Interactions between psychosocial and built environment factors in explaining older adults' physical activity.

Interactions between psychosocial and built environment factors in explaining older adults' physical activity.
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DOI:
10.1016/j.ypmed.2011.10.004
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发表时间:
2012-01
影响因子:
5.1
通讯作者:
King, Abby C.
King, Abby C.
中科院分区:
医学2区
文献类型:
--
作者:
Carlson, Jordan A.;Sallis, James F.;Conway, Terry L.;Saelens, Brian E.;Frank, Lawrence D.;Kerr, Jacqueline;Cain, Kelli L.;King, Abby C.

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评估2005-2008年期间巴尔的摩、马里兰州和西雅图、华盛顿地区719名社区居住老年人的身体活动的心理社会和环境相关因素之间跨水平相互作用的生态模型预测。步行能力,进入公园和娱乐设施和中度到剧烈的身体活动(MVPA)分钟,每周(分钟/周)进行了客观的测量。邻里美学,步行设施,社会支持,自我效能,障碍和交通和休闲步行分钟/周自我报告。可步行性与社会支持在解释总MVPA(B = 13.71)方面相互作用,与社会支持(B = 7.90)、自我效能(B = 7.66)和障碍(B =-8.26)在解释步行交通方面相互作用。美学与障碍相互作用解释总MVPA(B =-12.20)和步行设施与自我效能相互作用解释休闲步行(B =-10.88; Ps < .05)。总结整个互动,生活在一个支持性的环境(与不支持)与30-59分钟/周的身体活动更多的参与者具有更积极的心理社会属性,但只有0-28分钟/周的参与者较少积极的心理社会属性。研究结果支持建筑环境和心理社会因素之间的协同作用,解释老年人的体力活动。研究结果表明,多层次的干预可能是最有效的增加体力活动。
To evaluate ecological model predictions of cross-level interactions among psychosocial and environmental correlates of physical activity in 719 community-dwelling older adults in the Baltimore, Maryland and Seattle, Washington areas during 2005-2008. Walkability, access to parks and recreation facilities and moderate-to-vigorous physical activity (MVPA) minutes per week (min/week) were measured objectively. Neighborhood aesthetics, walking facilities, social support, self-efficacy, barriers and transportation and leisure walking min/week were self-reported. Walkability interacted with social support in explaining total MVPA (B = 13.71) and with social support (B = 7.90), self-efficacy (B = 7.66) and barriers (B = −8.26) in explaining walking for transportation. Aesthetics interacted with barriers in explaining total MVPA (B = −12.20) and walking facilities interacted with self-efficacy in explaining walking for leisure (B = −10.88; Ps < .05). Summarizing across the interactions, living in a supportive environment (vs. unsupportive) was related to 30-59 more min/week of physical activity for participants with more positive psychosocial attributes, but only 0-28 more min/week for participants with less positive psychosocial attributes. Results supported synergistic interactions between built environment and psychosocial factors in explaining physical activity among older adults. Findings suggest multilevel interventions may be most effective in increasing physical activity.
DOI: 10.1097/00005768-199805000-00021
发表时间: 1998-05-01
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影响因子: --
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