TY - JOUR
T1 - Perceived environments and physical activity among american indian adults living in oklahoma
T2 - The thrive study
AU - Haslam, Alyson
AU - Taniguchi, Tori
AU - Love, Charlie
AU - Jacob, Tvli
AU - Cannady, Tamela K.
AU - Standridge, Joy
AU - Grammar, Mandy
AU - Fox, Jill
AU - Spiegel, Jennifer
AU - Crain, Tyler
AU - Jernigan, Valarie Blue Bird
N1 - Funding Information:
This work was made possible by National Institutes of Health (NIH) grant R01HL117729 from the National Heart, Lung and Blood Institute (NHLBI). The contents of this publication are solely the authors? responsibility and do not necessarily represent the official views of the NHLBI or the NIH. The funding agency did not participate in the study design, data collection, analysis, decision to publish, or preparation of the manuscript. This study is registered at www.clinicaltrials.gov (NCT03311217).
Funding Information:
Funding source/trial registration. This work was made possible by National Institutes of Health (NIH) grant R01HL117729 from the National Heart, Lung and Blood Institute (NHLBI). The contents of this publication are solely the authors’ responsibility and do not necessarily represent the official views of the NHLBI or the NIH. The funding agency did not participate in the study design, data collection, analysis, decision to publish, or preparation of the manuscript. This study is registered at www.clinicaltrials.gov (NCT03311217).
Publisher Copyright:
© 2021 Johns Hopkins University Press.
PY - 2021/9/1
Y1 - 2021/9/1
N2 - Background: Obesity and chronic disease disproportionately affect American Indians (AI). Identifying barriers to physical activity (PA) may promote PA and healthier lifestyles. Objective: To identify perceptions of the built environment and examine whether there is an association between environmental perceptions and self-reported PA in AI communities. Methods: We conducted a survey among 459 AI adults (survey response of 91.4%) residing in Choctaw Nation and Chickasaw Nation, both located in primary rural areas, and we examined perceived PA environment and its association with PA adequacy (≥5 days/week). Participants provided self-report of PA frequency and duration (of ≥30 minutes per day), as well as the opportunity for exercise in indoor and outdoor, town center, and biking and school areas frequency and duration (of ≥30 minutes per day), and their opportunities for exercise in indoor, outdoor, town center, biking, and school areas. Results: Of respondents, 29% met the recommendations of at least 150 minutes of exercise per week, and 56% were obese. The majority had indoor and outdoor exercise areas in their towns, but many did not use them. Higher town center built environment summary scores were associated with adequate PA (estimate = 0.43; p = 0.02). Not feeling like there were streets with marked crosswalks (odds ratio [OR], 0.25; 95% confidence interval [CI], 0.07–0.84) or being neutral/not sure about nice sidewalks (OR, 0.33; 95% CI, 0.13–0.78) were associated with lower odds of getting adequate PA, and not feeling like the town center had working streetlights was associated with higher odds of getting adequate PA (OR, 5.22; 95% CI, 1.34–21.01). Conclusions: We found that marked crosswalks and nice sidewalks in the town center were associated with getting adequate PA. This research, which identifies specific built environment factors that affect peoples’ PA, may be used by tribal and local organizations to more effectively prioritize community interventions to improve PA and potentially the health of the community, specifically in regards to crosswalks and sidewalks.
AB - Background: Obesity and chronic disease disproportionately affect American Indians (AI). Identifying barriers to physical activity (PA) may promote PA and healthier lifestyles. Objective: To identify perceptions of the built environment and examine whether there is an association between environmental perceptions and self-reported PA in AI communities. Methods: We conducted a survey among 459 AI adults (survey response of 91.4%) residing in Choctaw Nation and Chickasaw Nation, both located in primary rural areas, and we examined perceived PA environment and its association with PA adequacy (≥5 days/week). Participants provided self-report of PA frequency and duration (of ≥30 minutes per day), as well as the opportunity for exercise in indoor and outdoor, town center, and biking and school areas frequency and duration (of ≥30 minutes per day), and their opportunities for exercise in indoor, outdoor, town center, biking, and school areas. Results: Of respondents, 29% met the recommendations of at least 150 minutes of exercise per week, and 56% were obese. The majority had indoor and outdoor exercise areas in their towns, but many did not use them. Higher town center built environment summary scores were associated with adequate PA (estimate = 0.43; p = 0.02). Not feeling like there were streets with marked crosswalks (odds ratio [OR], 0.25; 95% confidence interval [CI], 0.07–0.84) or being neutral/not sure about nice sidewalks (OR, 0.33; 95% CI, 0.13–0.78) were associated with lower odds of getting adequate PA, and not feeling like the town center had working streetlights was associated with higher odds of getting adequate PA (OR, 5.22; 95% CI, 1.34–21.01). Conclusions: We found that marked crosswalks and nice sidewalks in the town center were associated with getting adequate PA. This research, which identifies specific built environment factors that affect peoples’ PA, may be used by tribal and local organizations to more effectively prioritize community interventions to improve PA and potentially the health of the community, specifically in regards to crosswalks and sidewalks.
KW - American Indian
KW - Built environment
KW - Community-based participatory research
KW - Native American
KW - Physical activity
KW - Rural
UR - http://www.scopus.com/inward/record.url?scp=85115141896&partnerID=8YFLogxK
U2 - 10.1353/cpr.2021.0032
DO - 10.1353/cpr.2021.0032
M3 - Article
AN - SCOPUS:85115141896
SN - 1557-0541
VL - 15
SP - 285
EP - 296
JO - Progress in Community Health Partnerships: Research, Education, and Action
JF - Progress in Community Health Partnerships: Research, Education, and Action
IS - 3
ER -