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Perceived Neighborhood Environment and Park Use as Mediators of the Effect of Area Socio-Economic Status on Walking Behaviors

Evie Leslie, Ester Cerin, and Peter Kremer

Background:

Access to local parks can affect walking levels. Neighborhood environment and park use may influence relationships between neighborhood socioeconomic status (SES) and walking.

Methods:

Self-report data on perceived park features, neighborhood environment, park use, neighborhood walking and sociodemographics were obtained from a sample of Australian adults, living in high/low SES areas. Surveys were mailed to 250 randomly selected households within 500m of 12 matched parks. Mediating effects of perceived environment attributes and park use on relationships between area-SES and walking were examined.

Results:

Mean frequency of local park use was higher for high-SES residents (4.36 vs 3.16 times/wk, P < .01), who also reported higher levels of park safety, maintenance, attractiveness, opportunities for socialization, and neighborhood crime safety, aesthetics, and traffic safety. Safety and opportunity for socialization were independently positively related to monthly frequency of visits to a local park which, in turn, was positively associated with walking for recreation and total walking. Residents of higher SES areas reported an average 22% (95% CI: 5%, 37%) more weekly minutes of recreational walking than their low SES counterparts.

Conclusion:

Residents of high-SES areas live in environments that promote park use, which positively contributes to their weekly amounts of overall and recreational walking.

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Active Video Games for Youth: A Systematic Review

Anthony Barnett, Ester Cerin, and Tom Baranowski

Background:

A population level increase in physical activity (PA) is critical to reduce obesity in youth. Video games are highly popular and active video games (AVGs) have the potential to play a role in promoting youth PA.

Method:

Studies on AVG play energy expenditure (EE) and maintenance of play in youth were systematically identified in the published literature and assessed for quality and informational value.

Results:

Nine studies measuring AVG play EE were identified. The meta-analytic estimates of average METs across these studies were 3.1 (95% CI: 2.6, 3.6) to 3.2 (95% CI: 2.7, 3.7). No games elicited an average EE above the 6 MET threshold for vigorous EE. Observed differences between studies were likely due to the different types of games used, rather than age or gender. Four studies related to maintenance of play were identified. Most studies reported AV G use declined over time. Studies were of low-to-medium quality.

Conclusion:

AVGs are capable of generating EE in youth to attain PA guidelines. Few studies have assessed sustainability of AV G play, which appears to diminish after a short period of time for most players. Better-quality future research must address how AV G play could be maintained over longer periods of time.

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Structured Self-Reflection as a Tool to Enhance Perceived Performance and Maintain Effort in Adult Recreational Salsa Dancers

Stephanie J. Hanrahan, Rachel Pedro, and Ester Cerin

The purpose of this study was to determine if the use of structured self-reflection in community dance classes would influence achievement goal orientations, levels of intrinsic motivation, or perceived dance performance. The Task and Ego Orientation in Sport Questionnaire (TEOSQ) and the Intrinsic Motivation Inventory (IMI) were modified slightly to reflect involvement in salsa dancing rather than sport and then were administered to 139 Latin dance students at the beginning and end of an 11-week term. The dance classes were divided into control and intervention groups, balanced in terms of sample size and level of instruction. The intervention group completed a salsa self-reflection form during or after class for 9 weeks. At the posttest all students rated their salsa performance and the intervention group evaluated the self-reflection process. Results indicate that although achievement goal orientations were not affected, structured self-reflection is perceived to be a positive tool and may be a useful technique to enhance perceived performance and maintain effort and perceived importance. The participants’ perceptions of the self-reflection process were positive, with no negative effects of engaging in the process reported.

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Neighborhood and Individual Socio-Economic Variations in the Contribution of Occupational Physical Activity to Total Physical Activity

Karin I. Proper, Ester Cerin, and Neville Owen

Background:

There is an inverse relationship between individual socio-economic status (SES) and amount of occupational physical activity. The role of the socio-economic environment is, however, less clear. This study examined the independent influences of neighborhood and individual SES on absolute and relative amount of occupational physical activity. It also examined the moderating effects of neighborhood SES on the relationship between individual SES and occupational physical activity.

