Factors associated with adherence to the Academia da Cidade Program in Recife

Abstract

This paper aimed to identify factors associated with adherence to the Academia da Cidade Program (ACP) in Recife. It is a cross-sectional study developed in 20 ACP centers, involving 289 users (93.7% female, 67.1% aged 30-59 years) and 244 former users (91.4% female, 63.5% aged 30-59 years) of the program. We used a self-administered questionnaire for data collection. The dependent variable was adherence to the ACP (starting and staying in it for at least three months), and the independent variables were sociodemographic aspects, participation in the ACP, and variables related to the reasons that led participants to start attending the ACP. For data analysis, we used descriptive statistics and binary logistic regression, in which Odds Ratio (OR) was the measure of association. The results of the multivariable analysis revealed that participants aged 30 or older (OR = 7.18; 95%CI: 2.57-20.03), unemployed (OR = 1.62; 95%CI: 1.01-2.59), who had been attending the ACP for 25 months or longer (OR = 7.41; 95%CI: 3.80-14.46), whose weekly participation frequency was higher than three days (OR = 7.09; 95%CI: 1.81-27.80), and who had started attending the ACP to improve their physical performance (OR = 1.87; 95%CI: 1.17-3.00) and due to the team's and teacher's confidence and commitment (OR = 2.78; 95%CI: 1.37-5.64) were more likely to adhere to the ACP. Therefore, the factors associated with adherence to the ACP were related to sociodemographic characteristics, users' participation in the ACP and reasons that led users to start attending the program.

The Impacts of Outdoor Gyms on Leisure Physical Activity in Campo Grande/MS

“…However, when considering the specificity of the research locations in our study (OGs), the greater adherence of women in Campo Grande, MS, corroborates studies developed with users of this same type of gym (Costa, Freitas, & Silva, 2016, Souza, Fermino, Añez, & Reis, 2014, as well as other public gyms -PAC (Fernandes et al, 2017, Hallal et al, 2010, Lemos, Bastos, Silva, Luna, & Gouveia, 2016.…”

“…The implantation of spaces is appreciated by the population, since most of them indicated attending OGs from one to three years. The permanent use of public gyms has shown an average of 25 months (Lemos et al, 2016), 27.5 months (Mathias et al, 2019) and 36 months (Fernandes et al, 2017), which indicates user satisfaction, because according to Pascual, ALguacil e Garcia (2020), user loyalty is statistically related to the satisfaction promoted by the space.…”

“…The democratization of access to OGs is relevant to health promotion, as this was the main reason for users to attend them. Health promotion (adopting a healthy lifestyle) was also highlighted as the main reason for using the PAC in Recife (Lemos et al, 2016) and OGs in Paranaguá -PR (Mathias et al, 2019).…”

Classifying the types of evidence produced on the Academia da Cidade Program: a scoping review

“…The studies classified as type I focused on reporting the effects of physical activity sessions offered by the ACP-Recife in the quality of life of participants 11,12 and risk factors associated to hypertension in ACP participants 13 .In addition, the type II studies reported how the Academia da Cidade Program relates to healthy lifestyles 10 , effects in the physical activity levels of the population exposed to the ACP 16 , satisfaction and exposure to the ACP 14 , adhesion of ACP participants 15 and program perception of professionals in the ACP 28 .…”

“…From that perspective, the Academia da Cidade Program (ACP), linked to the Health Secretariat of Recife since 2002, works as a component of health policy aiming at Primary Care and its goal is to promote physical activity, healthy diet, and health education 9 , where the ACP actions are developed in a system within public open spaces such as parks and plazas 10 . The body of literature on the ACP in Recife is focused in studies on: quality of life, lifestyle, and participant satisfaction [11][12][13] , evaluation of ACP activities 14 , adherence and adhesion of participants 10,15 , effects on the interventions of the ACP in Recife 16 and articulation between the family health units and the ACP 17 .…”