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Exploration of Physical Activity Barriers and Facilitators Among Adults in Kathmandu, Nepal

机译：尼泊尔加德满都成人身体活动障碍与促进者的探讨

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摘要

Previous research suggests that a range of factors influence an individual’s physical activity (PA) participation, but studies among Nepalese adults are limited. In this qualitative study, we aimed to explore the multilevel influences upon PA participation among community-dwelling adults aged 40 years and above living in an urban setting in Kathmandu, Nepal. Men ( n = 21) and women ( n = 30) were purposively sampled to participate in one of nine focus group discussions. Types of PA undertaken constituted activities related to housework, farm work, and active travel. Individual-level barriers included lack of knowledge, lack of motivation, perceptions of already being active, personal limitations, and lack of time. Interpersonal barriers included household responsibilities and lack of support. Broader environmental barriers included lack of infrastructure for active commuting, poor safety, rising use of motorized transport, lack of resting areas, weak social norms about PA, declining agricultural engagement, mechanization, and improved access to technology and facilities. Some differences were observed between the gender and disease groups. Health benefits, integration into domestic work, opportunities for social interaction, and social support were the facilitators. Interventions focusing on families, highlighting the short- and long-term benefits of PA, addressing gender roles, and ensuring women are better supported represent opportunities to promote PA. Community-based interventions will be essential to establish social norms around PA and improve social support.
机译：此前的研究表明，一系列因素影响个人的体育活动（PA）参与，但对尼泊尔成年人的研究有限。在这项定性研究中，我们旨在探索居住在尼泊尔加德满都城市环境中的40岁及以上社区成年人对PA参与的多层次影响。对男性（n=21）和女性（n=30）进行了有目的的抽样，以参与九个焦点小组讨论中的一个。PA的活动类型包括家务、农活和积极旅行。个人层面的障碍包括缺乏知识、缺乏动力、对自己已经很活跃的看法、个人局限性和缺乏时间。人际障碍包括家庭责任和缺乏支持。更广泛的环境障碍包括缺乏有效通勤的基础设施、安全性差、机动交通的使用日益增多、缺乏休息区、公共交通的社会规范薄弱、农业参与度下降、机械化程度下降，以及技术和设施的可及性得到改善。在性别和疾病组之间观察到一些差异。健康福利、融入家庭工作、社会互动机会和社会支持是促进因素。以家庭为重点的干预措施，强调PA的短期和长期利益，解决性别角色问题，确保妇女得到更好的支持，这些都是促进PA的机会。社区干预对于围绕PA建立社会规范和改善社会支持至关重要。

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