title: Overcoming disparities in organized physical activity: findings from Australian community strategies.
abstract: Organized physical activity through sport and recreational activities is beneficial for physical and psychosocial well-being and community connectedness. However, many who could gain significantly from this have lower participation, especially the socioeconomically disadvantaged, Indigenous people, culturally diverse communities and people with a disability. This study examined barriers to participation by these underserved groups and the success of strategies for overcoming these used in 22 community projects over 3 years in the VicHealth Participation in Community Sport and Recreation Program, in Victoria, Australia. Each year, in-depth interviews were undertaken with 50-60 activity providers and 30-40 project partners. Major barriers to participation were cost, lack of transport, cultural differences, the environment of sporting groups and inaccessible facilities for people with disabilities. Projects that overcame these selected one or two priority groups, put significant effort into communication and building partnerships with community organizations, provided training to staff and volunteers and created new or modified forms of activity. Strategies were put in place to reduce cost and provide transport, but these did not appear to be sustainable. Many organizations found engaging the underserved was more difficult than anticipated and require information and support about how to develop acceptable, accessible and flexible opportunities for disadvantaged groups. Cost and lack of transport are persistent barriers to participation that need to be addressed by the sport and recreation sector and policy-makers.
authors.affiliation: School of Public Health and Preventive Medicine, Monash University, Alfred Hospital, Level 3 (Burnet Tower), 89 Commercial Rd, Melbourne 3004, Victoria, Australia ben.smith@monash.edu.
authors.forename: Ben J
authors.initials: BJ
authors.lastname: Smith
authors.affiliation: ARTD Consultants Ltd, Sydney, Australia School of Public Health, University of Sydney, Sydney, Australia.
authors.forename: Margaret
authors.initials: M
authors.lastname: Thomas
authors.affiliation: School of Public Health and Preventive Medicine, Monash University, Alfred Hospital, Level 3 (Burnet Tower), 89 Commercial Rd, Melbourne 3004, Victoria, Australia.
authors.forename: Dimitri
authors.initials: D
authors.lastname: Batras
mesh_terms: D003153:Community Health Services / Q000379:methods; D015444:Exercise; D005260:Female; D006293:Health Promotion / Q000379:methods; D054625:Healthcare Disparities; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D011998:Recreation; D013177:Sports; D014739:Victoria
keywords: community intervention; health equity; physical activity; sports