Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-11T00:41:06.516Z Has data issue: false hasContentIssue false

Factors influencing the physical activity levels of older people from culturally-diverse communities: an Australian experience

Published online by Cambridge University Press:  11 June 2009

STEPHEN BIRD
Affiliation:
School of Medical Sciences, RMIT University, Melbourne, Australia.
HARRIET RADERMACHER
Affiliation:
Healthy Ageing Research Unit, Monash University, Melbourne, Australia.
SUSAN FELDMAN*
Affiliation:
Healthy Ageing Research Unit, Monash University, Melbourne, Australia.
JANE SIMS
Affiliation:
Healthy Ageing Research Unit, Monash University, Melbourne, Australia.
WILLIAM KUROWSKI
Affiliation:
School of Political Science, Criminology and Sociology, Melbourne University.
COLETTE BROWNING
Affiliation:
Healthy Ageing Research Unit, Monash University, Melbourne, Australia.
SHANE THOMAS
Affiliation:
Primary Care Research, Monash University, Melbourne, Australia.
*
Address for correspondence: Susan Feldman, Medicine, Nursing and Health Sciences Building, Monash University, 1,270 Ferntree Gully Road, Notting Hill, Melbourne, Victoria 3168, Australia. E-mail: susan.feldman@med.monash.edu.au

Abstract

Inactivity has been identified as a major contributor to the burden of disease among older Australians, particularly those in culturally-diverse communities. This study assessed the facilitators and barriers to physical activity in older people from culturally-diverse communities, and investigated the predictors of physical activity participation by recruiting 333 older people from seven different communities in the western suburbs of Melbourne, Australia. A survey questionnaire that recorded physical activity and the barriers to and facilitators of activity was interviewer-administered in the participants' preferred language. The data were analysed using bivariate and multivariate inferential statistical methods. Personal barriers to physical activity, such as poor health, lacking the energy to exercise, being too tired and low motivation, were highly prevalent in all groups. Specific factors, such as ‘being self-conscious about my looks’, were more prevalent among the Vietnamese, as were concerns about the weather among Macedonians and Croatians. Across all groups, perceptions of health and safety strongly influenced physical activity behaviour, more so than the external environment. Some of the barriers can be addressed with a common approach, but others in some communities will require particular strategies.

