Barriers to Physical Activity Among African American Women: An Integrative Review of the Literature
Barriers to Physical Activity Among African American Women: An Integrative Review of the Literature
复制标题
DOI：
10.1080/03630242.2015.1039184
复制
发表时间：
2015-08-18
期刊：
影响因子：
1.6
通讯作者：
Dodgson, Joan E.
中科院分区：
文献类型：
--
作者：
Joseph, Rodney P.;Ainsworth, Barbara E.;Dodgson, Joan E.
研究人员在为非裔美国人（AA）妇女制定文化上适当的体育活动（PA）干预措施时要考虑的一个关键方面是AA妇女面临的限制其参与PA的具体障碍。识别和严格审查这些障碍是第一步，在制定全面的文化相关的方法，以促进PA和帮助解决PA相关的健康差距，在这个服务不足的人口。我们进行了一个系统的综合文献综述，以确定AA妇女PA的障碍。检索了5个电子数据库，自1990年以来（范围1998-2013）在英语期刊上发表的42项研究（27项定性研究，14项定量研究，1项混合方法研究）符合纳入标准。障碍被分类为内在的，人际的，或环境/社区根据各自的影响程度在我们的社会生态框架。个人内部障碍包括缺乏时间、知识和动力;身体外观问题;健康问题;运动设施的货币成本;以及疲劳/疲劳。人际关系障碍包括家庭/养育责任;缺乏社会支持;以及缺乏PA伙伴。环境障碍包括安全问题;缺乏设施;天气问题;缺乏人行道;缺乏身体活跃的AA榜样。研究结果提供了关键的杠杆点，研究人员考虑时，制定文化相关的PA AA妇女的干预措施。
A key aspect for researchers to consider when developing culturally appropriate physical activity (PA) interventions for African American (AA) women are the specific barriers AA women face that limit their participation in PA. Identification and critical examination of these barriers is the first step in developing comprehensive culturally relevant approaches to promote PA and help resolve PA-related health disparities in this underserved population. We conducted a systematic integrative literature review to identify barriers to PA among AA women. Five electronic databases were searched, and forty-two studies (twenty-seven qualitative, fourteen quantitative, one mixed method) published since 1990 (range 1998-2013) in English language journals met inclusion criteria for review. Barriers were classified as intrapersonal, interpersonal, or environment/community according to their respective level of influence within our social ecological framework. Intrapersonal barriers included lack of time, knowledge, and motivation; physical appearance concerns; health concerns; monetary cost of exercise facilities; and tiredness/fatigue. Interpersonal barriers included family/caregiving responsibilities; lack of social support; and lack of a PA partner. Environmental barriers included safety concerns; lack of facilities; weather concerns; lack of sidewalks; and lack of physically active AA role models. Results provide key leverage points for researchers to consider when developing culturally relevant PA interventions for AA women.