研究生: |
方士豪 Fang, Shih-Hao |
---|---|
論文名稱: |
區域犯罪事件與臺灣高齡者身體活動及螢幕觀看時間之關聯性研究 Associations of area-level crime with physical activity and screen time among older Taiwanese adults |
指導教授: |
廖邕
Liao, Yung |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2019 |
畢業學年度: | 107 |
語文別: | 中文 |
論文頁數: | 71 |
中文關鍵詞: | 高齡者 、區域犯罪 、身體活動 、螢幕觀看時間 、生態學架構 |
英文關鍵詞: | elders, physical activity, area-level crime, screen time, ecological model |
DOI URL: | http://doi.org/10.6345/THE.NTNU.DHPHE.009.2019.F02 |
論文種類: | 學術論文 |
相關次數: | 點閱:278 下載:53 |
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目的:過去在臺灣少有區域犯罪對於高齡者健康之相關研究,而影響高齡者身體活動及螢幕觀看時間之探討對於高齡者健康有其必要性,基於「生態學架構」,本研究有三個研究目的。(1) 調查臺灣65歲以上高齡者身體活動及螢幕觀看時間之現況。(2)瞭解社會人口學變項與高齡者身體活動及螢幕觀看時間之關聯性。(3)區域犯罪事件與高齡者身體活動及螢幕觀看時間之關聯性。
方法:本研究在2017年9月至11月間使用電話訪談方式調查臺灣高齡人口之身體活動與螢幕觀看時間,並從警政署公開資料提取高齡者所在地區之區域犯罪資料。共取得1068份有效樣本,並以卡方檢驗、二元邏輯斯迴歸來分析數據。
結果:研究結果發現(1)一周身體活動量達150分鐘之高齡者佔總樣本數79.4%;一日螢幕觀看時間在120分鐘以上之高齡者佔總樣本數63.2%。(2)非正常體重之高齡者較不容易達到每周150分鐘身體活動量。而具有較高教育程度之高齡者較容易達到每日120分鐘螢幕觀看時間。(3) 「毒品事件」、「汽車竊盜事件」、「機車竊盜事件」發生件數較高之地區,當地高齡者較不容易達到每周150分鐘身體活動建議量。
結論:這些研究結果顯示區域犯罪是推動高齡者身體活動政策之參考依據。未來的研究有必要進一步研究區域犯罪對於高齡者主觀意識及身體活動與久坐之間的關聯性。
Aims: There is limited evidence on the associations of area-level crime with older adults’ physical activity and screen time, especially in Taiwan. Based on ecological model, there are three purposes of this research. (1) To describe the prevalence of physical activity and screen time among older adults. (2) To examine the associations between socio- demographic with older adults’ physical activity and screen time. (3) To examine the relationship between area-level crime with physical activity and screen time among older adults.
Methods: A telephone-based cross-sectional survey of older Taiwanese adults was conducted in September-November of 2017. Data related to socio-demographic factors, objectively area-level crime incidents, and time spent in physical activity and screen time were obtained from 1,068 older adults. The data were analyzed by performing chi-squared test and adjusted binary logistic regression.
Results: The results showed that (1) The prevalence of achieving 150 minutes per week of total physical activity was 79.4% and the prevalence of engaging in 2 hours/day of screen time was 63.2% in the sample of our study. (2) Older adults who were non-normal weight were less likely to reach a physical activity recommendation whereas those with higher educational degree were more likely to have screen time more than 2 hours/day. (3) After adjusting for potential confounders, higher drug incident, car theft incident, locomotive theft were positively associated with 150 minutes of total physical activity.
Conclusions: These findings suggest that crime safety should be considered for policy makers and physical activity intervention designers. Future studies are warranted to further examine the associations between perceived crime safety and older adults’ active and sedentary behavior.
Ainsworth, B. E., Haskell, W. L., Whitt, M. C., Irwin, M. L., Swartz, A. M., Strath, S. J., . . . Emplaincourt, P. O. (2000). Compendium of physical activities: an update of activity codes and MET intensities. Medicine and science in sports and exercise, 32(9; SUPP/1), S498-S504.
