Physical Activity Behavior Among Midlife South Asian Indian Immigrants

描述（由申请人提供）：本项目的目的是研究生活方式的体力活动行为和体力活动的决定因素/相关因素，包括背景（文化适应，歧视和环境）和自我（自我效能）特征在中年南亚印度（SAI）移民中，有心血管疾病，糖尿病和中心性肥胖的风险。研究的目的是：（1）确定SAI移民的生活方式体育活动行为（闲暇时间、职业和家庭）;（2）在控制人口统计学、当前健康和社会支持的情况下，检验动态自我效能（克服生活方式体育活动障碍的自我效能）在静态背景特征与SAI移民生活方式体育活动行为之间的中介作用。这项研究将解决健康人2010年的目标，从15%增加到30%的亚洲成年人从事适度的体力活动和国家护理研究所的重点是消除健康差距。在SAI移民体育活动行为框架（基于社会认知理论和生态模型）的指导下，研究设计是一个横截面，描述性，面对面的访谈调查。入选标准是在印度出生并移民到美国的SAI移民男性和女性，40至65岁，无身体活动残疾。将通过SAI宗教机构、企业、报纸和口口相传招募110名男女样本。将通过自我报告（老年人社区健康活动模型计划[CHAMPS]用于休闲和家庭，特库姆塞职业活动仪器用于职业）和在加速度计上记录的中等/高强度活动中的每周步数和分钟数评估身体活动。其他指标包括文化适应、歧视、环境（社区感）、身体活动的自我效能、全球健康和流行病学中心抑郁量表（CES-D）评分。措施的翻译是通过委员会的方法进行的，然后是焦点小组。进行了有声思维访谈，以确保跨文化的相关性。参与者将佩戴加速度计一周，并通过邮件返回。将获得所有指标和性别的描述性统计量。数据分析将基于中介回归模型。该模型将被用来解释自我效能感对背景特征（文化适应、歧视和环境）和身体活动之间关系的影响。研究结果将提供指导，在制定文化相关的战略，增加体力活动和减少健康差距在SAIs。

DESCRIPTION (provided by applicant): The purpose of this project is to examine the lifestyle physical activity behaviors and the determinants/correlates of physical activity, including background (acculturation, discrimination and environment) and intrapersonal (self-efficacy) characteristics in midlife South Asian Indian (SAI) immigrants at risk for cardiovascular disease, diabetes, and central obesity. The study aims are to: (1) identify the lifestyle physical activity behavior (leisure time, occupational and household) of SAI immigrants; (2) examine the mediating effects of the dynamic intrapersonal characteristic (self-efficacy for overcoming barriers to lifestyle physical activity) on the relationship between the static background characteristics and lifestyle physical activity behavior in SAI immigrants, controlling for demographics, current health and social support. This study will address the Healthy People 2010 objective of increasing from 15% to 30% the percentage of Asian adults engaging in moderate physical activity and the National Institute of Nursing Research emphasis on the elimination of health disparities. Guided by the Physical Activity Behavior Framework for SAI Immigrants (based on social cognitive theory and the ecological model), the study design is a cross-sectional, descriptive, face-to-face interview survey. Inclusion criteria are SAI immigrant men and women born in India and immigrated to the U.S., 40 to 65 years of age, without physical activity disability. A sample of 110 men and women will be recruited through SAI religious institutions, businesses, newspapers, and word of mouth. Physical activity will be assessed by self-report (Community Healthy Activity Model Program for Seniors [CHAMPS] for leisure and household, Tecumseh Occupational Activity Instrument for occupational) and weekly steps and minutes in moderate/high-intensity activity registered on an accelerometer. Additional measures include acculturation, discrimination, environment (sense of community), self-efficacy for physical activity, global health, and Center for Epidemiological Studies-Depression scale (CES-D) scores. Translation of measures was done by the committee method, followed by focus groups. Think-aloud interviews were conducted to assure cross-cultural relevance. Participants will wear the accelerometer for one week and return it via mail. Descriptive statistics will be obtained for all measures and by gender. The data analysis will be based on the mediating regression model. The model will be used to explain the influence of self-efficacy on the relationship between background characteristics (acculturation, discrimination and environment) and physical activity. Findings will provide guidance in developing culturally relevant strategies for increasing physical activity and decreasing health disparities in SAIs.