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Neighborhood Environment Associated with Physical Activity among Rural Adults: Applying Zero-Inflated Negative Binominal Regression Modeling
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 Title & Authors
Neighborhood Environment Associated with Physical Activity among Rural Adults: Applying Zero-Inflated Negative Binominal Regression Modeling
Kim, Bongjeong;
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Purpose: This study was conducted to determine the neighborhood environmental factors associated with physical activity among adults living in rural communities. Methods: A cross-sectional descriptive survey was conducted with a convenience sample of 201 adults living in three Ri in Y-city, Gyeonggi-do. Data were collected from face-to-face interview by trained interviewers and were analyzed using a zero-inflated negative binominal regression model. Results: Participants reported engaged in moderate or vigorous physical activity was 76.1%; 10.5% of participants reported that they met moderate physical activity recommendations and 14.5% of participants reported that they met vigorous physical activity recommendations. Zero-inflated negative binominal regression analysis showed association of increasing days of physical activity with social cohesion (, p=.005), social network (, p=.003), and safety for crime (, p=.036), and no days of physical activity was associated with no attainment of education and marginally associated with increasing BMI. Conclusion: Neighborhood environmental factors including social cohesion, social network, and crime for safety were significantly associated with physical activity of rural adults. Community health nurses should expand an approach for individual behavior change to incorporate rural adults' specific neighborhood environmental factors into physical activity interventions.
Physical activity;Social environment;Social cohesion;Rural communities;
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