Not a level playing field: A qualitative study exploring structural, community and individual determinants of greenspace use amongst low-income multi-ethnic families

Cronin-De-Chavez, Anna; Islam, Shahid; McEachan, Rosemary

doi:10.1016/j.healthplace.2019.01.018

Cited by 72 publications

(68 citation statements)

References 25 publications

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“…Safety is a crucial factor that positively influences adults’ PA participation (Barnett et al, 2017). Our study findings are congruent with a previous review (Salvo et al, 2018) and a U.K.-based study among low-income families in an urban, deprived, multicultural community (Cronin-de-Chavez et al, 2019) that found that participants appreciated basic amenities such as resting areas, public restrooms, and drinking water facilities, and that these factors enabled PA. Older people and those with chronic diseases more frequently reported these barriers.…”

Section: Discussionsupporting

confidence: 91%

“…Older people and those with chronic diseases more frequently reported these barriers. In line with these studies (Cronin-de-Chavez et al, 2019; Salvo et al, 2018), our study also highlights the need for collaboration between health and other sectors such as planning, urban design, and transport to create built environments that support sustained PA.…”

Section: Discussionsupporting

confidence: 83%

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Exploration of Physical Activity Barriers and Facilitators Among Adults in Kathmandu, Nepal

2021

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Previous research suggests that a range of factors influence an individual’s physical activity (PA) participation, but studies among Nepalese adults are limited. In this qualitative study, we aimed to explore the multilevel influences upon PA participation among community-dwelling adults aged 40 years and above living in an urban setting in Kathmandu, Nepal. Men ( n = 21) and women ( n = 30) were purposively sampled to participate in one of nine focus group discussions. Types of PA undertaken constituted activities related to housework, farm work, and active travel. Individual-level barriers included lack of knowledge, lack of motivation, perceptions of already being active, personal limitations, and lack of time. Interpersonal barriers included household responsibilities and lack of support. Broader environmental barriers included lack of infrastructure for active commuting, poor safety, rising use of motorized transport, lack of resting areas, weak social norms about PA, declining agricultural engagement, mechanization, and improved access to technology and facilities. Some differences were observed between the gender and disease groups. Health benefits, integration into domestic work, opportunities for social interaction, and social support were the facilitators. Interventions focusing on families, highlighting the short- and long-term benefits of PA, addressing gender roles, and ensuring women are better supported represent opportunities to promote PA. Community-based interventions will be essential to establish social norms around PA and improve social support.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 83%

Exploration of Physical Activity Barriers and Facilitators Among Adults in Kathmandu, Nepal

2021

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“…Additionally, the South Asian families who took part in this study lived in the most deprived areas. They may have had less access to quality indoor play areas and more concerns about neighbourhood and traffic safety on dark winter evenings [51].…”

Section: Patterns Of Sedentary Time and Physical Activitymentioning

confidence: 99%

Objectively-measured sedentary time and physical activity in a bi-ethnic sample of young children: variation by socio-demographic, temporal and perinatal factors

et al. 2020

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Background: Evidence suggests that South Asian school-aged children and adults are less active compared to the white British population. It is unknown if this generalises to young children. We aimed to describe variability in levels of physical activity and sedentary time in a bi-ethnic sample of young children from a deprived location. Methods: This observational study included 202 South Asian and 140 white British children aged 1.5 to 5y, who provided 3181 valid days of triaxial accelerometry (Actigraph GT3X+). Variability in sedentary time and physical activity levels were analysed by linear multilevel modelling. Logistic multilevel regression was used to identify factors associated with physical inactivity (failing to perform ≥180 min of total physical activity including ≥60 min moderate-to-vigorous physical activity (MVPA) per day). Results: There were no significant ethnic differences in the overall levels of behaviours; South Asian and white British children spent half of daily time sedentary, just over 40% in light physical activity, and the remaining 7.5 to 8% of time in MVPA. Sedentary time was lower and physical activity levels were higher in older children, and levels of MVPA and vector magnitude counts per minute (CPM) were higher on weekends compared to weekdays. In South Asian children, sedentary time was lower on weekends. Sedentary time was lower and physical activity levels were higher in spring compared to winter in white British children, and in all seasons compared to winter in South Asian children. South Asian children born at high birth weight performed more MVPA, and in both ethnicities there was some evidence that children with older mothers were more sedentary and less active. Sedentary time was higher and light physical activity was lower in South Asian children in the highest compared to the lowest income families. South Asian girls performed less MVPA, registered fewer vector magnitude CPM, and were 3.5 times more likely to be physically inactive than South Asian boys. Conclusions: Sedentary time and physical activity levels vary by socio-demographic, temporal and perinatal characteristics in young children from a deprived location. South Asian girls have the most to gain from efforts to increase physical activity levels.

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“…Despite this, we found clear associations between time children spent in greenspace and physical activity. A recent qualitative study found that low-income families in deprived urban areas experienced a number of barriers to accessing greenspace (Cronin-de-Chavez et al, 2019). Families in the study recognized the importance of spending time in greenspace, especially with their young children, but expressed concern about where to access greenspace and how to manage children in these spaces.…”

Section: Discussionmentioning

confidence: 99%

Greenspace, physical activity, and BMI in children from two cities in northern Mexico

Benjamin‐Neelon

Platt²,

Bacardı́-Gascón

et al. 2019

Preventive Medicine Reports

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Numerous previous studies have reported positive associations between exposure to greenspace and children's physical activity, but in high-income countries only. Prior studies have also examined greenspace and obesity in children, but these have yielded inconsistent results and focused mostly on older children. The purpose of this study was to assess associations between time children spent in greenspace as the primary exposure and our outcomes of interest, including 1) minutes of physical activity, and 2) body mass index (BMI) z-score. Our sample was 102 children ages 3 to 5 years living in Ensenada and Tijuana, Mexico. We fit linear mixed models to estimate associations between greenspace and children's physical activity and BMI z-score. After adjustment for potential confounders, greater time in greenspace was associated with decreased sedentary time (−0.08 min per hour for each additional 30 min in greenspace; 95% CI −0.13, −0.04; p = 0.002) and increased moderate-to-vigorous physical activity (MVPA) (0.06; 95% CI 0.03, 0.10; p < 0.001). Results were driven primarily by children in Tijuana (−0.22; 95% CI −0.38, −0.06; p = 0.008 for sedentary time and 0.15; 95% CI 0.06, 0.38; p = 0.007 for MVPA). Time in greenspace was not associated with BMI z-score in children in Ensenada (0.001; 95% CI −0.008, 0.01; p = 0.83) or Tijuana (−0.009; 95% CI −0.02, 0.004; p = 0.17). Greater time in greenspace was associated with physical activity but not BMI in our sample of children—more so in Tijuana compared to Ensenada. Given high rates of obesity, interventions should aim to increase physical activity in young children in Northern Mexico.

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Not a level playing field: A qualitative study exploring structural, community and individual determinants of greenspace use amongst low-income multi-ethnic families

Cited by 72 publications

References 25 publications

Exploration of Physical Activity Barriers and Facilitators Among Adults in Kathmandu, Nepal

Exploration of Physical Activity Barriers and Facilitators Among Adults in Kathmandu, Nepal

Objectively-measured sedentary time and physical activity in a bi-ethnic sample of young children: variation by socio-demographic, temporal and perinatal factors

Greenspace, physical activity, and BMI in children from two cities in northern Mexico

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