Methods:

Employees (n = 1236) resident in high or low SES neighborhoods were assessed on socio-demographic factors, including educational attainment and household income, and physical activity.

Results:

Neighborhood SES and individual SES were independently inversely related to absolute and relative amount of occupational physical activity. Significant interactions between neighborhood SES and level of educational attainment in the contribution of total and vigorous occupational physical activity to total physical activity were found.

Conclusions:

Neighborhood SES can function as a moderator in the relationship between individual SES and occupational physical activity.

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Perceived Barriers to Leisure-Time Physical Activity in Adults: An Ecological Perspective

Ester Cerin, Evie Leslie, Takemi Sugiyama, and Neville Owen

Background:

Perceived barriers are modifiable correlates of participation in physical activity. Associations of specific perceived barriers with participation in and level of walking for recreation, and other leisure-time physical activity (LTPA) were examined. Personal, social, and environmental factors associated with these perceived barriers were then examined.

Methods:

From 2003 to 2004, 2 surveys collected data on recreational walking and other LTPA, perceived barriers to participation, and personal, social, and environmental attributes, from 2194 Australian adults. Zero-inflated negative binomial regression models examined associations of perceived barriers with walking and other LTPA. Generalized linear models identified the correlates of these perceived barriers.

Results:

The perceived barriers of lack of motivation and time were associated with level of LTPA, while lack of motivation, poor health, and lack of facilities were associated with the odds of non-participation in LTPA. Personal, social, and environmental factors independently contributed to variations in perceived barriers.

Conclusions:

Level and likelihood of participation in LTPA are associated with different perceived barriers. Perceived barriers are a function of both nonmodifiable personal factors and potentially modifiable personal, social, and environmental factors. These findings suggest that the provision of relevant environmental opportunities and social support may effectively reduce perceived barriers to LTPA.

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An In-depth Pilot Study on Patterns, Destinations, and Purposes of Walking in Hong Kong Older Adults

Anthony Barnett, Ester Cerin, Man-chin Cheung, and Wai-man Chan

Walking is a suitable activity for older adults and has physical and mental health benefits. To devise interventions that impact levels of walking it is necessary to first understand the purposes for which people walk and the destinations to which they walk. Using a 7-day diary and accelerometry, this study investigated destinations and purposes of walking in older adult residents of an ultra-dense Asian city. Participants reported an average of 17.1 walking trips per week and total weekly accelerometer/diary determined trip walking time averaged 735 min per week; much higher than reported for older adults in non-Asian settings. The most common destinations were within the neighborhood: parks and streets for recreation walking and shops and eating places for transport-related walking. Errands and eating were the most common purposes for transportation trips. The study results can help inform urban design to encourage walking.

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Parental Practices Encouraging and Discouraging Physical Activity in Hong Kong Chinese Preschoolers

Yi-nam Suen, Ester Cerin, and Sin-lung Wu

Background:

Regular participation in physical activity (PA) can help reduce the risk of overweight/obesity. Parental practices related to PA are modifiable determinants of preschoolers’ PA that are still not well understood, especially in non-Western cultures. This qualitative explorative study aimed to identify parental practices encouraging or discouraging PA in Hong Kong preschoolers.

Methods:

Nominal Group Technique (NGT) sessions (n = 45; 6 to 9/group), complemented by a focus group (n = 6) and individual interviews (n = 12), were conducted with primary caregivers (mainly parents) of Hong Kong preschoolers to investigate what parents do to encourage (4 groups) and discourage (2 groups) PA in children. The groups were stratified by low and high neighborhood socioeconomic status. Results: Participants generated 21 and 16 items describing practices encouraging and discouraging preschoolers’ PA, respectively. Parental provision of instrumental, motivational, and conditional support were thought to encourage child’s PA, while parental safety concerns, focus on academic achievement, lack of time and resources, and promotion of sedentary behaviors were thought to discourage child’s PA.

