obesity Cohort Medicine rural Psychology Appalachia |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 18, Iss 7646, p 7646 (2021) Volume 18 Issue 14 |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Obesity is an increasing public health concern in the U.S. and a contributor to chronic illness, with trends revealing a rise in adult obesity and chronic disease rates among the most vulnerable and disadvantaged populations, including those in rural communities. A mixed-methods approach was used to examine perspectives on perceived physical activity barriers, resources, and level of community support. Researchers utilized the socioecological model to examine the multiple domains that support physical activity in rural Appalachia. The present study focuses on baseline data, including a cohort survey to assess physical activity, health status, and barriers to physical activity, and five focus groups with elected community leaders, community residents, members, and key stakeholders to assess perspectives on physical activity barriers and resources within the county. The cohort survey sample (N = 152) reported a median of 6 barriers (range 0–13) to participating in at least 30 min of physical activity daily. The qualitative analysis yielded three overarching themes related to physical activity participation: lack of motivation, physical environment, and cultural barriers. This mixed-methods study revealed the challenges and perceptions among rural residents across the socioecological model when assessing physical inactivity. Findings can be used to tailor future interventions focused on expanding social support, designing infrastructure, and creating policies that promote physical activity. |
| Databáze: | OpenAIRE |
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