Barriers to physical activity for adults in rural and urban Canada: A cross-sectional comparison

Background: Individual differences in physical activity behavior are associated with a collection of individual and environmental factors manifesting as barriers to participation. Understanding how barriers to physical activity differ based on sociodemographic characteristics can support identificat...

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Autores principales:	Chelsea A. Pelletier, Nicole White, Annie Duchesne, Larine Sluggett
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Rural health Barriers Physical activity Exercise Health promotion Social-ecological model Public aspects of medicine RA1-1270 Social sciences (General) H1-99
Acceso en línea:	https://doaj.org/article/e5b1c657efe8441985fae8597791044b
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spelling	oai:doaj.org-article:e5b1c657efe8441985fae8597791044b2021-11-20T05:07:38ZBarriers to physical activity for adults in rural and urban Canada: A cross-sectional comparison2352-827310.1016/j.ssmph.2021.100964https://doaj.org/article/e5b1c657efe8441985fae8597791044b2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352827321002391https://doaj.org/toc/2352-8273Background: Individual differences in physical activity behavior are associated with a collection of individual and environmental factors manifesting as barriers to participation. Understanding how barriers to physical activity differ based on sociodemographic characteristics can support identification and elimination of health inequities. Objectives: To compare the odds of reporting individual and environmental barriers to physical activity in rural and urban adults, and explore interactions between rural-urban location and sociodemographic factors to characterize patterns in barriers to physical activity. Design: Cross-sectional. Methods: We analyzed the 2017 Canadian Community Health Survey Barriers to Physical Activity Rapid Response, with a final weighted sample of 24,499,462 (unweighted n=21,967). The likelihood of reporting each barrier domain based on rural-urban location was examined using binary logistic regression following a model-fitting approach with sociodemographic characteristics as covariates or interaction terms. Results: Adjusting for sociodemographic factors, rural residents showed 85% higher odds of reporting at least one social or built environmental barrier (OR=1.85 [1.66, 2.07]). Compared to urban residents, rural residents showed significantly higher odds of reporting barriers to facility access (OR=4.15 [3.58, 4.83]) and a lack of social support to be active (OR=1.17 [1.04, 1.32]). Urban residents reported lower preference for physical activity, lower enjoyment of physical activity and lower confidence in their ability to regularly engage in physical activity. Interactions between socioeconomic status and location were identified related to enjoyment and confidence to be active. There was no effect of location on predicting the odds of reporting an individual resource-related variable (e.g., time, energy). Conclusions: Despite being more likely than urban residents to prefer and enjoy physical activity, rural residents have fewer opportunities and receive less social support to be active. It is important to consider geographic location when characterizing barriers to physical activity and in the development of context-specific health promotion strategies.Chelsea A. PelletierNicole WhiteAnnie DuchesneLarine SluggettElsevierarticleRural healthBarriersPhysical activityExerciseHealth promotionSocial-ecological modelPublic aspects of medicineRA1-1270Social sciences (General)H1-99ENSSM: Population Health, Vol 16, Iss , Pp 100964- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Rural health Barriers Physical activity Exercise Health promotion Social-ecological model Public aspects of medicine RA1-1270 Social sciences (General) H1-99
spellingShingle	Rural health Barriers Physical activity Exercise Health promotion Social-ecological model Public aspects of medicine RA1-1270 Social sciences (General) H1-99 Chelsea A. Pelletier Nicole White Annie Duchesne Larine Sluggett Barriers to physical activity for adults in rural and urban Canada: A cross-sectional comparison
description	Background: Individual differences in physical activity behavior are associated with a collection of individual and environmental factors manifesting as barriers to participation. Understanding how barriers to physical activity differ based on sociodemographic characteristics can support identification and elimination of health inequities. Objectives: To compare the odds of reporting individual and environmental barriers to physical activity in rural and urban adults, and explore interactions between rural-urban location and sociodemographic factors to characterize patterns in barriers to physical activity. Design: Cross-sectional. Methods: We analyzed the 2017 Canadian Community Health Survey Barriers to Physical Activity Rapid Response, with a final weighted sample of 24,499,462 (unweighted n=21,967). The likelihood of reporting each barrier domain based on rural-urban location was examined using binary logistic regression following a model-fitting approach with sociodemographic characteristics as covariates or interaction terms. Results: Adjusting for sociodemographic factors, rural residents showed 85% higher odds of reporting at least one social or built environmental barrier (OR=1.85 [1.66, 2.07]). Compared to urban residents, rural residents showed significantly higher odds of reporting barriers to facility access (OR=4.15 [3.58, 4.83]) and a lack of social support to be active (OR=1.17 [1.04, 1.32]). Urban residents reported lower preference for physical activity, lower enjoyment of physical activity and lower confidence in their ability to regularly engage in physical activity. Interactions between socioeconomic status and location were identified related to enjoyment and confidence to be active. There was no effect of location on predicting the odds of reporting an individual resource-related variable (e.g., time, energy). Conclusions: Despite being more likely than urban residents to prefer and enjoy physical activity, rural residents have fewer opportunities and receive less social support to be active. It is important to consider geographic location when characterizing barriers to physical activity and in the development of context-specific health promotion strategies.
format	article
author	Chelsea A. Pelletier Nicole White Annie Duchesne Larine Sluggett
author_facet	Chelsea A. Pelletier Nicole White Annie Duchesne Larine Sluggett
author_sort	Chelsea A. Pelletier
title	Barriers to physical activity for adults in rural and urban Canada: A cross-sectional comparison
title_short	Barriers to physical activity for adults in rural and urban Canada: A cross-sectional comparison
title_full	Barriers to physical activity for adults in rural and urban Canada: A cross-sectional comparison
title_fullStr	Barriers to physical activity for adults in rural and urban Canada: A cross-sectional comparison
title_full_unstemmed	Barriers to physical activity for adults in rural and urban Canada: A cross-sectional comparison
title_sort	barriers to physical activity for adults in rural and urban canada: a cross-sectional comparison
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/e5b1c657efe8441985fae8597791044b
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Barriers to physical activity for adults in rural and urban Canada: A cross-sectional comparison

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