title: Community level predictors of physical activity among women in the preconception period.
abstract: Although physical activity is a key behavior targeted during the preconception period given its significant impact on pregnancy/birth outcomes and psychological well-being, few women meet national guidelines. While intrapersonal factors influencing physical activity among this population have been studied, community factors remain unexplored. The objective of this study was to examine community level predictors of physical activity among preconception women. Data from Add Health were limited to women (Wave III; age 18-28; n = 7,596) and excluded respondents who were pregnant, physically disabled, and missing data. The outcome variable was ≥5 instances of moderate-vigorous physical activity (MVPA) in 1 week. Community predictor variables included neighborhood-level structural and social determinants (e.g., socio-demographic composition; landscape diversity; urbanization; access to resources; crime; vehicle availability). Multilevel logistic regression modeling was used to estimate the odds of engaging in ≥5 instances of MVPA. Few women (26 %) reported ≥5 instances of MVPA in 1 week. Adjusted multilevel analysis revealed women in the preconception period were more likely to report high MVPA when living in communities with larger population densities (OR 1.34, 95 % CI 1.02-1.77) and median household income greater than $50,000 (OR 1.33, 95 % CI 1.06-1.66). Additionally, a significant inverse trend was found between high MVPA and proportion of the community without a high school diploma. Findings suggest that neighborhood composition may have an impact on preconception physical activity status. Implications include increased efforts targeting community conditions for facilitating physical activity; ultimately, improving health among women and subsequent offspring.
authors: Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA, cvamos@health.usf.edu.
authors: Cheryl A
authors: CA
authors: Vamos
authors: Haichun
authors: H
authors: Sun
authors: Sara B
authors: SB
authors: Flory
authors: Rita
authors: R
authors: DeBate
authors: Ellen M
authors: EM
authors: Daley
authors: Erika
authors: E
authors: Thompson
authors: Jennifer
authors: J
authors: Bleck
authors: Laura
authors: L
authors: Merrell
mesh_terms: D000293:Adolescent; D000328:Adult; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006801:Humans; D016015:Logistic Models; D009043:Motor Activity; D016742:Preconception Care; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D012111:Residence Characteristics; D012931:Social Environment; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
references: Health Educ Behav. 2008 Apr;35(2):158-73
references: 16923837
references: Obes Rev. 2009 Jul;10(4):393-402
references: 19389058
references: Sports Med. 2006;36(1):19-38
references: 16445309
references: Matern Child Health J. 2012 Dec;16(9):1896-905
references: 22311577
references: MMWR Morb Mortal Wkly Rep. 2013 May 3;62(17):326-30
references: 23636025
references: Am J Prev Med. 2002 Apr;22(3):188-99
references: 11897464
references: Am J Prev Med. 2004 Nov;27(4):277-83
references: 15488356
references: Prev Med. 2010 Jan;50 Suppl 1:S74-9
references: 19751757
references: Med Sci Sports Exerc. 2006 May;38(5):989-1006
references: 16672855
references: Am J Prev Med. 2002 May;22(4 Suppl):67-72
references: 11985935
references: Clin Obstet Gynecol. 2008 Jun;51(2):467-80
references: 18463475
references: Diabetes Res Clin Pract. 2004 Nov;66(2):203-15
references: 15533588
references: Prev Med. 2000 Jan;30(1):43-50
references: 10642459
references: Matern Child Health J. 2012 Dec;16 Suppl 2:258-67
references: 23160762
references: Pediatrics. 2000 Jun;105(6):E83
references: 10835096
references: Health Place. 2013 Nov;24:190-5
references: 24140704
references: Am J Public Health. 2009 Feb;99(2):320-7
references: 19059863
references: Qual Health Res. 2006 Apr;16(4):467-83
references: 16513991
references: Occup Environ Med. 2014 Aug;71(8):562-9
references: 24759971
references: MMWR Recomm Rep. 2006 Apr 21;55(RR-6):1-23
references: 16617292
references: J Urban Health. 2006 Nov;83(6):1041-62
references: 17031568
references: J Matern Fetal Neonatal Med. 2003 Jun;13(6):385-93
references: 12962263
references: J Epidemiol Community Health. 2011 Oct;65(10):847-52
references: 20930092
references: Matern Child Health J. 2011 Aug;15(6):806-13
references: 20680672
references: Matern Child Health J. 2013 Apr;17(3):477-84
references: 22488158
references: Health Place. 2011 Jan;17(1):390-3
references: 21106432
references: Am J Public Health. 2001 Dec;91(12):1995-2003
references: 11726382
references: Pediatrics. 2006 Feb;117(2):417-24
references: 16452361
references: Contraception. 2011 Nov;84(5):478-85
references: 22018121
references: Matern Child Health J. 2013 May;17(4):632-8
references: 22569946
references: Soc Sci Med. 2009 Jan;68(1):100-10
references: 18995941
references: Matern Child Health J. 2010 Mar;14(2):235-44
references: 19156507
references: Environ Int. 2012 Apr;40:110-5
references: 21824657
references: Can J Appl Physiol. 2003 Aug;28(4):642-53
references: 12904639
references: Am J Public Health. 2004 Mar;94(3):440-3
references: 14998810
references: Health Educ Q. 1988 Winter;15(4):351-77
references: 3068205
references: Am J Prev Med. 2007 Apr;32(4):312-9
references: 17383562
references: Eur J Clin Nutr. 2006 Mar;60(3):393-400
references: 16306930
references: J Sci Med Sport. 2011 Jul;14(4):299-305
references: 21420359
references: Am J Public Health. 2003 Sep;93(9):1583-9
references: 12948984
references: Health Place. 2014 Mar;26:39-46
references: 24361636
references: Perspect Sex Reprod Health. 2005 Dec;37(4):179-83
references: 16380363
references: Am J Obstet Gynecol. 2008 Dec;199(6 Suppl 2):S266-79
references: 19081421
references: Med Sci Sports Exerc. 2008 Jul;40(7 Suppl):S550-66
references: 18562973
references: Matern Child Health J. 2012 Dec;16 Suppl 2:250-7
references: 23099798