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Physical Activity and Diabetes-related Health Beliefs of Marshallese Adults

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Objective: We sought to improve understanding of diabetes-related health beliefs and physical activity behaviors of Marshallese adults with and without type 2 diabetes (T2D). Methods: We used tests of comparison and regression analyses to examine data from 376 Marshallese adults collected at church-based events. Results: One in 5 (20.2%) respondents had received a T2D diagnosis. About one-fourth of the respondents fell into one of 4 physical activity levels: zero times per week (28.7%), one time per week (19.4%), 2-3 times per week (24.7%) and ≥4 times per week (26.9%). Using logistic regression, we found T2D diagnosis status was not statistically associated with level of physical activity. However, having time to be physically active was significantly associated with being physically active ≥4 times per week. Being obese, having less than a high school education, not having time, and not having a comfortable place to exercise were significantly associated with never being physically active. Conclusions: These findings help fill gaps in Pacific Islander health literature and will inform public health interventions to improve rates of physical activity among the Marshallese and other Pacific Islander communities.
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Keywords: HEALTH BELIEFS; MINORITY HEALTH; PACIFIC ISLANDERS; PHYSICAL ACTIVITY; TYPE 2 DIABETES

Document Type: Research Article

Affiliations: 1: Associate Professor, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 2: Research Assistant, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 3: Research Associate, Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR 4: Assistant Professor, College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR 5: Associate Professor, Department of Health Behavior and Health Education, University of Arkansas for Medical Sciences, Little Rock, AR 6: Assistant Professor, College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR;, Email: [email protected]

Publication date: 01 September 2017

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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