Conclusions:

Several parental practices that were deemed to encourage or discourage Hong Kong preschoolers’ PA were identified. These can assist with development of a culturally sensitive scale of PA parenting practices and inform future quantitative research.

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Associations Between Latent Classes of Perceived Neighborhood Destination Accessibility and Walking Behaviors in Older Adults of a Low-Density and a High-Density City

Ernest Boakye-Dankwa, Anthony Barnett, Nancy A. Pachana, Gavin Turrell, and Ester Cerin

To examine associations between perceived destination accessibility within different distances from home and self-reported overall amounts of walking for different purposes among older adults (aged ≥ 65 years) in Brisbane, Australia (N = 793) and Hong Kong, China (N = 484). Perceived neighborhood destination accessibility types were derived from latent class analysis using comparable measures of perceived distance to 12 destinations from epidemiological studies in the two cities. Associations of perceived destination accessibility with measures of within-neighborhood walking were also estimated in Hong Kong participants. Better perceived destination accessibility was positively associated with the likelihood of walking in Brisbane participants only. Perceived destination accessibility within a short distance from home (5-min walk) was negatively related to the amount of within-neighborhood walking for transport in Hong Kong residents who walked. Our findings suggest that providing moderate-to-high, but not extreme, levels of destination accessibility may be optimal for the promotion of walking in older community dwellers.

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Gender, Age, and Educational-Attainment Differences in Australian Adults’ Participation in Vigorous Sporting and Fitness Activities

Eva Leslie, Ester Cerin, Christopher J. Gore, Alexis St. George, Adrian Bauman, and Neville Owen

Background:

Participation in regular vigorous physical activity could confer health benefits additional to those derived from moderate-intensity physical activities that are currently the focus of public health strategies.

Methods:

Sociodemographic differences in reported participation in vigorous sporting and fitness activities over the past 2 weeks were examined using cross-sectional data from an Australian urban population sample.

Results:

Participation at least once in any form of vigorous physical activity and regular participation (six or more sessions) both decreased across successive age groups and from high to low levels of education. The most frequently reported types of vigorous physical activity were cycling (13.3%), jogging (10.1%), swimming (8.4%) for men; and swimming (8.9%), cycling (8.8%) and aerobics (8.6%) for women.

Conclusion:

Rates of regular participation in vigorous activities were low. Interventions might focus on ways to encourage younger adults to engage more regularly in these activities and to maintain participation through the lifespan.

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Development of Physical Activity–Related Parenting Practices Scales for Urban Chinese Parents of Preschoolers: Confirmatory Factor Analysis and Reliability

Yi-nam Suen, Ester Cerin, Anthony Barnett, Wendy Y.J. Huang, and Robin R. Mellecker

Background:

Valid instruments of parenting practices related to children’s physical activity (PA) are essential to understand how parents affect preschoolers’ PA. This study developed and validated a questionnaire of PA-related parenting practices for Chinese-speaking parents of preschoolers in Hong Kong.

Methods:

Parents (n = 394) completed a questionnaire developed using findings from formative qualitative research and literature searches. Test-retest reliability was determined on a subsample (n = 61). Factorial validity was assessed using confirmatory factor analysis. Subscale internal consistency was determined.

Results:

The scale of parenting practices encouraging PA comprised 2 latent factors: Modeling, structure and participatory engagement in PA (23 items), and Provision of appropriate places for child’s PA (4 items). The scale of parenting practices discouraging PA scale encompassed 4 latent factors: Safety concern/overprotection (6 items), Psychological/behavioral control (5 items), Promoting inactivity (4 items), and Promoting screen time (2 items). Test-retest reliabilities were moderate to excellent (0.58 to 0.82), and internal subscale reliabilities were acceptable (0.63 to 0.89).

Conclusion:

We developed a theory-based questionnaire for assessing PA-related parenting practices among Chinese-speaking parents of Hong Kong preschoolers. While some items were context and culture specific, many were similar to those previously found in other populations, indicating a degree of construct generalizability across cultures.