Socio-ecological influences of leisure-time physical activity among Nepalese adults: a qualitative study
Oral Presentation A1.5
DOI:
https://doi.org/10.14288/hfjc.v14i3.380Keywords:
Leisure, Physical Activity, Focus Groups, Thematic Analysis, Socio-Ecological ModelAbstract
Background: With the economic and social change, participation in occupational and transport-related physical activity is declining among Nepalese adults, highlighting the growing importance of leisure-time physical activity (LTPA). Purpose: To qualitatively explore the socioecological influences upon participation in LTPA among Nepalese adults aged 40 years and above. Methods: A total of 51 adults (30 females and 21 males) participated in one of nine focus groups conducted in Kathmandu, Nepal. Data collection was guided by the social-ecological model of physical activity and analysis was done using the reflexive thematic analysis approach in NVivo 12. Results: Leisure time was mostly spent resting, socialising, or engaging in sedentary activities such as watching television. Individual-level barriers to LTPA participation included lack of knowledge, perceived lack of skill, lack of motivation, considering oneself as sufficiently active and engagement in sedentary screen activities. Family and household responsibilities, lack of support and fear of being judged by community members constituted the interpersonal barriers, while environmental barriers to LTPA included an absence of a supportive social norm, lack of open spaces, weather conditions and perceived lack of safety. Health benefits, prioritising physical activity, social support, provision of group-based activities and age-appropriate public exercise facilities were identified as major facilitators. Conclusion: Critical issues that need to be addressed to increase LTPA among Nepalese adults include traditional gender roles, family and social support, and social norms. Modifications of the built environment, such as public exercise facilities, offer further opportunities and will require coordination beyond the health sector.
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Copyright (c) 2021 Susan Paudel, Alice J. Owen, Ben J. Smith
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