关键词: community-based participatory research health behavior low socioeconomic status mental health physical activity qualitative research social health women's health

Mesh : Humans Female Community-Based Participatory Research Health Behavior Health Promotion / methods Exercise Social Support

来  源:   DOI:10.3389/fpubh.2024.1339556   PDF(Pubmed)

Abstract:
Regular physical activity has positive effects on both physical and mental health. Nevertheless, socially disadvantaged women are often insufficiently physically active. Through needs-based physical activity offers, community-based participatory research (CBPR) projects have the potential to reach these women and increase the effectiveness of physical activity interventions by supporting women\'s empowerment, health, and health behaviors. This study aimed to examine socially disadvantaged women\'s views on the effects of long-term participation in Bewegung als Investition in Gesundheit (BIG, i.e., movement as an investment in health), a long-standing German CBPR project, on their health and health behavior.
Semi-structured qualitative interviews were conducted with 30 participating women at five BIG sites across Germany between April and August 2022. The interviews were recorded, transcribed verbatim, and analyzed using framework analysis.
Women reported that participation in BIG classes contributed to their physical, mental, and social health. For many women, the positive effects on their mental and social wellbeing were most important. In addition to increased fitness and improved physical endurance, many participating women were able to expand their social networks, thus receiving further social support, and improve their self-esteem, self-confidence, and self-efficacy. Furthermore, participation in BIG physical activity classes positively influenced the health awareness of many women helping them to improve their activity level and diet over time.
Our results suggest that CBPR projects, such as the BIG project, can increase physical activity among socially disadvantaged groups and contribute to their overall health and wellbeing. CBPR projects could thus be considered a key element of health promotion for this target group. Future interventional research is required to confirm and further explore the effects of CBPR interventions and to examine whether the effects can be replicated in other settings.
摘要:
有规律的体育锻炼对身心健康都有积极的影响。然而,处于社会不利地位的妇女往往身体不够活跃。通过基于需求的体育活动提供,基于社区的参与式研究(CBPR)项目有可能通过支持妇女赋权来接触这些妇女并提高身体活动干预措施的有效性,健康,和健康行为。这项研究旨在研究社会上处于不利地位的妇女对长期参与GesundheitBewegungals调查的影响的看法(BIG,即,运动作为对健康的投资),一个长期的德国CBPR项目,他们的健康和健康行为。
在2022年4月至8月期间,对德国五个BIG站点的30名参与女性进行了半结构化定性访谈。采访被记录下来,逐字转录,并使用框架分析法进行了分析。
妇女报告说,参加大型课程有助于她们的身体,心理,和社会健康。对很多女人来说,对他们的精神和社会福祉的积极影响是最重要的。除了增加健身和提高身体耐力,许多参与的女性能够扩大她们的社交网络,从而获得进一步的社会支持,提高他们的自尊,自信,和自我效能感。此外,参加BIG体育活动课程对许多女性的健康意识产生了积极的影响,帮助她们随着时间的推移改善她们的活动水平和饮食。
我们的结果表明,CBPR项目,比如大项目,可以增加社会弱势群体的身体活动,并有助于他们的整体健康和福祉。因此,CBPR项目可以被视为该目标群体健康促进的关键要素。需要未来的干预研究来确认和进一步探索CBPR干预的效果,并检查该效果是否可以在其他环境中复制。
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