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Published in: Journal of Prevention 1-2/2013

01-04-2013 | Original Paper

“Positive Deviants”: A Qualitative Study of Physically Active Adults in Rural Environments

Authors: Michelle C. Kegler, Iris Alcantara, Nicole Dubruiel, J. K. Veluswamy, Hannah Appelbaum, Sandy Handwerk

Published in: Journal of Prevention | Issue 1-2/2013

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Abstract

Rural residents, particularly those in the South, are less physically active than their urban counterparts and often live in areas with limited walkability (e.g., no sidewalks) and minimal access to recreational facilities. The purpose of this study was to gain an understanding of what makes certain rural residents physically active despite their environment. Qualitative interviews (N = 29) were conducted with physically active adults who live in rural areas (e.g., outside of town) in southwest Georgia. Participants were 65.5 % male and 24.1 % African American, with a mean age of 55.9 years. Results suggest that physically active adults in rural areas are motivated by their health and perceive their local surroundings as a resource for physical activity. Understanding how these physically active adults take advantage of their living situations to be physically active has the potential to inform interventions that encourage physical activity in this high-risk population.
Literature
go back to reference Agency for Healthcare Research and Quality. (2011). 2010 national healthcare disparities report. Rockville, MD: U.S. Department of Health and Human Services. Agency for Healthcare Research and Quality. (2011). 2010 national healthcare disparities report. Rockville, MD: U.S. Department of Health and Human Services.
go back to reference Bennett, K., Olatosi, B., & Probst, J. (2008). Health disparities: A rural–urban chartbook. Columbia, SC: South Carolina Rural Health Research Center. Bennett, K., Olatosi, B., & Probst, J. (2008). Health disparities: A rural–urban chartbook. Columbia, SC: South Carolina Rural Health Research Center.
go back to reference Berge, J. M., Larson, N., Bauer, K. W., & Neumark-Sztainer, D. (2011). Are parents of young children practicing healthy nutrition and physical activity behaviors? Pediatrics, 127, 881–887.PubMedCrossRef Berge, J. M., Larson, N., Bauer, K. W., & Neumark-Sztainer, D. (2011). Are parents of young children practicing healthy nutrition and physical activity behaviors? Pediatrics, 127, 881–887.PubMedCrossRef
go back to reference Boeije, H. (2002). A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Quality & Quantity, 36, 391–409.CrossRef Boeije, H. (2002). A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Quality & Quantity, 36, 391–409.CrossRef
go back to reference Brownson, R. C., Eyler, A. A., King, A. C., Brown, D. R., Shyu, Y. L., & Sallis, J. F. (2000). Patterns and correlates of physical activity among US women 40 years and older. American Journal of Public Health, 90, 264–270.PubMedCrossRef Brownson, R. C., Eyler, A. A., King, A. C., Brown, D. R., Shyu, Y. L., & Sallis, J. F. (2000). Patterns and correlates of physical activity among US women 40 years and older. American Journal of Public Health, 90, 264–270.PubMedCrossRef
go back to reference Centers for Disease Control and Prevention. (2000). Behavioral risk factor surveillance system survey questionnaire. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Centers for Disease Control and Prevention. (2000). Behavioral risk factor surveillance system survey questionnaire. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.
go back to reference Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise, 35, 1381–1395.PubMedCrossRef Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise, 35, 1381–1395.PubMedCrossRef
go back to reference Dye, C. J., & Wilcox, S. (2006). Beliefs of low-income and rural older women regarding physical activity: You have to want to make your life better. Women and Health, 43, 115–134.CrossRef Dye, C. J., & Wilcox, S. (2006). Beliefs of low-income and rural older women regarding physical activity: You have to want to make your life better. Women and Health, 43, 115–134.CrossRef
