Correlates of Physical Activity among Blacks and Whites with Arthritis

Am J Health Behav. 2015 Jul;39(4):562-72. doi: 10.5993/AJHB.39.4.13.

Abstract

Objective: To evaluate the correlates of physical activity (PA) participation among white and black individuals with diagnosed arthritis.

Methods: This study used a cross-sectional design, grounded in the Social Ecological Model. Participants (N = 205) completed a survey regarding PA participation and potential correlates of PA. Bivariate and multivariate analyses were used to examine the correlates of PA.

Results: Nearly 30% of the population met the current guidelines for aerobic PA. A greater proportion of Whites (35.3%) than Blacks (20.9%) met current guidelines (χ(2) = 4.98, p = .03). In bivariate analyses, ethnicity, income, body mass index, self-efficacy for exercise, exercise outcome expectations, physical function, physician advice to exercise, and perceived safety from neighborhood crime and traffic were associated with meeting PA guidelines (p < .05). In regression analyses adjusted for socio-demographic characteristics, exercise self-efficacy and physician's advice to exercise were the only significant predictors of PA (p < .05). This finding was confirmed with stepwise forward regression.

Conclusions: PA interventions for people with arthritis should focus on enhancing self-efficacy for exercise and include strategies to optimize communication about PA by healthcare providers.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Arthritis / psychology*
  • Black People / psychology
  • Black People / statistics & numerical data*
  • Body Mass Index
  • Cross-Sectional Studies
  • Exercise / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Motor Activity
  • Self Efficacy
  • Social Support
  • Socioeconomic Factors
  • White People / psychology
  • White People / statistics & numerical data*