The Role of Self-efficacy, Social Support, and Neighborhood Environment in Exercise Behavior of Middle-aged Women

During the past decade, there has been an almost 50% decrease in the exercise participation prevalence among Korean middle-aged women. Studies to date have stablished corroboration, regarding the correlates of exercise behavior from intrapersonal and interpersonal perspectives, in which self-efficacy and social support was identified as key influential factors. However, there have been few researches that have examined the potential environment and policy correlates of exercise behavior in Korea. The purpose of this cross-sectional study was to investigate the prevalence and the correlates of exercise behavior of middle-aged women from intrapersonal, interpersonal, and environmental levels. In this study, data on exercise behavior, self-efficacy, social support, neighborhood environment, and policy was collected through structured questionnaires completed by 253 participants (out of a total of 292 middle-aged women recruited via convenience sampling). Data analysis was conducted by using descriptive statistics, independent t-tests, cross tabulations, and logistic regression techniques using SPSS 19.0 for Windows. Prevalence of participation in exercise behavior based on stages of change was 51% (preparation 23.7%, action 8.7%, and maintenance 18.6%), and that of non-participation in exercise was 49% (precontemplation 2.4% and contemplation 46.6%). Exercise behavior was significantly associated with general characteristics such as age group (χ²=11.46, p=.003), menstruation status (χ²=9.11, p=.011), total physical activity (t=-5.58, p<.001), daily average sitting minutes (t=2.08, p=.038), physical activity level (χ²=28.33, p<.001), and exercise partner (χ²=24.35, p<.001). Exercise behavior was also in a significant correlation with self-efficacy (t=-5.34, p<.001), social support from family members‟ participation (t=-3.52, p=.001) and social support from non-family members‟ participation (t=-4.62, p<.001), neighborhood infrastructures in walking distance (t=-2.43, p=.016), and social interaction while walking (t=- 2.63, p=.009). Logistic regression revealed that such correlates as exercise partner (odds ratio [OR], 2.77; 95 % confidence interval [CI], 1.26-6.05), self-efficacy (OR, 1.62; 95 % CI, 1.38- 3.46), and neighborhood infrastructures in walking distance (OR, 0.53; 95 % CI, 1.01- 2.59) increased the likelihood of the participation in exercise behavior among middle-aged women. The findings of this study supports the need for the implementation of interventions, which reflects the multi-level correlates to promote changes in the exercise behavior among middleaged women, thus helping them achieve the desired level of health outcomes. Further research is recommended to compile sufficient evidence regarding the correlates of exercise behavior from environment and policy levels.

Author dc:creator

• 김, 문선

Contributors dc:contributor

• 김, 춘자
• 대학원 간호학과
• 201224070

• 중년여성
• 운동행위
• 자기효능감
• 사회적지지
• 거주지역환경
• 정책
• middle-aged women
• stages of changes in exercise behavior
• self-efficacy for exercise
• social support for exercise
• neighborhood environment
• policy

Language dc:language

ko

Identifier

http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000016887
000000016887

OAI identifier oai:identifier

oai:repository.ajou.ac.kr:201003/10809