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Rates of chronic disease and physical inactivity are disproportionately high among African American women. Despite the known benefits of physical activity and an increasing number of programs designed to increase activity, attendance rates to many exercise programs remain low. There is much to learn about program types, such as healthy lifestyle programs (HLP); individual factors, such as self-efficacy; and mediating variables that may influence exercise program attendance. An observational study design was used to compare exercise self-efficacy and attendance in a community-based exercise program in African American women who were enrolled in a HLP (N = 53) to women who were not (N = 27). Exercise program attendance was gathered across six months; demographics, self-efficacy and physical activity behaviors were assessed through surveys; and physiological variables (resting heart rate and blood pressure, height, and weight) and physical fitness (muscular strength and endurance and cardiovascular endurance) were measured at baseline. Descriptive statistics were used to describe participants and groups were compared using T-tests, chi-square and non-parametric statistics. Finally, mediation analyses were conducted using multiple regression models to assess self-efficacy as a potential mediator to exercise program attendance. Women who enrolled in this study were of low income (61% having an annual income less than $20,000), obese with a mean (standard deviation) body mass index (BMI) of 37.7 (7.6), pre-hypertensive with a mean (standard deviation) systolic blood pressure of 125.9 (14.4), and scored poorly and marginally on two fitness tests. On average, women reported being Moderately Confident in their ability to exercise regularly, yet had low attendance in the exercise program with a median number .5 days over six months and there were no significant differences in exercise self-efficacy (p = .23) or attendance in the exercise program between groups (p = .79). Additionally, exercise self-efficacy was not a mediating variable to program attendance. Women in this study had little discretionary income and several chronic disease risk factors, yet exercise program attendance was low even in those enrolled in a HLP. Identifying factors that increase exercise self-efficacy and factors that influence attendance beyond self-efficacy may help future program design and attendance.
A variety of barriers to physical activity have been identified and these barriers take new forms in relation to African American women. This study examined how the intersectionality of race and gender play a pivotal role in African American women's physical activity. I sought to understand whether there were differences in barriers and strategies reported between physically active and inactive groups, whether the perception of barriers and barrier self-efficacy were predictors of moderate to vigorous physical activity (MVPA), and what types of strategies African American women use to overcome barriers. African American women completed and online survey and a subset participated in semi-structured interviews. Results indicated that both physically active and inactive women within the sample faced similar barriers and utilized similar strategies, but the perceived effectiveness differed between the two groups. Both perception of barriers (p= .045) and barrier self-efficacy (p= .043) were significant predictors in a regression predicting MVPA. Analysis of semi-structured in depth interviews uncovered five major themes: Health Perceptions within the African American Community are an Obstacle to Healthy Behaviors; Gender Differences and Gendered Activity Expectations , Hair as a Constraint to Physical Activity for African American Women; The Role of Body Image as a Barrier and a Facilitator of physical activity, and The Role of a Physical Activity Environment in Negotiating Constraints.
This book examines how social determinants can have an impact on physical activity and associated health outcomes. It explores the social, cultural, political and environmental factors that influence engagement in physical activity in a range of diverse populations and presents strategies for targeting and promoting physical activity.
"The purpose of this study was to develop a better understanding of the physical activity behavior of Black female adolescents age 14-18 in the Charlotte, NC public school community by examining the relationship between physical activity and self-efficacy, social support, outcome expectations, and physical environment. The study sample consisted of 96 girls ages 14-19 from a public high school in Charlotte, North Carolina. Participants volunteered to complete a survey with demographic, physical activity (PA), and psychosocial questions. The predictor variables were self-efficacy and physical activity self-efficacy, social support, outcome expectations, and physical environment. The dependent variable was physical activity participation. Correlational analysis was employed to examine the relationship of the four predictor variables to physical activity. Self-efficacy was shown to be correlated with PA. The strongest correlation was between physical activity self-efficacy and PA. Correlations between outcome expectations and PA for the total sample were low and not significant. Total social support, family and friend social support were correlated with PA as well. Physical environment was not significantly related with PA for the Black adolescents in this study. Multiple regression was used to determine the relative strength of the four main predictor variables on the dependent variable of physical activity level. For the total sample, the four predictor variables explained 24% of the variance in physical activity participation. Of these variables, physical activity self-efficacy makes the largest unique contribution (beta=.36) with a significance level of .002. In order to understand PA habits and perceptions among Black adolescent females, the last section of the survey included 14 open-ended questions. Most Black participants understand the health benefits of physical activity, but cited tiring and sweating factors as reasons why they do not participate in physical activity. Findings suggest increasing physical activity self-efficacy and providing social support, as well as allowing girls to have a choice in their physical activity and offering activities they consider fun, may lead to increased physical activity among Black adolescent girls."--Abstract from author supplied metadata.
Volume 2 discusses the relationship between patient and caregiver in terms of structural and interactional determinants. The impact of provider characteristics on "compliance" and "adherence" is given especially noteworthy treatment. Each volume features extensive supplementary and integrative material prepared by the editor, the detailed index to the entire four-volume set, and a glossary of health behavior terminology.
This comprehensive text aims to provide students with the information, strategies & motivation they need to help themselves improve the way they look, feel & perform.
The aim of this book is to present current views about physical activity and the benefits of physical activity in preventing and ameliorating various health conditions that are of worldwide concern. This book was developed as a compilation of the accomplishments of the five-year Global COE (Center of Excellence) “Sport Sciences for the Promotion of Active Life” Program at the Faculty of Sport Sciences of Waseda University, Saitama, Japan. The first part establishes the research methodology and discusses the current status of physical activity. Topics covered include the prevalence of physical inactivity and highly sedentary behavior in different populations as well as strategies that can be adopted to promote physical activity. The second part focuses on the physiological effects of physical activity. Topics covered include physiological responses to exercise by the autonomic nervous system, the endocrine system, vascular functioning, postprandial blood glucose control, and inflammatory processes. The relationship between exercise and appetite is discussed, as is the influence of exercise on food intake and weight regulation. Additionally, the influence of exercise on protein regulation and posttranslational modifications is introduced. The final part discusses the role of physical activity in preventing lifestyle-related health issues and improving the quality of life, especially for the elderly. The contents should be of interest to anyone who is concerned with the human physiologic response to exercise and the promotion of healthy lifestyles, including sports and exercise science researchers as well as those involved with medicine, public health, physiology, nutrition, and elder care.