Type
Submitted Articles
Copyright
Copyright © 2009 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Australian Institute of Health and Welfare (AIHW) 2002. Older Australians at a Glance. Catalogue AGE 25, AIHW, Canberra.Google Scholar
Australian Institute of Health and Welfare 2003. A Picture of Diabetes in Overseas-born Australians. Bulletin Issue 9, AIHW, Canberra.Google Scholar
Andrews, K. 2002. The National Strategy for an Ageing Australia: An Older Australia, Challenges, and Opportunities for All. Commonwealth of Australia, Canberra.Google Scholar
Armstrong, T., Bauman, A. and Davies, J. 2000. Physical Activity Patterns of Australian Adults: Results of the 1999 National Physical Activity Survey. Catalogue CVD 10, AIHW, Canberra.Google Scholar
Australian Bureau of Statistics (ABS) 2001. 2001 Census of Population and Housing: SEIFA 200. ABS, Canberra. Available online at http://www.abs.gov.au/websitedbs/D3110124.NSF/f5c7b8fb229cf017ca256973001fecec/a17dc48d988ecf63ca256dad00005ea3!OpenDocument [Accessed 4 February, 2008].Google Scholar
Australian Bureau of Statistics 2006. National Health Survey: Summary of Results 2004–2005. Catalogue 4364.0, ABS, Canberra.Google Scholar
Australian Institute of Health and Welfare (AIHW) 1997. First Report on National Health Priority Areas. AIHW and Commonwealth Department of Health and Ageing (CDHA), Canberra.Google Scholar
Australian Institute of Health and Welfare 2007. Australia's Welfare 2007. Catalogue AUS 93, AIHW, Canberra.Google Scholar
Bauman, A. and Smith, B. 2000. Healthy ageing: what role can physical activity play? Medical Journal of Australia, 173, 2, 8890.CrossRefGoogle ScholarPubMed
Bauman, A., Bellew, B., Vita, P., Brown, W. and Owen, N. 2002. Getting Australia Active. National Public Health Partnership, Melbourne, Victoria, Australia.Google Scholar
Berke, E. M., Gottlieb, L. M., Moudon, A. V. and Larson, E. B. 2007. Protective association between neighborhood walkability and depression in older men. Journal of the American Geriatrics Society, 55, 4, 526–33.CrossRefGoogle ScholarPubMed
Bird, S., Kurowski, W., Feldman, S., Browning, C., Thomas, S., Seedsman, T. and Lau, R. 2009. The influence of the external built environment on the physical activity of older women from CALD communities. Journal of Women and Aging, 21, 1, forthcoming.CrossRefGoogle Scholar
Bowling, A., Barber, J., Morris, R. and Ebrahim, S. 2006. Do perceptions of neighbourhood environment influence health? Baseline findings from a British survey of aging. Journal of Epidemiology and Community Health, 60, 6, 476–83.CrossRefGoogle ScholarPubMed
Brazier, J., Harper, R., Jones, N., O'Cathain, A., Thomas, K., Usherwood, T. and Westlake, L. 1992. Validating the SF36 health survey questionnaire: new outcome measure for primary care. British Medical Journal, 305, 160–4.CrossRefGoogle ScholarPubMed
Brownson, R., Chang, J., Eyler, A. and Ainsworth, B. 2004. Measuring the environment for friendliness toward physical activity: a comparison of the reliability of three questionnaires. American Journal of Public Health, 94, 3, 473–83.CrossRefGoogle Scholar
Centre for Culture, Ethnicity and Health 2006. Engaging Culturally and Linguistically Diverse Communities in Physical Activity. Centre for Culture, Ethnicity and Health, Melbourne, Victoria, Australia.Google Scholar
Cohen-Mansfield, J., Marx, M. S. and Guralnik, J. M. 2003. Motivators and barriers to exercise in an older community-dwelling population. Journal of Aging and Physical Activity, 11, 2, 242–53.CrossRefGoogle Scholar
Commonwealth Department of Health and Aged Care (CDHAC) 1999. National Physical Activity Guidelines for Australians. CDHAC, Canberra.Google Scholar
Craig, C. L., Marshall, A. L., Sjostrom, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U. L. F., Yngve, A., Sallis, J. F. and Oja, P. 2003. International Physical Activity Questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise, 35, 8, 1381–95.CrossRefGoogle ScholarPubMed
Dawson, A. J., Sundquist, J. and Johansson, S. E. 2005. The influence of ethnicity and length of time since immigration on physical activity. Ethnicity and Health, 10, 4, 293309.CrossRefGoogle ScholarPubMed
DiPietro, L. 2001. Physical activity in aging: changes in patterns and their relationship to health and function. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56A, 10, 1322.CrossRefGoogle Scholar
