Barriers and Facilitators to Physical Activity for Rural and Remote Children and Youth: A Scoping Review.

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Holly Harding, Lee Wallace, Madeleine English, Mikah Van Gogh, Cristina M Caperchione
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引用次数: 0

Abstract

Background: Engagement in regular physical activity throughout childhood is fundamental to physiological development and prevention of chronic disease. Despite strong evidence supporting its benefits, many young Australians fail to achieve recommended physical activity levels, with rural children and youth in particular experiencing challenges to participation. Understanding the reasons for low participation and identifying strategies to enhance engagement within rural communities is critical to equitable health promotion. This scoping review synthesized current literature to identify barriers and facilitators to physical activity for rural and remote children and youth in Australia.

Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Scoping Reviews guidelines. Four databases were searched to identify peer-reviewed studies examining barriers and facilitators to physical activity among Australian rural children and youth. Narrative synthesis was used to analyze texts, then identified barriers and facilitators were categorized using an adapted socioecological framework.

Results: Twenty-one studies met the inclusion criteria. Narrative synthesis revealed 46 barriers and 40 facilitators to physical activity engagement. Findings showcased barriers including accessibility, self-exclusionary behaviors, gender norms, and negative social environments. Facilitators included social support, use of school infrastructure, and positive sporting environments.

Conclusion: Children and youth in rural areas face multifaceted barriers and facilitators to physical activity, shaped by social and physical environments. While this review provides an emerging understanding of these factors and their practical implications, further research is needed to develop a deeper understanding and to ensure future service provision is tailored to the context of rural children and youth.

农村和偏远地区儿童和青少年身体活动的障碍和促进因素:范围审查。
背景:在整个儿童时期参与有规律的体育活动是生理发育和预防慢性疾病的基础。尽管有强有力的证据支持它的好处,但许多澳大利亚年轻人未能达到建议的身体活动水平,特别是农村儿童和青少年在参与方面面临挑战。了解参与率低的原因和确定加强农村社区参与的战略对于公平的健康促进至关重要。本综述综合了目前的文献,以确定澳大利亚农村和偏远地区儿童和青少年体育活动的障碍和促进因素。方法:本综述遵循系统评价和荟萃分析-范围评价的首选报告项目指南。研究人员搜索了四个数据库,以确定同行评议的研究,这些研究考察了澳大利亚农村儿童和青少年体育活动的障碍和促进因素。使用叙事综合来分析文本,然后使用适应性社会生态框架对确定的障碍和促进因素进行分类。结果:21项研究符合纳入标准。叙事综合揭示了46个障碍和40个促进体育活动参与的因素。调查结果显示,障碍包括无障碍、自我排斥行为、性别规范和消极的社会环境。促进因素包括社会支持、学校基础设施的使用和积极的体育环境。结论:农村地区的儿童和青少年在身体活动方面面临多方面的障碍和促进因素,这些障碍和促进因素受社会和物质环境的影响。虽然这一审查提供了对这些因素及其实际影响的新认识,但需要进一步研究以形成更深入的认识,并确保今后提供的服务适合农村儿童和青年的情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of physical activity & health
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.
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