go back to reference Eberhardt, M. S., & Pamuk, E. R. (2004). The importance of place of residence: Examining health in rural and nonrural areas. American Journal of Public Health, 94, 1682–1686.PubMedCrossRef Eberhardt, M. S., & Pamuk, E. R. (2004). The importance of place of residence: Examining health in rural and nonrural areas. American Journal of Public Health, 94, 1682–1686.PubMedCrossRef
go back to reference Eyler, A. A. (2003). Personal, social, and environmental correlates of physical activity in rural Midwestern white women. American Journal of Preventive Medicine, 25(3 Suppl. 1), 86–92.PubMedCrossRef Eyler, A. A. (2003). Personal, social, and environmental correlates of physical activity in rural Midwestern white women. American Journal of Preventive Medicine, 25(3 Suppl. 1), 86–92.PubMedCrossRef
go back to reference Frost, S. S., Goins, R. T., Hunter, R. H., Hooker, S. P., Bryant, L. L., Kruger, J., et al. (2010). Effects of the built environment on physical activity of adults living in rural settings. American Journal of Health Promotion, 24, 267–283.PubMedCrossRef Frost, S. S., Goins, R. T., Hunter, R. H., Hooker, S. P., Bryant, L. L., Kruger, J., et al. (2010). Effects of the built environment on physical activity of adults living in rural settings. American Journal of Health Promotion, 24, 267–283.PubMedCrossRef
go back to reference Giles-Corti, B., & Donovan, R. J. (2003). Relative influences of individual, social environmental, and physical environmental correlates of walking. American Journal of Public Health, 93, 1583–1589.PubMedCrossRef Giles-Corti, B., & Donovan, R. J. (2003). Relative influences of individual, social environmental, and physical environmental correlates of walking. American Journal of Public Health, 93, 1583–1589.PubMedCrossRef
go back to reference Hooker, S. P., Wilson, D. K., Griffin, S. F., & Ainsworth, B. E. (2005). Perceptions of environmental supports for physical activity in African American and white adults in a rural county in South Carolina. Preventing Chronic Disease, 2, A11.PubMed Hooker, S. P., Wilson, D. K., Griffin, S. F., & Ainsworth, B. E. (2005). Perceptions of environmental supports for physical activity in African American and white adults in a rural county in South Carolina. Preventing Chronic Disease, 2, A11.PubMed
go back to reference Jackson, J. E., Doescher, M. P., Jerant, A. F., & Hart, L. G. (2005). A national study of obesity prevalence and trends by type of rural county. Journal of Rural Health, 21, 140–148.PubMedCrossRef Jackson, J. E., Doescher, M. P., Jerant, A. F., & Hart, L. G. (2005). A national study of obesity prevalence and trends by type of rural county. Journal of Rural Health, 21, 140–148.PubMedCrossRef
go back to reference Janney, C. A., Cauley, J. A., Cawthon, P. M., Kriska, A. M., & Osteoporotic Fractures in Men Study Group. (2010). Longitudinal physical activity changes in older men in the osteoporotic fractures in men study. Journal of the American Geriatrics Society, 58, 1128–1133.PubMedCrossRef Janney, C. A., Cauley, J. A., Cawthon, P. M., Kriska, A. M., & Osteoporotic Fractures in Men Study Group. (2010). Longitudinal physical activity changes in older men in the osteoporotic fractures in men study. Journal of the American Geriatrics Society, 58, 1128–1133.PubMedCrossRef
go back to reference Jilcott, S. B., Evenson, K. R., Laraia, B. A., & Ammerman, A. S. (2007). Association between physical activity and proximity to physical activity resources among low-income, midlife women. Preventing Chronic Disease, 4, A04.PubMed Jilcott, S. B., Evenson, K. R., Laraia, B. A., & Ammerman, A. S. (2007). Association between physical activity and proximity to physical activity resources among low-income, midlife women. Preventing Chronic Disease, 4, A04.PubMed
go back to reference Kegler, M. C., Swan, D. W., Alcantara, I., Wrensford, L., & Glanz, K. (2012). Environmental influences on physical activity in rural adults: The relative contributions of home, church, and work settings. Journal of Physical Activity & Health, 9, 996–1003. Kegler, M. C., Swan, D. W., Alcantara, I., Wrensford, L., & Glanz, K. (2012). Environmental influences on physical activity in rural adults: The relative contributions of home, church, and work settings. Journal of Physical Activity & Health, 9, 996–1003.