Evans, W. 1999. Exercise training guidelines for the elderly. Medicine and Science in Sports and Exercise, 31, 1, 1217.CrossRefGoogle ScholarPubMed
Feldman, S., Radermacher, H., Bird, S., Browning, C. and Thomas, S. 2008. Challenges of recruitment and retention of older people from culturally-diverse backgrounds in research. Ageing & Society, 28, 4, 473–93.CrossRefGoogle Scholar
Gebel, K., Bauman, A. E. and Petticrew, M. 2007. The physical environment and physical activity: a critical appraisal of review articles. American Journal of Preventive Medicine, 32, 5, 361–9.CrossRefGoogle ScholarPubMed
Gibson, D., Braun, P., Behnam, C. and Mason, F. 2001. Projections of Older Immigrants: People from Culturally and Linguistically Diverse Backgrounds, 1996–2026, Australia. Catalogue AGE 18, Aged Care Series 6, AIHW, Canberra.Google Scholar
Kahn, E. B., Ramsey, L. T., Brownson, R. C., Heath, G. W., Howze, E. H., Powell, K. E., Stone, E. J., Rajab, M. W. and Phaedra, C. 2002. The effectiveness of interventions to increase physical activity. American Journal of Preventive Medicine, 22, supplement 4, 73–107.CrossRefGoogle ScholarPubMed
Kavanagh, A. M., Goller, J. L., King, T., Jolley, D., Crawford, D. and Turrell, G. 2005. Urban area disadvantage and physical activity: a multilevel study in Melbourne, Australia. Journal of Epidemiology and Community Health, 59, 11, 934–40.CrossRefGoogle ScholarPubMed
Kendig, H., Browning, C. and Teshuva, K. 1998. Health actions and social class among older Australians. Australian and New Zealand Journal of Public Health, 22, 7, 808–13.CrossRefGoogle ScholarPubMed
King, W. C., Brach, J. S., Belle, S., Killingsworth, R., Fenton, M. and Kriska, A. M. 2003. The relationship between convenience of destinations and walking levels in older women. American Journal of Health Promotion, 18, 1, 7482.CrossRefGoogle ScholarPubMed
Lewis, M., Szabo, R., Weiner, K., McCall, L. and Piterman, L. 1997. Cultural barriers to exercise amongst the ethnic elderly. Internet Journal of Health Promotion. Available online at http://www.rhpeo.org/ijhp-articles/1997/4/index.htm [Accessed 4 February 2008].Google Scholar
Li, F., Fisher, J. and Brownson, C. 2005. A multilevel analysis of change in neighbourhood walking activity in older adults. Journal of Aging and Physical Activity, 13, 2, 145–59.CrossRefGoogle ScholarPubMed
Li, F., Fisher, K. J., Brownson, R. C. and Bosworth, M. 2005. Multilevel modelling of built environment characteristics related to neighbourhood walking activity in older adults. Journal of Epidemiology and Community Health, 59, 7, 558–64.CrossRefGoogle ScholarPubMed
Michael, Y., Beard, T., Dongseok, C., Farquhar, S. and Carlson, N. 2006. Measuring the influence of built neighborhood environments on walking in older adults. Journal of Aging and Physical Activity, 14, 3, 302–12.CrossRefGoogle ScholarPubMed
Migrant Resource Centre 2004. Western Region Profiles. Migrant Resource Centre, North West Region, Melbourne, Victoria, Australia.Google Scholar
Mouton, C. P., Calmbach, W. L., Dhanda, R., Espino, D. V. and Hazuda, H. 2000. Barriers and benefits to leisure-time physical activity among older Mexican Americans. Archives of Family Medicine, 9, 9, 892–7.CrossRefGoogle ScholarPubMed
National Ageing Research Institute 2003. Participation in Physical Activity Amongst Older People. National Ageing Research Institute, Melbourne, Victoria, Australia.Google Scholar
Saelens, B. E., Sallis, J. F., Black, J. B. and Chen, D. 2003. Neighborhood-based differences in physical activity: an environment scale evaluation. American Journal of Public Health, 93, 9, 1552–8.CrossRefGoogle ScholarPubMed
Schutzer, K. A. and Graves, B. S. 2004. Barriers and motivations to exercise in older adults. Preventive Medicine, 39, 5, 1056–61.CrossRefGoogle ScholarPubMed
Vos, T. and Begg, S. 1999. Victorian Burden of Disease Study: Mortality. Public Health Division, Victorian Government Department of Human Services, Melbourne, Victoria, Australia.Google Scholar
Wilcox, S., Castro, C., King, A. C., Housemann, R. and Brownson, R. C. 2000. Determinants of leisure time physical activity in rural compared with urban older and ethnically diverse women in the United States. Journal of Epidemiology and Community Health, 54, 9, 667–72.CrossRefGoogle ScholarPubMed
World Health Organisation (WHO) 2006. Physical Activity. WHO, New York. Available online at http://www.who.int/dietphysicalactivity/publications/facts/pa/en/index.html [Accessed 4 February 2008].Google Scholar