Perceived Barriers to Physical Activity Among Youth Living in Rural and Urban Canadian Communities: A Nationally Representative Cross-Sectional Study.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of physical activity & health Pub Date : 2024-04-04 DOI:10.1123/jpah.2023-0254

Taru Manyanga, Nicole White, L. Sluggett, A. Duchesne, David Anekwe, Chelsea Pelletier

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Abstract

BACKGROUND We used nationally representative data to explore associations among location of residence (rural/urban) and perceived barriers to physical activity (PA) in Canadian youth. METHODS We analyzed the 2017 Canadian Community Health Survey, Barriers to Physical Activity Rapid Response data for 12- to 17-year-old youth. Nine items from the survey assessing perceived barriers to PA were combined into 3 barrier domains: resources, motivational, and socioenvironmental. The likelihood of reporting barriers to PA based on rural-urban location was examined using survey-weighted binary logistic regression following a model fitting approach. Sociodemographic factors were modeled as covariates and tested in interaction with location. For each barrier domain, we derived the best-fitting model with fewest terms. RESULTS There were no location-specific effects related to reporting any barrier or motivation-related PA barriers. We found a sex by location interaction predicting the likelihood of reporting resource-related barriers. Rural boys were less likely to report resource-related barriers compared with urban boys (odds ratio [OR] = 0.42 [0.20, 0.88]). Rural girls were more likely to report resource-related barriers compared with boys (OR = 3.72 [1.66, 8.30]). Regarding socioenvironmental barriers, we observed a significant body mass index by location interaction demonstrating that rural youth with body mass index outside the "normal range" showed a higher likelihood of reporting socioenvironmental barriers compared with urban youth (OR = 2.38 [1.32, 4.30]). For urban youth, body mass index was unrelated to reporting socioenvironmental barriers (OR = 1.07 [0.67, 1.71]). CONCLUSION PA barriers are not universal among Canadian youth. Our analyses highlight the importance of testing interactions in similar studies as well as considering key sociodemographic characteristics when designing interventions.

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生活在加拿大农村和城市社区的青少年对体育锻炼的认知障碍：一项具有全国代表性的横断面研究。

背景：我们利用具有全国代表性的数据，探讨了居住地（农村/城市）与加拿大青少年感知到的体育锻炼（PA）障碍之间的关系。方法：我们分析了 2017 年加拿大社区健康调查中 12-17 岁青少年体育锻炼障碍快速反应数据。调查中的 9 个评估体育锻炼感知障碍的项目被合并为 3 个障碍领域：资源、动机和社会环境。根据模型拟合方法，采用调查加权二元逻辑回归法，对城乡地区报告体育锻炼障碍的可能性进行了研究。社会人口因素被作为协变量建模，并与地点进行交互检验。对于每个障碍领域，我们都得出了项数最少的最佳拟合模型。结果在报告任何障碍或与动机相关的 PA 障碍方面，没有特定地点的影响。我们发现，性别与地点的交互作用可预测报告资源相关障碍的可能性。与城市男孩相比，农村男孩较少报告与资源相关的障碍（几率比 [OR] = 0.42 [0.20, 0.88]）。与男孩相比，农村女孩更有可能报告与资源相关的障碍（OR = 3.72 [1.66, 8.30]）。在社会环境障碍方面，我们观察到身体质量指数与地点之间存在显著的交互作用，表明与城市青少年相比，身体质量指数超出 "正常范围 "的农村青少年报告社会环境障碍的可能性更高（OR = 2.38 [1.32, 4.30]）。对于城市青少年来说，身体质量指数与报告社会环境障碍无关（OR = 1.07 [0.67, 1.71]）。我们的分析强调了在类似研究中测试相互作用以及在设计干预措施时考虑主要社会人口特征的重要性。

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来源期刊

Journal of physical activity & health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

5.50

自引率

3.20%

发文量

100

期刊介绍： The Journal of Physical Activity and Health (JPAH) publishes original research and review papers examining the relationship between physical activity and health, studying physical activity as an exposure as well as an outcome. As an exposure, the journal publishes articles examining how physical activity influences all aspects of health. As an outcome, the journal invites papers that examine the behavioral, community, and environmental interventions that may affect physical activity on an individual and/or population basis. The JPAH is an interdisciplinary journal published for researchers in fields of chronic disease.