go back to reference Kerr, J., Norman, G. J., Sallis, J. F., & Patrick, K. (2008). Exercise aids, neighborhood safety, and physical activity in adolescents and parents. Medicine and Science in Sports and Exercise, 40, 1244–1248.PubMedCrossRef Kerr, J., Norman, G. J., Sallis, J. F., & Patrick, K. (2008). Exercise aids, neighborhood safety, and physical activity in adolescents and parents. Medicine and Science in Sports and Exercise, 40, 1244–1248.PubMedCrossRef
go back to reference Kesaniemi, Y. K., Danforth, E., Jr, Jensen, M. D., Kopelman, P. G., Lefèbvre, P., & Reeder, B. A. (2001). Dose-response issues concerning physical activity and health: An evidence-based symposium. Medicine and Science in Sports and Exercise, 33(6 Suppl), S351–S358.PubMed Kesaniemi, Y. K., Danforth, E., Jr, Jensen, M. D., Kopelman, P. G., Lefèbvre, P., & Reeder, B. A. (2001). Dose-response issues concerning physical activity and health: An evidence-based symposium. Medicine and Science in Sports and Exercise, 33(6 Suppl), S351–S358.PubMed
go back to reference Mansfield, C. J., Wilson, J. L., Kobrinski, E. J., & Mitchell, J. (1999). Premature mortality in the United States: The roles of geographic area, socioeconomic status, household type, and availability of medical care. American Journal of Public Health, 89, 893–898.PubMedCrossRef Mansfield, C. J., Wilson, J. L., Kobrinski, E. J., & Mitchell, J. (1999). Premature mortality in the United States: The roles of geographic area, socioeconomic status, household type, and availability of medical care. American Journal of Public Health, 89, 893–898.PubMedCrossRef
go back to reference Martin, S. L., Kirkner, G. J., Mayo, K., Matthews, C. E., Durstine, J. L., & Herbert, J. R. (2005). Urban, rural, and regional variations in physical activity. Journal of Rural Health, 21, 239–244.PubMedCrossRef Martin, S. L., Kirkner, G. J., Mayo, K., Matthews, C. E., Durstine, J. L., & Herbert, J. R. (2005). Urban, rural, and regional variations in physical activity. Journal of Rural Health, 21, 239–244.PubMedCrossRef
go back to reference National Advisory Committee on Rural Health and Human Services. (2005). The 2005 Report to the secretary: Rural health and human service issues. Retrieved from http://www.hrsa.gov/advisorycommittees/rural/2005_secretary’s_report.pdf. National Advisory Committee on Rural Health and Human Services. (2005). The 2005 Report to the secretary: Rural health and human service issues. Retrieved from http://​www.​hrsa.​gov/​advisorycommitte​es/​rural/​2005_​secretary’s_report.pdf.
go back to reference Patterson, P. D., Moore, C. G., Probst, J. C., & Shinogle, J. A. (2004). Obesity and physical inactivity in rural America. Journal of Rural Health, 20, 151–159.PubMedCrossRef Patterson, P. D., Moore, C. G., Probst, J. C., & Shinogle, J. A. (2004). Obesity and physical inactivity in rural America. Journal of Rural Health, 20, 151–159.PubMedCrossRef
go back to reference Patton, M. Q. (2002). Qualitative research & evaluation methods (3rd ed.). Thousand Oaks, CA: Sage Publications. Patton, M. Q. (2002). Qualitative research & evaluation methods (3rd ed.). Thousand Oaks, CA: Sage Publications.
go back to reference Reed, J. A., & Phillips, D. A. (2005). Relationships between physical activity and the proximity of exercise facilities and home exercise equipment used by undergraduate university students. Journal of American College Health, 53, 285–290.PubMedCrossRef Reed, J. A., & Phillips, D. A. (2005). Relationships between physical activity and the proximity of exercise facilities and home exercise equipment used by undergraduate university students. Journal of American College Health, 53, 285–290.PubMedCrossRef
go back to reference Sallis, J. F., Cervero, R. B., Ascher, W., Henderson, K. A., Kraft, M. K., & Kerr, J. (2006). An ecological approach to creating active living communities. Annual Review of Public Health, 27, 297–322.PubMedCrossRef Sallis, J. F., Cervero, R. B., Ascher, W., Henderson, K. A., Kraft, M. K., & Kerr, J. (2006). An ecological approach to creating active living communities. Annual Review of Public Health, 27, 297–322.PubMedCrossRef
go back to reference Sallis, J. F., Johnson, M. F., Calfas, K. J., Caparosa, S., & Nichols, J. F. (1997). Assessing perceived physical environmental variables that may influence physical activity. Research Quarterly for Exercise and Sport, 68, 345–351.PubMedCrossRef Sallis, J. F., Johnson, M. F., Calfas, K. J., Caparosa, S., & Nichols, J. F. (1997). Assessing perceived physical environmental variables that may influence physical activity. Research Quarterly for Exercise and Sport, 68, 345–351.PubMedCrossRef
