Time and Money: A New Look at Poverty and the Barriers to Physical Activity in Canada

The relationship between time, money, and regular participation in physical activities, especially at the intensities and durations required to improve one’s health, is an important public health and social policy issue. The objective of this research is to develop a better understanding of the extent to which income poverty and time poverty act as barriers to regular participation in moderate or higher intensity physical activities. This study uses Canadian time use data collected in 2005 in order to measure income poverty, time poverty, and active living. Objective measures of physical activity engagement (participation rates, daily occurrences, and daily time budgets) are used to explore differences between the rich and poor categories of both income and time wealth. The income and time wealth categories are corroborated using subjective assessments of stress and perceived barriers to regular participation in sports. The results illustrate the multidimensional nature of poverty, but from a public health and social policy perspective, time poverty may be more important than income poverty as a barrier to regular physical activity engagement.     

Will boys’ mental health fare worse under a hotter climate in Australia?

A hotter climate is increasingly found to have negative effects on human health, yet the possible impact on children’s mental health is less understood. Our study explored this potential relationship using a national survey of children aged 6–11 across Australia, during the period 2008–2014 (n?=?14,096). It was hypothesised that the negative effects of hotter weather on children’s mental health can occur both directly (e.g. through heat impacts influencing hyperactivity and restlessness) and indirectly (e.g. through reduced participation in organised physical activities). Mediation analysis controlled for a range of other locational, gender, socio-economic and demographic influences. Results indicate that an increase in annual average daily maximum temperature worsened childhood mental health due to a direct and indirect effect through reduced participation in organised physical activities, as measured by the Strengths and Difficulties Questionnaire (SDQ) total score, but the result is only significant for boys (albeit the magnitude of the effect was small). More specifically, temperature differences are driven through the SDQ mental health sub-scales of hyperactivity and peer problems. Gender disparities are also observed in terms of other environmental or locational influences having a significant impact on boys’ mental health, with no significant impact found for girls. Girls’ mental health is more likely influenced by family and individual socio-economic characteristics. There is also evidence of an increased impact of higher temperature on children’s mental health in poorer households, suggesting the need for more targeted children’s mental health policies.     

城市老年人社会活动参与对其健康的影响--基于CHARLS 2011年数据

基于2011年“中国健康与养老追踪调查”全国基线调查数据,研究城市老年人社会活动参与对其健康的影响。研究结果发现社会活动参与对老年人日常生活活动能力、抑郁情绪均有显著影响。社会活动参与越多的老年人,在日常生活活动能力方面表现得越好;抑郁情绪也越少。可见,社会活动参与能有效改善老年人的健康水平。本文的研究结论支持了活动理论的观点,即老年人参与社会活动,可以增进他们的身体和心理健康水平。此外,本文还发现性别、年龄、婚姻状况、医疗保险、吸烟、喝酒等变量均对老年人健康有显著影响。     

Treiben nur Gesunde Sport?

Exercising for health benefits is a socially accepted phenomenon in western industrialized societies. However, most existing studies are based on cross-sectional data and do not provide a conclusive basis for causal inferences about the complex interactions between exercise and health. The question therefore remains: Are people who exercise healthier because they exercise, or do people exercise more because they are healthy? Analysis was conducted on the basis of data from the ??Living an active life: age and aging in Baden-Württemberg?? project. The database includes retrospective data both on the physical activity and health biography of the subjects involved, enabling investigation of the impact of various medical risk factors, cardiovascular disease and orthopedic conditions on physical activity. High cholesterol levels correlate with a reduced incidence of exercise initiation and (like hearth rhythm disorders) with an increased incidence of exercise cessation. Some of the conditions investigated (high blood pressure, heart rhythm disorders, heart attack, arthritis and chronic back pain) have the effect of increasing exercise initiation, rather than??as might be expected??reducing physical activity owing to poor health. The study also revealed gender differences in the effects of illness on physical activity.     

Spouse “Together Time”: Quality Time Within the Household

During the last decade more and more time-use data were gathered on a household level in stead of on an individual level. The time-use information of all members of the household provides much more insight in research fields that until now largely used data gathered at the individual level. One of these research fields is the study of quality of life, based on the (quality) time partners within a household spend together which in turn is often linked to studying the associations between the amount of time spent together and relationship satisfaction. The amount of face-to-face spousal interaction is considered to be critically important for marital quality and is assumed to be violated within dual-earner couples, especially those with women working long hours. In this contribution we analyze the time-use of couples in the Belgian Time Use Surveys of 1999 and 2005. We identify which activities couples do together and which they do apart, and what household characteristics predict couples’ together time. Working times in general seem the most decisive factor influencing the amount of together time. The increased labor market participation of women, on the other hand, seems not to be so much a threat for the time a couple spends together.     

