确定影响拉丁裔老年人体育活动和健康老龄化的因素。

IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Education & Behavior Pub Date : 2024-10-01 Epub Date: 2024-02-08 DOI:10.1177/10901981241228221
Elena Luna, Andrew Springer, Denise Herrera, Maria Elena Garcia, Louis Brown, Steven H Kelder
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引用次数: 0

摘要

背景:对于拉美老年人来说,闲暇时间体育活动(LTPA)的一些益处包括增强认知功能、减少孤独感和降低过早死亡率。尽管闲暇时间体育锻炼(LTPA)有好处,但在美国,≥50 岁的成年人是最不活跃的年龄组之一:这项定性研究旨在通过探讨参加健身课程和使用公园的障碍和促进因素,为拉丁裔老年人的长期体育锻炼提供更多有限的证据。在健康的社会生态模式和健康的社会决定因素理论以及现象学研究设计的指导下,通过使用半结构化访谈指南对拉丁裔成年人进行 27 次个人访谈,收集了定性研究数据。我们与社区合作伙伴合作,采用有目的的抽样策略招募参与者。双文化数据收集者通过 Zoom 进行了半结构式访谈。采用归纳和演绎的方法,使用 Dedoose 进行了专题分析:参加健身课程和使用公园的主要障碍是家庭和/或工作负担、安全感和歧视感。相反,参加健身班的关键促进因素则是团体社交、与团体成员的社会联系、健身教练的特点以及锻炼历史:本研究的结果对健身计划和公园娱乐的设计具有重要意义,包括需要增加娱乐工作人员的文化多样性和文化相关计划。未来还需要研究与家庭/工作相关的时间贫困问题,以及健身中心的歧视性做法(如年龄歧视和种族/民族歧视)是否会影响体育锻炼行为。
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Identifying Factors That Influence Physical Activity and Healthy Aging Among Older Latino Adults.

Background: For older Latinos, some benefits of leisure-time physical activity (LTPA) include enhanced cognitive functioning, decreased loneliness, and reduced premature mortality. Despite LTPA benefits, adults ≥50 years are one of the most inactive age groups in the United States.

Methods: This qualitative study aimed to add to the limited evidence of LTPA in older Latino adults by exploring the barriers and facilitators for fitness class uptake and park use. Guided by a Social-Ecological Model of Health and Social Determinants of Health theoretical and a phenomenological research design, qualitative research data were collected via 27 personal interviews with Latino adults using a semistructured interview guide. Participants were recruited using purposive sampling strategies in collaboration with community partners. Bicultural data collectors conducted the semistructured interviews over Zoom. Thematic analysis was performed using Dedoose, following an inductive and deductive approach.

Results: The main barriers to fitness class attendance and park use were family and/or work commitments, perceived safety, and perceived discrimination. Conversely, the critical facilitators for participation were socialization into a group, social connectedness with group members, fitness instructor characteristics, and exercise history.

Conclusions: Findings from this study hold important implications for the design of fitness programming and park-based recreation, including the need to increase the cultural diversity of recreation staff and culturally relevant programming. Future research is needed on time poverty related to family/work commitments and whether discriminatory practices at fitness centers, like ageism and race/ethnicity, influence physical activity behavior.

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来源期刊
Health Education & Behavior
Health Education & Behavior PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
8.60
自引率
2.40%
发文量
75
期刊介绍: Health Education & Behavior is the official publication of the Society for Public Health Education (SOPHE). The journal publishes authoritative and practical information on critical health issues for a broad range of professionals interested in understanding factors associated with health behavior and health status, and strategies to improve social and behavioral health. The journal is interested in articles directed toward researchers and/or practitioners in health behavior and health education. Empirical research, case study, program evaluation, literature reviews, and articles discussing theories are regularly published.
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