Astell-Burt, T., Feng, X., & Kolt, G. S. (2015). Identification of the impact of crime on physical activity depends upon neighbourhood scale: Multilevel evidence from 203,883 Australians. Health & Place, 31, 120-123. doi:https://doi.org/10.1016/j.healthplace.2014.11.007
Astell-Burt, T., Feng, X., Kolt, G. S., & Jalaludin, B. (2016). Is More Area-Level Crime Associated With More Sitting and Less Physical Activity? Longitudinal Evidence From 37,162 Australians. American Journal of Epidemiology, 184(12), 913-921. doi:10.1093/aje/kww106
Ball, K., Cleland, V. J., Timperio, A. F., Salmon, J., Giles-Corti, B., & Crawford, D. A. (2010). Love thy neighbour? Associations of social capital and crime with physical activity amongst women. Social Science & Medicine, 71(4), 807-814. doi:https://doi.org/10.1016/j.socscimed.2010.04.041
Bauman, A., Ainsworth, B. E., Sallis, J. F., Hagströmer, M., Craig, C. L., Bull, F. C., . . . Sjöström, M. (2011). The descriptive epidemiology of sitting: a 20-country comparison using the International Physical Activity Questionnaire (IPAQ). American journal of preventive medicine, 41(2), 228-235.
Bingham, P. B. (2009). Physical activity and mental health literature review. Canadian Mental Health Association, Ontario, YMCA Ontario, York University, Ontario Ministry of Health Promotion, 1-16.
Bracy, N. L., Millstein, R. A., Carlson, J. A., Conway, T. L., Sallis, J. F., Saelens, B. E., . . . King, A. C. (2014). Is the relationship between the built environment and physical activity moderated by perceptions of crime and safety? International Journal of Behavioral Nutrition and Physical Activity, 11(1), 24.
Bronfenbrenner, U. (1979). The ecology of human development Cambridge. MA: Harvard.
Bureau of Labor Statistics. (2017). American Time Use Survey. Retrieved from https://www.bls.gov/charts/american-time-use/activity-leisure.htm
Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public health reports, 100(2), 126.
Clark, C., Correa, A., Dubbert, P., & Gaziano, J. Television Viewing Time, Physical Activity, and Mortality Among African Americans. PREVENTING CHRONIC DISEASE, 15, E10.
da Silva, I. C., Payne, V. L., Hino, A. A., Varela, A. R., Reis, R. S., Ekelund, U., & Hallal, P. C. (2016). Physical activity and safety from crime among adults: a systematic review. Journal of physical activity and health, 13(6), 663-670.
Dogra, S., & Stathokostas, L. (2012). Sedentary behavior and physical activity are independent predictors of successful aging in middle-aged and older adults. Journal of aging research, 2012.
Dunstan, D., Barr, E., Healy, G., Salmon, J., Shaw, J., Balkau, B., . . . Owen, N. (2010). Television viewing time and mortality: the Australian diabetes, obesity and lifestyle study (AusDiab). Circulation, 121(3), 384-391.
Ekelund, U., Gorely, T., Griffiths, M., Jago, R., Oppert, J.-M., Raats, M., . . . Vicente-Rodríguez, G. (2010). Sedentary behaviour and obesity: Review of the current scientific evidence. In.
Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Health behavior and health education: theory, research, and practice: John Wiley & Sons.
Grøntved, A., & Hu, F. B. (2011). Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a meta-analysis. Jama, 305(23), 2448-2455.
Hallal, P. C., Andersen, L. B., Bull, F. C., Guthold, R., Haskell, W., Ekelund, U., & Group, L. P. A. S. W. (2012). Global physical activity levels: surveillance progress, pitfalls, and prospects. The lancet, 380(9838), 247-257.
Harvey, J. A., Chastin, S. F., & Skelton, D. A. (2013). Prevalence of sedentary behavior in older adults: a systematic review. International journal of environmental research and public health, 10(12), 6645-6661.
Hsueh, M.-C., Lin, C.-Y., Huang, P.-H., Park, J.-H., & Liao, Y. (2018). Cross-Sectional Associations of Environmental Perception with Leisure-Time Physical Activity and Screen Time among Older Adults. Journal of clinical medicine, 7(3), 56.
Imbeault, P., Makvandi, E., Batal, M., Gagnon-Arpin, I., Grenier, J., Chomienne, M.-H., & Bouchard, L. (2013). Physical inactivity among Francophones and Anglophones in Canada. Canadian Journal of Public Health, 104(6), S26-S30.