Physical and Mental Health Correlates of Self-Efficacy in Dementia Family Caregivers

This study examined whether self-efficacy for controlling upsetting caregiving thoughts would longitudinally predict mental and physical health as well as utilization of psychotropic medications in help-seeking dementia family caregivers (N = 53). Positive associations were found between self-efficacy and self-reported mental health and physical health subscales of the Short Form Health Questionnaire-12, and negative correlations were found between self-efficacy for controlling upsetting thoughts about caregiving and the number of psychotropic medications being utilized both cross-sectionally and longitudinally. These results suggest that self-efficacy for controlling upsetting thoughts may be a fruitful target area for further intervention research with dementia family caregivers.     

Elderly Women,Exercise and Healthy Aging

The persistent view of old age as a time for accepting an inevitable decline in health and vigour continues to shape the exercise patterns of elderly women, despite rapidly accumulating evidence that what has formerly been perceived as "normal aging" is, in part, the deficit of disuse and inactivity. While the risks associated with increased physical activity are not to be overlooked, more attention is being given to the overwhelming benefits of adequate exercise for the elderly, both in terms of short and long-term contributions to enhanced physical, social and emotional well-being. Conditioned to believe that being old and female is a sort of "double jeopardy" requiring restraint in physical activity, elderly women have been slow to respond to the new view of exercise as a crucial part of healthy aging. So long as elderly women do not readily perceive the advantages to be accrued from regular exercise patterns and do not believe they are capable of vigourous physical activity, government policies and plans to disseminate information about health and exercise are unlikely to generale large scale action toward health promotion.     

Internet Use and Subjective Well-Being in China

Using data from the 2010 China Family Panel Studies, we analyze the association between Internet use and various measures of subjective well-being (SWB) in a sample of 16- to 60-year-old Chinese. Our analysis shows that although intensive Internet use is significantly associated with lower levels of SWB, we hardly observe any associations when the focus is on participation in specific online activities. Nevertheless, SWB depends on the reasons for using the Internet and the extent to which individuals feel that their Internet use is displacing other activities. Our results suggest that, contrary to previous findings, differences in beneficial outcomes (the third level digital divide) do not necessarily arise from individuals’ actual Internet use (the second level digital divide) but rather may result from their subjective perceptions of such usage. Our findings also point to a possible cultural factor that puts Chinese Internet users at psychological risk.     

Exercise,Eating Patterns,and Obesity: Evidence from the ATUS and Its Eating &; Health Module

Time spent eating and exercising can impact quality of life measures such as general health and risk for obesity. This article links data from the American Time Use Study and the Eating and Health Module to explore exercise and eating patterns for varying age groups, over different times of day, and by self-reported health status. Younger Americans who did some exercise were more likely to engage in higher impact sports. Older Americans who exercised were more likely to do so in the morning. Americans who reported being in excellent health spent more time exercising than other self-reported health groups, regardless of their sex or age.     

Health Outcomes and Volunteering: The Moderating Role of Religiosity

In this paper, we examine whether and what extent public and private forms of religiosity act as moderators of the volunteering and well-being relationship in mid- to later-life. We use data from the second wave of the National Survey of Midlife Development in the United States (n = 1,805). We analyzed the relationships between volunteering and indicators of well-being (self-rated physical and mental health), and tested the moderating effects of public and private religiosity on the volunteering and well-being relationship. Our findings suggest that salubrious effects of volunteering on the self-perceived physical and mental health of middle- aged and older- aged adults varied by their participation in different forms of religiosity. In particular, volunteers who engaged in more public forms of religiosity reported significantly better physical and mental health than non-volunteers who engaged in these forms of religiosity. In other words, individuals who were actively engaged public forms of religious practices and who volunteered, maximized the associated health benefits.     