go back to reference Salmon, J., Owen, N., Bauman, A., Schmitz, M. K., & Booth, M. (2000). Leisure-time, occupational, and household physical activity among professional, skilled, and less-skilled workers and homemakers. Preventive Medicine, 30, 191–199.PubMedCrossRef Salmon, J., Owen, N., Bauman, A., Schmitz, M. K., & Booth, M. (2000). Leisure-time, occupational, and household physical activity among professional, skilled, and less-skilled workers and homemakers. Preventive Medicine, 30, 191–199.PubMedCrossRef
go back to reference Scharff, D. P., Homan, S., Kreuter, M., & Brennan, L. (1999). Factors associated with physical activity in women across the life span: Implications for program development. Women and Health, 29, 115–134. Scharff, D. P., Homan, S., Kreuter, M., & Brennan, L. (1999). Factors associated with physical activity in women across the life span: Implications for program development. Women and Health, 29, 115–134.
go back to reference Shores, K. A., West, S. T., Theriault, D. S., & Davison, E. A. (2009). Extra-individual correlates of physical activity attainment in rural older adults. Journal of Rural Health, 25, 211–218.PubMedCrossRef Shores, K. A., West, S. T., Theriault, D. S., & Davison, E. A. (2009). Extra-individual correlates of physical activity attainment in rural older adults. Journal of Rural Health, 25, 211–218.PubMedCrossRef
go back to reference Smith, B. J., Marshall, A. L., & Huang, N. (2005). Screening for physical activity in family practice: Evaluation of two brief assessment tools. American Journal of Preventive Medicine, 29, 256–264.PubMedCrossRef Smith, B. J., Marshall, A. L., & Huang, N. (2005). Screening for physical activity in family practice: Evaluation of two brief assessment tools. American Journal of Preventive Medicine, 29, 256–264.PubMedCrossRef
go back to reference Wilcox, S., Bopp, M., Oberrecht, O., Kammermann, S. K., & McElmurray, C. T. (2003). Psychosocial and perceived environmental correlates of physical activity in rural and older African American and white women. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 58, P329–P337.PubMedCrossRef Wilcox, S., Bopp, M., Oberrecht, O., Kammermann, S. K., & McElmurray, C. T. (2003). Psychosocial and perceived environmental correlates of physical activity in rural and older African American and white women. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 58, P329–P337.PubMedCrossRef
go back to reference Yin, R. K. (1993). Applications of case study research. Thousand Oaks, CA: Sage Publications. Yin, R. K. (1993). Applications of case study research. Thousand Oaks, CA: Sage Publications.
go back to reference Yousefian, A., Hennessy, E., Umstattd, M. R., Economos, C. D., Hallam, J. S., Hyatt, R. R., et al. (2010). Development of the rural active living assessment tools: Measuring rural environments. Preventive Medicine, 50(Suppl. 1), S86–S92.PubMedCrossRef Yousefian, A., Hennessy, E., Umstattd, M. R., Economos, C. D., Hallam, J. S., Hyatt, R. R., et al. (2010). Development of the rural active living assessment tools: Measuring rural environments. Preventive Medicine, 50(Suppl. 1), S86–S92.PubMedCrossRef
go back to reference Yousefian, A., Ziller, E., Swartz, J., & Hartley, D. (2009). Active living for rural youth: Addressing physical inactivity in rural communities. Journal of Public Health Management and Practice, 15, 223–231.PubMed Yousefian, A., Ziller, E., Swartz, J., & Hartley, D. (2009). Active living for rural youth: Addressing physical inactivity in rural communities. Journal of Public Health Management and Practice, 15, 223–231.PubMed
Metadata
Title
“Positive Deviants”: A Qualitative Study of Physically Active Adults in Rural Environments
Authors
Michelle C. Kegler
Iris Alcantara
Nicole Dubruiel
J. K. Veluswamy
Hannah Appelbaum
Sandy Handwerk
Publication date
01-04-2013
Publisher
Springer US
Published in
Journal of Prevention / Issue 1-2/2013
Print ISSN: 2731-5533
Electronic ISSN: 2731-5541
DOI
https://doi.org/10.1007/s10935-013-0291-6

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