Advertisement
Brief report| Volume 95, ISSUE 9, P1787-1790, September 2014

Sex Differences in Theory-Based Predictors of Leisure Time Physical Activity in a Population-Based Sample of Adults With Spinal Cord Injury

Published:April 10, 2014DOI:https://doi.org/10.1016/j.apmr.2014.03.021

      Abstract

      Objective

      To examine sex differences in theory-based predictors of leisure time physical activity (LTPA) among men and women with spinal cord injury, and secondarily, to identify factors that might explain any sex differences in social cognitions.

      Design

      A secondary analysis of Study of Health and Activity in People with Spinal Cord Injury survey data.

      Setting

      Community.

      Participants

      Community-dwelling men (n=536) and women (n=164) recruited from 4 rehabilitation and research centers.

      Interventions

      Not applicable.

      Main Outcome Measures

      Subjective norms, attitudes, barrier self-efficacy, perceived controllability (PC), and intentions.

      Results

      Men had stronger PC and barrier self-efficacy than women. Hierarchical regression analyses revealed that social support significantly predicted PC for both sexes, and health, pain, and physical independence also significantly predicted PC for men. Social support, health, and pain significantly predicted barrier self-efficacy for men. Social support was the only significant predictor of barrier self-efficacy for women.

      Conclusions

      Women felt significantly less control over their physical activity behavior and had lower confidence to overcome barriers to physical activity than did men. Although social support predicted PC and barrier self-efficacy in both men and women, men seemed to take additional factors into consideration when formulating their control beliefs for LTPA.

      Keywords

      List of abbreviations:

      LTPA (leisure time physical activity), PBC (perceived behavioral control), PC (perceived controllability), SCI (spinal cord injury), SHAPE-SCI (Study of Health and Activity in People with Spinal Cord Injury), TPB (theory of planned behavior)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Martin Ginis K.A.
        • Arbour-Nicitopoulos K.P.
        • Latimer A.E.
        • et al.
        Leisure time physical activity in a population-based sample of people with spinal cord injury part I: demographic and injury-related correlates.
        Arch Phys Med Rehabil. 2010; 91: 722-728
        • Rimmer J.H.
        • Rubin S.S.
        • Braddock D.
        Barriers to exercise in African American women with physical disabilities.
        Arch Phys Med Rehabil. 2000; 81: 182-188
        • Ajzen I.
        From intention to actions: a theory of planned behavior.
        in: Kuhl J. Beckman J. Action control: from cognition to behavior. Springer-Verlag, Berlin, Heidelberg1985: 11-39
        • Arbour-Nicitopoulos K.P.
        • Martin Ginis K.A.
        • Wilson P.M.
        Examining the individual and perceived neighborhood associations of leisure-time physical activity in persons with spinal cord injury.
        Ann Behav Med. 2010; 39: 192-197
        • Latimer A.E.
        • Martin Ginis K.A.
        The theory of planned behavior in prediction of leisure time physical activity among individuals with spinal cord injury.
        Rehabil Psychol. 2005; 50: 389-396
        • Martin Ginis K.A.
        • Latimer A.E.
        • Buchholz A.C.
        • et al.
        Establishing evidence-based physical activity guidelines: methods for the Study of Health and Activity in People with Spinal Cord Injury (SHAPE- SCI).
        Spinal Cord. 2008; 46: 216-221
        • Devivo M.
        • Biering-Sørensen F.
        • Charlifue S.
        • et al.
        International Spinal Cord Injury Core Data Set.
        Spinal Cord. 2006; 44: 535-540
        • Ware Jr., J.E.
        • Sherbourne C.D.
        The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection.
        Med Care. 1992; : 473-483
        • Dijkers M.P.
        • Yavuzer G.
        Short versions of the telephone motor Functional Independence Measure for use with persons with spinal cord injury.
        Arch Phys Med Rehabil. 1999; 80: 1477-1484
        • Courneya K.S.
        • Plotnikoff R.C.
        • Hotz S.B.
        • Birkett N.J.
        Social support and the theory of planned behavior in the exercise domain.
        Am J Health Behav. 2000; 24: 300-308