Researching Those Who Have the Most to Gain: Focused Physical Activity Promotion in Lower Socioeconomic Populations

Lee, Rebecca E.; Adamus-Leach, Heather J.; Cheung, Kyle C.; Soltero, Erica G.; Lopez, Ygnacio; Saavedra, Fiorella; Noor, M. Mohd; Mama, Scherezade K.

doi:10.1007/s12170-012-0243-3

Cited by 7 publications

(6 citation statements)

References 42 publications

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“…Residence in lower-income neighborhoods has been associated with lower levels of physical activity. [1][2][3][4] Although residents in lower-income neighborhoods have reported greater energy expenditure and higher levels of active transportation in some cases, 5 they also report less moderate to vigorous physical activity (MVPA) and are less likely to meet recommended guidelines for physical activity. 6 The theoretical underpinnings of these observed associations, derived from the Ecologic Model of Physical Activity of Spence and Lee, 7 posit that macrolevel environmental factors such as neighborhood income may have a direct impact on individual-level physical activity adoption, but this effect may be modified by microlevel environmental factors, such as having high-quality places to do physical activity.…”

Section: Introductionmentioning

confidence: 99%

Contribution of Neighborhood Income and Access to Quality Physical Activity Resources to Physical Activity in Ethnic Minority Women over Time

Lee¹,

Mama²,

Adamus-Leach³

et al. 2015

Am J Health Promot

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Purpose To create and test an index to indicate both availability and quality of physical activity (PA) resources (PARs), to examine associations between access to quality PARs and changes in PA, and to determine whether this association differed in lower- and higher-income neighborhoods. Design Longitudinal, 6-month intervention. Setting. Houston and Austin, Texas. Subjects African-American and Hispanic or Latina women. Measures Women (N = 410) completed a questionnaire and accelerometry to measure PA. Neighborhoods (N = 163) were classified as lower- or higher-income by median household income at the census-tract level. PARs were audited using the PARA (physical activity resource assessment). Access to quality PARs was determined by a composite index (QPAR) of features, amenities, and incivilities. Analysis Repeated measures analyses of variance were used to examine changes in PA by (1) neighborhood income (lower/higher) and QPAR (lower/higher) groups, and (2) neighborhood income (lower/higher) and number of PARs (lower/higher) groups, adjusting for ethnicity, household income, and body mass index. Results Women in neighborhoods with lower QPAR scores had small increases in self-reported vigorous PA (M Δ = 327.8 metabolic equivalent of task [MET]-min/wk) and decreases in accelerometer PA (M = −3.4 min/d), compared to those with higher QPAR scores who had larger increases in self-reported vigorous PA (M Δ = 709.8 MET-min/wk) and increased accelerometer PA (M = 3.9 min/d). There was a significant interaction between changes in leisure-time PA, QPAR score, and number of PARs (p =.049). Women with both more PARs and higher QPAR scores reported greater increases in leisure-time PA than women with fewer PARs and lower QPAR scores. Conclusion Access to higher-quality PARs can help increase or maintain PA over time regardless of neighborhood income. PAR quality is a separate and distinct, important determinant of PA in ethnic minority women.

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Section: Introductionmentioning

confidence: 99%

Contribution of Neighborhood Income and Access to Quality Physical Activity Resources to Physical Activity in Ethnic Minority Women over Time

Lee¹,

Mama²,

Adamus-Leach³

et al. 2015

Am J Health Promot

Self Cite

View full text Add to dashboard Cite

show abstract

“…Chronic stress from the above detailed determinants also presents greater challenges to engaging in physical activity. Socioeconomic deprivation limits opportunities and time to participate in physical activity and renders physical activity as a lower priority, a luxury even, far below the greater necessities of daily survival [ 57 ]. Regularly performed physical activity measurably improves the perception of stress [ 58 ].…”

Section: Societal and Systematic Roots Of Physical Activity And Chronic Disease Health Disparities Among Pocmentioning

confidence: 99%

Still striding toward social justice? Redirecting physical activity research in a post-COVID-19 world

Lee

Joseph

Carr

et al. 2021

Translational Behavioral Medicine

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The COVID-19 crisis and parallel Black Lives Matter movement have amplified longstanding systemic injustices among people of color (POC). POC have been differentially affected by COVID-19, reflecting the disproportionate burden of ongoing chronic health challenges associated with socioeconomic inequalities and unhealthy behaviors, including a lack of physical activity. Clear and well-established benefits link daily physical activity to health and well-being—physical, mental, and existential. Despite these benefits, POC face additional barriers to participation. Thus, increasing physical activity among POC requires additional considerations so that POC can receive the same opportunities to safely participate in physical activity as Americans who are White. Framed within the Ecologic Model of Physical Activity, this commentary briefly describes health disparities in COVID-19, physical activity, and chronic disease experienced by POC; outlines underlying putative mechanisms that connect these disparities; and offers potential solutions to reduce these disparities. As behavioral medicine leaders, we advocate that solutions must redirect the focus of behavioral research toward community-informed and systems solutions.

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“…One group that has much to gain from cycling uptake is the socioeconomically disadvantaged populations (Day, 2006;Lee et al, 2012). 1 First, because socioeconomically disadvantaged populations tend to suffer greater transport disadvantage (Lucas, 2012), and cycling could help them to access jobs, education, and other services that with other modes of transport they may not.…”

Section: Introductionmentioning

confidence: 99%

Cycling and socioeconomic (dis)advantage

Tortosa

Heinen

Lovelace

2022

Advances in Transport Policy and Planning

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Researching Those Who Have the Most to Gain: Focused Physical Activity Promotion in Lower Socioeconomic Populations

Cited by 7 publications

References 42 publications

Contribution of Neighborhood Income and Access to Quality Physical Activity Resources to Physical Activity in Ethnic Minority Women over Time

Contribution of Neighborhood Income and Access to Quality Physical Activity Resources to Physical Activity in Ethnic Minority Women over Time

Still striding toward social justice? Redirecting physical activity research in a post-COVID-19 world

Cycling and socioeconomic (dis)advantage

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