Erschienen in:
01.02.2016
Social-ecological correlates of physical activity in kidney cancer survivors
verfasst von:
Linda Trinh, Kristian Larsen, Guy E. Faulkner, Ronald C. Plotnikoff, Ryan E. Rhodes, Scott North, Kerry S. Courneya
Erschienen in:
Journal of Cancer Survivorship
|
Ausgabe 1/2016
Einloggen, um Zugang zu erhalten
Abstract
Purpose
Previous studies in cancer survivors have examined behavioral correlates of physical activity (PA), but no study to date has adopted a broader social-ecological framework in understanding PA. This study examined the associations among demographic, medical, social-cognitive, and environmental correlates of meeting PA guidelines among kidney cancer survivors (KCS).
Methods
All 1985 KCS diagnosed between 1996 and 2010 identified through a Canadian provincial registry were mailed a survey that consisted of medical, demographic, and social-cognitive measures, as well as PA as measured by the Godin Leisure Time Exercise Questionnaire. Environmental constructs were also assessed for both self-report and objective measures using geographic information systems (GIS). A series of binary logistic regression analyses were conducted in this cross-sectional study.
Results
Completed surveys with geographical information were received from 432 KCS with M
age = 64.4 ± 11.1 years, 63.2 % male, and 82.2 % having localized kidney cancer. In the final multivariate model, meeting PA guidelines was associated with disease stage (OR = 0.25, p = .005), having drug therapy (OR = 3.98, p = .009), higher levels of instrumental attitudes (OR = 1.66, p = .053), higher levels of intention (OR = 1.72, p = .002), and the perceived presence of many retail shops in the neighborhood (OR = 1.37, p = .032).
Conclusions
Meeting PA guidelines in KCS were associated with various aspects of the social-ecological model.
Implications for Cancer Survivors
Understanding the social-ecological correlates for PA can provide insight into future interventions designed to increase PA in KCS. Prime targets for PA promotion should consider treatment-related factors, promote the benefits of PA, and enhance positive perceptions of the built environment.