旅游和健身锻炼与健康长寿关系的定量研究

基于中国老年人口健康纵向调查2002年和2005年数据,运用实证方法对影响我国65岁及以上老年人旅游和健身锻炼的相关因素以及旅游和健身锻炼对健康长寿的影响进行定量分析。研究显示在控制诸多干扰因素下,城镇老人、汉族老人、那些具有较高社会经济地位和较多医疗资源以及经常参与闲暇活动老人的外出旅游和参与健身锻炼的比例较高;宗教活动增加出游比例;出游比例具有随龄下降趋势。研究还发现出游和参与健身锻炼有利于健康长寿。     

Adolescent Health in Hong Kong: Disturbing Socio-Demographic Correlates

Relationships between self-assessed health status and socio-demographic variables were examined among 4,502 Chinese adolescent secondary school students in Hong Kong, a modern society with traditional Chinese ethno-cultural origin. Health status was self-rated in four aspects: overall health, physical health, mental health, and health effects on usual activities. In both the bivariate and multivariate analyses, there was health advantage for adolescent males relative to females, and there were inverse relationships between health level and age/level of study, in all four health aspects. Family structure was an important risk factor for all health aspects. Two-parent family was associated with significantly higher health levels than those living with father only, or with no parent/single parent and other adults, but not those living with mother only. Mainland-born adolescents had higher risks of low health level than the local-born in the aspect of overall health status. Finally economically well-being was associated with lower level of mental health.     

社交活动对老年人口健康状况影响的量化分析

人口老龄化已成为中国社会的常态,老年人口健康及其相关问题研究日益成为政府、社会和学者共同关注的焦点。本文基于中国健康与养老追踪调查2015年数据,针对老年人口社交活动难以量化的问题,构建"社交活跃度"指标,利用OLS回归和IV-regress二阶段回归模型分析社交活动对中国老年人口健康状况的影响。实证结果表明:第一,我国老年人社交活动水平整体呈现低活跃型特征,社交形式比较单一。第二,社交活动确实会对中国老年人口的健康状况产生影响,老年人健康状况在各影响因素不同水平下表现出显著差异,尤其受教育程度较高、经济状况较好以及较高的社交活跃度会对老年人健康产生积极正向影响。第三,老年人积极参与社交活动能够显著改善其健康状况,参与多项社交活动且参与活动频率高对老年人口健康状况的优化作用尤其明显。因此,我们应提升中国老年人口的社交活跃度。老年人应积极主动参与丰富多彩的社交活动,社区、基层政府及社会企业应构建并完善与老年人社交活动及健康保障相配套的产品和服务体系,国家层面则应更加积极地完善相关的老龄化政策、制度。     

"Life without line dancing and the other activities would be too dreadful to imagine": an increase in social activity for older women

The literature on aging is replete with the positive effects of physical exercise on the well-being of older adults. Some suggest, however, that the potential impact of social activities has not received adequate attention, and others note the importance of distinguishing between the physical and nonphysical impact of these activities. This study investigated whether line dancing, a physical activity, led to an increase in social activity. Thirty women over the age of 60 were interviewed to discover how line dancing affected them. Content analysis of the interviews helped identify various themes indicating that line dancing enabled these women to expand their repertoire of social activity, leading to positive reinforcements such as further community involvement, charitable work, inclusion in national sports events, self-expression, and personal development. The impact of line dancing plainly goes beyond the perceived physical benefits.     

A selective review of prenatal exercise guidelines since the 1950s until present: Written for women,health care professionals,and female athletes

BackgroundTraditional society values have long-held the notion that the pregnant woman is construed as a risk to her growing fetus and is solely responsible for controlling this risk to ensure a healthy pregnancy. It is hard to ignore the participation of pregnant women in sport and exercise today, especially in high-level sports and popular fitness programs such as CrossFit™. This challenges both traditional and modern prenatal exercise guidelines from health care professionals and governing health agencies. The guidelines and perceived limitations of prenatal exercise have drastically evolved since the 1950s.AimThe goal of this paper is to bring awareness to the idea that much of the information regarding exercise safety during pregnancy is hypersensitive and dated, and the earlier guidelines had no scientific rigor. Research is needed on the upper limits of exercise intensity and exercise frequency, as well as their potential risks (if any) on the woman or fetus.DiscussionPregnant women are physically capable of much more than what was once thought. There is still disagreement about the types of exercise deemed appropriate, the stage at which exercise should begin and cease, the frequency of exercise sessions, as well as the optimal level of intensity during prenatal exercise.ConclusionResearch is needed to determine the upper limits of exercise frequency and intensity for pregnant women who are already trained. Healthy women and female athletes can usually maintain their regular training regime once they become pregnant.     

