Interactions between psychosocial and built environment factors in explaining older adults' physical activity

PREVENTIVE MEDICINE

卷:54

Article

Carlson, Jordan A.^2,3  Sallis, James F.¹  Conway, Terry L.⁴  Saelens, Brian E.^5,6  Frank, Lawrence D.⁷  Kerr, Jacqueline⁸  Cain, Kelli L.¹  King, Abby C.^9,10 

[1] San Diego State Univ, Dept Psychol, San Diego, CA 92103 USA

[2] San Diego State Univ, Joint Doctoral Program Publ Hlth, San Diego, CA 92103 USA

[3] Univ Calif San Diego, San Diego, CA 92103 USA

[4] San Diego State Univ, Grad Sch Publ Hlth, San Diego, CA 92103 USA

[5] Univ Washington, Dept Pediat, Seattle, WA 98101 USA

[6] Childrens Hosp & Reg Med Ctr, Seattle, WA 98101 USA

[7] Univ British Columbia, Sch Community & Reg Planning, Vancouver BC, Vancouver, BC V6T IZ2, Canada

[8] Univ Calif San Diego, Dept Family & Prevent Med, La Jolla, CA 92093 USA

[9] Stanford Univ, Sch Med, Dept Hlth Res & Policy, Stanford, CA 94305 USA

[10] Stanford Univ, Sch Med, Stanford Prevent Res Ctr, Dept Med, Stanford, CA 94305 USA

关键词: Ecological models;    Moderators;    Self-efficacy;    Social support;    Walkability;   

DOI  :  10.1016/j.ypmed.2011.10.004

来源: Elsevier

【 摘 要 】

Objective. To evaluate ecological model predictions of cross-level interactions among psychosocial and environmental correlates of physical activity in 719 community-dwelling older adults in the Baltimore. Maryland and Seattle, Washington areas during 2005-2008. Method. Walkability, access to parks and recreation facilities and moderate-to-vigorous physical activity (MVPA) minutes per week (min/week) were measured objectively. Neighborhood aesthetics, walking facilities, social support, self-efficacy, barriers and transportation and leisure walking min/week were self-reported. Results. Walkability interacted with social support in explaining total MVPA (B=13.71) and with social support (B=7.90), self-efficacy.(B=7.66) and barriers (B=-8.26) in explaining walking for transportation. Aesthetics interacted with barriers in explaining total MVPA (B=-12.20) and walking facilities interacted with self-efficacy in explaining walking for leisure (B = -10.88; Ps<.05). Summarizing across the interactions, living in a supportive environment (vs. unsupportive) was related to 30-59 more min/week of physical activity for participants with more positive psychosocial attributes, but only 0-28 more min/week for participants with less positive psychosocial attributes. Conclusion. Results supported synergistic interactions between built environment and psychosocial factors in explaining physical activity among older adults. Findings suggest multilevel interventions may be most effective in increasing physical activity. (C) 2011 Elsevier Inc. All rights reserved.

【 授权许可】

Free