Janke, K., Propper, C., & Shields, M. A. (2016). Assaults, murders and walkers: The impact of violent crime on physical activity. Journal of health economics, 47, 34-49.
Katzmarzyk, P. T., Church, T. S., Craig, C. L., & Bouchard, C. (2009). Sitting time and mortality from all causes, cardiovascular disease, and cancer. Medicine & Science in Sports & Exercise, 41(5), 998-1005.
Kikuchi, H., Inoue, S., Sugiyama, T., Owen, N., Oka, K., & Shimomitsu, T. (2013). Correlates of prolonged television viewing time in older Japanese men and women. BMC public health, 13(1), 213.
Kneeshaw-Price, S. H., Saelens, B. E., Sallis, J. F., Frank, L. D., Grembowski, D. E., Hannon, P. A., . . . Chan, K. G. (2015). Neighborhood crime-related safety and its relation to children’s physical activity. Journal of Urban Health, 92(3), 472-489.
Koenig, H. G., & Blazer, D. G. (1992). Mood disorders and suicide. In Handbook of Mental Health and Aging (Second Edition) (pp. 379-407): Elsevier.
Kohl 3rd, H. W., Craig, C. L., Lambert, E. V., Inoue, S., Alkandari, J. R., Leetongin, G., . . . Group, L. P. A. S. W. (2012). The pandemic of physical inactivity: global action for public health. The lancet, 380(9838), 294-305.
Koohsari, M. J., Sugiyama, T., Shibata, A., Ishii, K., Liao, Y., Hanibuchi, T., . . . Oka, K. (2017). Associations of street layout with walking and sedentary behaviors in an urban and a rural area of Japan. Health & Place, 45, 64-69.
Koyanagi, A., Stubbs, B., Smith, L., Gardner, B., & Vancampfort, D. (2017). Correlates of physical activity among community-dwelling adults aged 50 or over in six low-and middle-income countries. PLoS One, 12(10), e0186992.
Lee, I.-M., Shiroma, E. J., Lobelo, F., Puska, P., Blair, S. N., Katzmarzyk, P. T., & Group, L. P. A. S. W. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. The lancet, 380(9838), 219-229.
Liao, Y., Shibata, A., Ishii, K., Koohsari, M. J., & Oka, K. (2018). Cross-sectional and prospective associations of neighbourhood environmental attributes with screen time in Japanese middle-aged and older adults. BMJ open, 8(3), e019608.
Marsh, S., Foley, L., Wilks, D., & Maddison, R. (2014). Family‐based interventions for reducing sedentary time in youth: a systematic review of randomized controlled trials. obesity reviews, 15(2), 117-133.
McGinn, A. P., Evenson, K. R., Herring, A. H., Huston, S. L., & Rodriguez, D. A. (2008). The association of perceived and objectively measured crime with physical activity: a cross-sectional analysis. Journal of physical activity and health, 5(1), 117-131.
Mesters, I., Wahl, S., & Van Keulen, H. M. (2014). Socio-demographic, medical and social-cognitive correlates of physical activity behavior among older adults (45–70 years): a cross-sectional study. BMC public health, 14(1), 647.
Morgan, W. P., & Goldston, S. E. (2013). Exercise and mental health: Taylor & Francis.
Owen, N. (2012). Sedentary behavior: understanding and influencing adults' prolonged sitting time. Preventive medicine, 55(6), 535-539.
Owen, N., Sugiyama, T., Eakin, E. E., Gardiner, P. A., Tremblay, M. S., & Sallis, J. F. (2011). Adults' sedentary behavior: determinants and interventions. American journal of preventive medicine, 41(2), 189-196.
Pengpid, S., & Peltzer, K. (2018). Prevalence, social and health correlates of physical inactivity among community-dwelling older adults in Indonesia. African Journal for Physical Activity and Health Sciences (AJPHES), 24(1), 15-27.
Pratt, M., Sarmiento, O. L., Montes, F., Ogilvie, D., Marcus, B. H., Perez, L. G., . . . Group, L. P. A. S. W. (2012). The implications of megatrends in information and communication technology and transportation for changes in global physical activity. The lancet, 380(9838), 282-293.