Religion and Mental Health Among Israeli Jews: Findings from the SHARE-Israel Study

This study investigates the impact of religiousness on mental health indicators in a population sample of Israeli Jews aged 50 or older. Data are from the Israel sample of the Survey of Health, Ageing and Retirement in Europe (SHARE-Israel), collected from 2005 to 2006. Of the 1,287 Jewish respondents, 473 (36.8 %) were native-born Israelis and 814 (63.2 %) were diaspora-born. Religious measures included past-month synagogue activities, current prayer, and having received a religious education. Mental health outcomes included single-item measures of lifetime depression and life satisfaction, along with the CES-D and EURO-D depression scales, the CASP-12 quality of life scale, and the LOT-R optimism scale. Participation in synagogue activities was found to be significantly associated with less depression, better quality of life, and more optimism, even after adjusting for effects of the other religious measures, for sociodemographic covariates, for the possibly confounding effect of age-related activity limitation, and for nativity. Findings for prayer were less consistent, including inverse associations with mental health, perhaps reflecting prayer’s use as a coping response. Finally, religious education was associated with greater optimism. These results underscore a modest contribution of religious participation to well-being among middle-aged and older adults, extending this research to the Israeli and Jewish populations.     

‘There are Alternatives,but Your Social Life is Curtailed’: Poverty and Sports Participation from an Insider Perspective

Sports is generally believed to improve well-being and to bring benefits ranging from health promotion to the enhancement of social capital. At the same time, research has indicated that living in poverty negatively affects the likelihood of practicing sports. Yet, from the literature, it is not clear how the lower participation rates of people in poverty should be understood. Based on 33 semi-structured interviews and four focus groups, we (1) explore the meaning of sports participation for people in poverty and (2) evaluate the opportunities for practicing sports. As their voices often remain unheard, we take the perspective of people in poverty as a starting point. The results indicate, amongst other things, that sports practice remains possible when living with few resources, but potential social benefits of sports often stay out of reach. The link between scarcity of resources and social exclusion, as documented in the literature on poverty, is strongly present in the field of sports as well. In order to enhance the actual opportunities for doing sports, activities need to be organised in a financially, socially and physically safe way.     

Exploring the physical, mental and social well-being of gay and bisexual men who cruise for sex on a college campus

A mixed methods design was used to collect data from 30 men who were currently, or had a history of, participating in anonymous public sex in college campus venues. Data were analyzed to assess the extent to which participation in these behaviors was associated with both positive and negative outcomes across the areas of physical health, mental health and social well-being. Findings indicated that cruising for sex on a college campus simultaneously presents challenges to, and supports, the health of gay and bisexual men. Recommendations for interfacing with these men by campus and community health providers are given.     

农村老年人老化态度变动轨迹:基于积极老龄化框架的实证考察

基于积极老龄化理论框架和“中国老年健康影响因素跟踪调查”面板数据,文章从积极和消极两个维度对农村老年人老化态度问题进行实证考察。研究发现,两种老化态度均以2008年为重要转折点,女性老化态度比男性更具多样性和多变性。健康、社会参与和保障都能引起老化态度的积极变动,但社会适应、子女经济支持和社区照料三个因素对消极老化态度有正向影响,而生产活动降低了积极老化态度水平。从贡献率看,健康因素对老化态度差异贡献最大,其次是保障因素、社会参与因素,健康因素更能解释积极老化态度的变化,社会参与因素对消极老化态度的贡献率更高,二者分别在女性和男性老年人群体中表现得更为明显。贡献率排在前四位的因素是精神健康、子女经济支持、医疗可及性和身体健康。用积极老龄化的观点帮助庞大的农村老年人口建立正确的老化态度将有益于养老问题的解决。     

Determinants of Mortality at Older Ages: The Role of Biological Markers of Chronic Disease

Researchers have had a longstanding interest in understanding the determinants of mortality. This article examines the impact of a broad array of biological markers, together with self‐reports of physical and mental health status, on the probability of dying for older adults. The estimates are derived from logistic regression models based on data from a national survey in Taiwan. The analysis confirms previous studies demonstrating the effects of clinical measures related to metabolic syndrome on mortality and identifies detrimental effects of neuroendocrine and immune‐system markers. The results reveal that biomarkers provide independent explanatory power in the presence of self‐reported health measures. The associations between biomarkers and mortality found here provide new avenues for projecting future mortality and elucidating differences in longevity across populations.