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Can physical activity compensate for low socioeconomic status with regard to poor self-rated health and low quality-of-life?
Jönköping University, School of Health and Welfare, HHJ. ADULT. Unit for Research and Development in Primary Health Care, Futurum - Academy for Health and Care, Region Jönköping County, Jönköping, Sweden.ORCID iD: 0000-0001-5834-7494
Linköping University, Linköping, Sweden.
Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Linköping University, Linköping, Sweden.ORCID iD: 0000-0002-0156-6677
Unit for Community Medicine, Department of Medicine and Health, Linköping University, Linköping, Sweden.
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2019 (English)In: Health and Quality of Life Outcomes, E-ISSN 1477-7525, Vol. 17, no 1, p. 1-10, article id 33Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Both high socioeconomic status (SES) and high physical activity (PA) are associated with better self-rated health (SRH) and higher quality-of-life (QoL).

AIM: To investigate whether high levels of PA may compensate for the association between low SES and subjective health outcomes in terms of poorer SRH and lower QoL.

METHOD: Data from a cross-sectional, population-based study (n = 5326) was utilized. Multiple logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (95% CI) for the associations between indicators of SES (economic situation and educational level), SRH and QoL, as well as between the combination of SES and PA in relation to SRH and QoL.

RESULT: Participants with high PA and economic problems had approximately the same OR for good SRH as those with low PA and without economic problems (OR 1.75 [95% CI 1.20-2.54] and 1.81 [1.25-2.63] respectively). Participants with high PA and low education had higher odds for good SRH (OR 3.34 [2.96-5.34] compared to those with low PA and high education (OR 1.46 [0.89-2.39]).Those with high PA and economic problems had an OR of 2.09 [1.42-3.08], for high QoL, while the corresponding OR for those with low PA and without economic problems was 4.38 [2.89-6.63].

CONCLUSION: Physically active people with low SES, had the same or even better odds to report good SRH compared to those with low PA and high SES. For QoL the result was not as consistent. The findings highlight the potential for promotion of PA to reduce SES-based inequalities in SRH.

Place, publisher, year, edition, pages
BioMed Central, 2019. Vol. 17, no 1, p. 1-10, article id 33
Keywords [en]
Health dialogue, Physical activity, Quality-of-life, Self-rated health, Socioeconomic status
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:hj:diva-43213DOI: 10.1186/s12955-019-1102-4ISI: 000458183400002PubMedID: 30736815Scopus ID: 2-s2.0-85061263688Local ID: GOA HHJ 2019OAI: oai:DiVA.org:hj-43213DiVA, id: diva2:1292949
Available from: 2019-03-01 Created: 2019-03-01 Last updated: 2024-07-04Bibliographically approved
In thesis
1. To do or not to do? Physical activity in relation to socioeconomic status and health – a salutogenic perspective in the context of targeted health dialogues
Open this publication in new window or tab >>To do or not to do? Physical activity in relation to socioeconomic status and health – a salutogenic perspective in the context of targeted health dialogues
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

It is well known that physical activity (PA) has a major positive impact on health and that the performance of PA is lower in low socioeconomic groups. However, more knowledge about the relationship between PA and health is needed especially between and within socioeconomic groups.

This thesis aimed, from a salutogenic perspective, to increase the understanding of the relationship between physical activity and health in the adult population, with a particular focus on people with economic difficulties. A further aim was to validate questions about physical activity and to explore the people’s experiences of PA from a sense of coherence perspective, all in the context of targeted health dialogues.

The first study in this thesis is a validation study. It validates a PA interview form and questions about sedentary time used in the targeted health dialogues. Studies II and III comprise quantitative analyses of PA, health and psychological factors in the population, especially in groups with low socioeconomic status (SES). Study IV is a qualitative deductive study based on interviews with participants with low SES in the targeted health dialogues. The deductive analysis contains the participants’ experiences of PA from a sense of coherence perspective.

The findings in study I showed that the interview form and the single-item question about sedentary time could be considered as acceptable to use in Swedish targeted health dialogues. In study II, physically active people with low SES were shown to have the same odds of reporting good self-rated health compared to those with low PA and high SES. The findings in study III showed that within the group of people with self-reported economic difficulties, higher levels of PA were related to better mastery and more vitality. Study IV showed that it is essential for the participants to have an awareness of the health benefits of PA and their challenges in performing PA. The participants also constructed a plan to follow while utilising their resources, and their intrinsic motivation to achieve the PA recommendations and the PA benefits.

This thesis brings a deeper knowledge and understanding of the healthperspective of PA. This knowledge can be used to further develop thetargeted health dialogues in a salutogenic way. It will give people,especially those with lower SES, the opportunity to use their resourcesto increase PA and thereby improve their future health.

Place, publisher, year, edition, pages
Jönköping: Jönköping University, School of Health and Welfare, 2024. p. 93
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 133
Keywords
health, mastery, physical activity, quality of life, salutogenesis, self-rated health, sense of coherence, targeted health dialogues, vitality
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-63764 (URN)978-91-88669-41-4 (ISBN)978-91-88669-42-1 (ISBN)
Public defence
2024-04-05, Forum Humanum, School of Health and Welfare, Jönköping, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2024-03-07 Created: 2024-03-07 Last updated: 2024-03-07Bibliographically approved

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Johansson, LisbethGolsäter, MarieFransson, Eleonor I.

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Public Health, Global Health, Social Medicine and Epidemiology

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