title: Community SES, perceived environment, and physical activity during home-based cardiac rehabilitation: is there a need to consider the urban vs. rural distinction?
abstract: Physical activity (MVPA) levels during home-based cardiac rehabilitation (CR) remain problematic. Consequently, the present study examined the association between MVPA and urban vs. rural residential status and the perceived environment in patients attending home-based CR. A total of 280 patients completed a questionnaire assessing demographic, clinical, MVPA, and perceived environmental variables measured at baseline and 3 months later. Patient addresses were geocoded and linked to the 2006 Canadian census to establish the urban/rural distinction. Results showed that urban and rural patients had similar baseline MVPA and improvements in MVPA by 3 months. Several perceived environmental variables were significantly related to MVPA throughout home-based CR that were common and urban/rural-specific. Therefore, although there does not appear to be an urban vs. rural advantage in MVPA levels during home-based CR, there does appear to be environmental/MVPA-specific relationships specific to urban and rural patients that may warrant attention.
authors.affiliation: Dalhousie University, Halifax, Nova Scotia, Canada. chris.blanchard@dal.ca
authors.forename: Chris
authors.initials: C
authors.lastname: Blanchard
authors.forename: Daniel
authors.initials: D
authors.lastname: Rainham
authors.forename: Jill
authors.initials: J
authors.lastname: McSweeney
authors.forename: John
authors.initials: J
authors.lastname: Spence
authors.forename: Lisa
authors.initials: L
authors.lastname: McDonnell
authors.forename: Ryan
authors.initials: R
authors.lastname: Rhodes
authors.forename: Robert
authors.initials: R
authors.lastname: Reid
authors.forename: Kerry
authors.initials: K
authors.lastname: McGannon
authors.forename: Nancy
authors.initials: N
authors.lastname: Edwards
mesh_terms: D002170:Canada; D004777:Environment; D015444:Exercise; D005260:Female; D006699:Home Care Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012424:Rural Population / Q000706:statistics & numerical data*; D012923:Social Class; D011795:Surveys and Questionnaires; D014505:Urban Population / Q000706:statistics & numerical data*