Ethnic Specific Midlife Women's Attitudes Toward Physical Activity

描述(由申请者提供)：美国不断变化的种族和民族构成将要求卫生专业人员在促进身体活动等领域从事具有文化能力的实践，在这些领域，文化信仰可能会影响健康促进行为。尽管体育锻炼的好处现在已经被广泛接受，但中年妇女，特别是少数民族妇女，参加体育活动的比率很低，据报道，少数民族妇女心血管疾病、2型糖尿病、肥胖症和高血压的患病率以及各种原因死亡率(通过增加体育锻炼可以有效地降低)远远高于白人中年妇女。参与率低的一个看似合理的原因是，妇女对体育活动的特定种族态度很少被纳入相关干预措施。本研究的目的是探讨四个族群[西班牙裔、非西班牙裔(N-H)白人、非裔非裔美国人和N-H亚裔]的中年女性对体育活动的态度，同时考虑她们的态度与她们在特定种族的日常生活中实际参与体育活动的关系。数据将通过互联网调查和特定种族的在线论坛收集，以便在全国范围内抽样。具体目的是：(A)探讨四个民族的中年妇女对体育活动的态度；(B)探讨妇女参与体育活动的种族差异；(C)探讨妇女对体育活动的态度与其参与体育活动之间的关系；以及(D)探索妇女日常生活中影响妇女参加体育活动的具体种族背景。中年女性对体育活动的态度(MAPA)模型将为本研究提供理论指导。创新的数据收集方法包括对500名中年妇女进行互联网调查，采用配额抽样法，通过各种互联网环境采取多种招聘战略，并在四个不同族裔群体(每个群体30名成员)之间举行为期6个月的在线论坛。长期目标是：a)开发关于特定种族中年妇女在特定种族背景下对体育活动的态度的知识库；b)为多民族中年妇女群体制定基于网络的体育活动促进教育方案。这项拟议的研究将指导通过互联网为少数民族中年妇女服务的体育活动促进计划的发展，从而有助于减少健康差距，这是美国一个主要的公共卫生问题。

DESCRIPTION (provided by applicant): The changing racial and ethnic makeup of the U.S. will require health professionals to practice with cultural competence in areas such as promotion of physical activity, where cultural beliefs may mediate health promotion behaviors. Although the benefits of physical activity are now widely accepted, midlife women, especially ethnic minority women, have low participation rates in physical activity, and prevalence rates of cardiovascular diseases, type 2 diabetes, obesity, and hypertension, and all-cause mortality among ethnic minority women (that can be effectively reduced by increasing physical activity) have been reported to be much higher than those of White midlife women. A plausible reason for the low participation rate is that the women's ethnic-specific attitudes toward physical activity have rarely been incorporated into relevant interventions. The purpose of this study is to explore attitudes of midlife women from four ethnic groups [Hispanic, Non-Hispanic (N-H) White, N-H African Americans, and N-H Asians] toward physical activity while considering the relationships between their attitudes and their actual participation in physical activity within the ethnic-specific contexts of their daily lives. Data will be gathered via Internet survey and ethnic- specific online forums to allow for a national sample. The specific aims are to: a) explore in attitudes toward physical activity among midlife women from the four ethnic groups; b) explore ethnic differences in women's participation in physical activity; c) explore relationships between women's attitudes toward physical activity and their participation in physical activity in each ethnic group; and d) explore ethnic-specific contexts of women's daily lives that influence women's participation in physical activity. The Midlife Women's Attitudes toward Physical Activity (MAPA) model will provide theoretical direction for the study. Innovative data collection methods include an Internet survey among 500 midlife women recruited using the quota sampling method with multiple recruitment strategies through various Internet settings, and online forums of 6-month duration among four different ethnic groups (30 members per group). Long-term goals are to: a) develop a knowledge base on ethnic-specific midlife women's attitudes toward physical activity within the ethnic-specific contexts and b) develop a web-based physical activity promotion education program for multi-ethnic groups of midlife women. The proposed study will contribute to reducing health disparities, a major public health concern in the U.S., by directing the development of physical activity promotion programs that can serve ethnic minority midlife women through the Internet.