Robinson, A. I., Carnes, F., & Oreskovic, N. M. (2016). Spatial analysis of crime incidence and adolescent physical activity. Preventive medicine, 85, 74-77.
Saelens, B. E., & Handy, S. L. (2008). Built environment correlates of walking: a review. Medicine and science in sports and exercise, 40(7 Suppl), S550.
Sallis, J. F., Owen, N., & Fisher, E. (2015). Ecological models of health behavior. Health behavior: Theory, research, and practice, 5, 43-64.
Santos, D. A., Silva, A. M., Baptista, F., Santos, R., Vale, S., Mota, J., & Sardinha, L. B. (2012). Sedentary behavior and physical activity are independently related to functional fitness in older adults. Experimental gerontology, 47(12), 908-912.
Shangold, M. M., Sherman, C., & DiNubile, N. A. (1998). Exercise and menopause: A time for positive changes. The Physician and sportsmedicine, 26(12), 45-52.
Short, C. E., Vandelanotte, C., & Duncan, M. J. (2014). Individual characteristics associated with physical activity intervention delivery mode preferences among adults. International Journal of Behavioral Nutrition and Physical Activity, 11(1), 25.
Soltero, E. G., Cerin, E., Lee, R. E., & O’Connor, T. M. (2017). Associations between objective and self-report measures of traffic and crime safety in Latino parents of preschool children. Journal of immigrant and minority health, 19(5), 1109-1120.
Sugiyama, T., Merom, D., van der Ploeg, H. P., Corpuz, G., Bauman, A., & Owen, N. (2012). Prolonged sitting in cars: prevalence, socio-demographic variations, and trends. Preventive medicine, 55(4), 315-318.
Thorp, A. A., Owen, N., Neuhaus, M., & Dunstan, D. W. (2011). Sedentary behaviors and subsequent health outcomes in adults: a systematic review of longitudinal studies, 1996–2011. American journal of preventive medicine, 41(2), 207-215.
Vallance, J. K., Buman, M. P., Stevinson, C., & Lynch, B. M. (2015). Associations of overall sedentary time and screen time with sleep outcomes. American journal of health behavior, 39(1), 62-67.
Van Cauwenberg, J., Van Holle, V., De Bourdeaudhuij, I., Owen, N., & Deforche, B. (2015). Diurnal patterns and correlates of older adults’ sedentary behavior. PLoS One, 10(8), e0133175.
Wallace, J., & O'hara, M. W. (1992). Increases in depressive symptomatology in the rural elderly: Results from a cross-sectional and longitudinal study. Journal of Abnormal Psychology, 101(3), 398.
Weber Corseuil, M., Hallal, P. C., Xavier Corseuil, H., Jayce Ceola Schneider, I., & d'Orsi, E. (2012). Safety from crime and physical activity among older adults: a population-based study in Brazil. Journal of environmental and public health, 2012.
Wijndaele, K., Brage, S., Besson, H., Khaw, K.-T., Sharp, S. J., Luben, R., . . . Ekelund, U. (2011). Television viewing and incident cardiovascular disease: prospective associations and mediation analysis in the EPIC Norfolk Study. PLoS One, 6(5), e20058.
World Health Organization. (2007). Global age-friendly cities: A guide: World Health Organization.
World Health Organization. (2010). Medical eligibility criteria for contraceptive use: World Health Organization.
古博文, 孫文榮, & 陳俐蓉. (2016). 老年人靜態行為問卷之發展.
李玲玲, 陳妙星, 張淑琴, & 邱郁耘. (2013). 實證老人規律運動衛教指引發展. 志為護理-慈濟護理雜誌, 12(2), 66-79.
林瑞興. (1999). 增加身體活動量對老年人的重要性. 大專體育(46), 87-93.
高敏真. (2009). 台灣老人肥胖及非肥胖族群其自覺健康狀況及生活方式之差異: 民國九十一年國民健康促進知識, 態度與行為調查結果. 中山醫學大學醫學研究所學位論文, 1-104.
劉建廷, & 卓俊伶. (2007). 身體活動參與和身體自我概念. 中華體育季刊, 21(4), 68-74.
劉影梅. (2004). 國際身體活動量表台灣中文版之發展與信效度驗證. 臺灣大學護理學研究所學位論文, 1-463.