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Psychosocial moderators of associations between life events and changes in physical activity after leaving high school
Affiliation:1. Unit Health Promotion and Education, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 4K3, B-9000 Ghent, Belgium;2. Department of Human Biometry and Biomechanics, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium;3. Fund for Scientific Research Flanders Belgium, Egmontstraat 5, B-1000 Brussels, Belgium;4. Health Promotion Evaluation Unit, The University of Western Australia (M408), 35 Stirling Highway, Crawley, WA 6009, Australia;5. Centre for Physical Activity & Nutrition Research, School of Exercise & Nutrition Sciences, Deakin University, 221 Burwood Hwy, Burwood, VIC 3125, Australia;6. School of Population Health, The University of Western Australia (M431), 35 Stirling Highway, Crawley WA 6009, Australia;7. Telethon Kids Institute, The University of Western Australia, PO Box 855, West Perth, WA 6872, Australia;1. RAND Corporation, Santa Monica, CA, United States;2. Group Health Research Institute, Seattle,` WA, United States;3. Marshfield Clinic Research Foundation, Epidemiology Research Center, Marshfield, WI, United States;4. Geisinger Center for Health Research, Danville, PA, United States;5. Henry Ford Health System, Department of Pathology, Detroit, MI, United States;6. Kaiser Permanente, Center for Health Research Northwest, Portland, OR, United States;7. Minnesota Department of Health, Minnesota Cancer Surveillance System, Saint Paul, MN, United States;8. Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States;1. Department of Medicine, Leon H. Charney Division of Cardiology, New York University Langone Medical Center, New York University School of Medicine, 550 First Avenue, New York, NY, USA;2. Department of Surgery, Division of Vascular Surgery, New York University Langone Medical Center, New York University School of Medicine, 550 First Avenue, New York, NY, USA;3. Department of Population Health, Division of Biostatistics, New York University Langone Medical Center, New York University School of Medicine, 550 First Avenue, New York, NY, USA;1. Department of Family Medicine, Cardinal Tien Hospital, School of Medicine, College of Medicine, Fu Jen Catholic University, Taipei, Taiwan;2. Department of Pathology, National Defense Medical Center, Division of Clinical Pathology, Tri-Service General Hospital, Taipei, Taiwan;3. Department of Psychiatry, ShuangHo Hospital, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;4. Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-service General Hospital, National Defense Medical Center, Taipei, Taiwan;5. Division of Endocrinology and Metabolism, Department of Internal Medicine, ShuangHo Hospital, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;6. Department of Life Science, Institute of Applied Science and Engineering, College of Science and Engineering, Fu Jen Catholic University, Taipei, Taiwan;7. Department of Internal Medicine, Cardinal Tien Hospital, School of Medicine, College of Medicine, Fu Jen Catholic University, Taipei, Taiwan;8. Department of Pathology, Cardinal Tien Hospital, School of Medicine, College of Medicine, Fu Jen Catholic University, Taipei, Taiwan
Abstract:ObjectivesTo examine 1) associations between life events and changes in leisure-time physical activity (LTPA) in school leavers and 2) whether these associations are moderated by psychosocial factors.MethodsFinal year students (n = 440) from high schools in rural Western Australia completed annual telephone interviews on three occasions; baseline (T1), one-year follow-up (T2; n = 440) and two-year follow-up (T3; n = 374). LTPA was measured using the Minnesota Leisure-time Physical Activity Questionnaire. Life events included moving out of home, working full-time and studying full-time. Psychosocial factors included enjoyment, self-efficacy, outcome expectations, club membership, and support from family and friends. Mixed linear regression models examined the effect of life events on changes in LTPA from T1 to T2 and T1 to T3.ResultsA decline in LTPA across all time points was observed. Those who continued full-time education had a smaller LTPA decline than those who did not. Those who were not a member of a sporting club at T1 had greater LTPA decline if they worked full-time at T2.ConclusionsThere is a need for interventions to prevent declines in LTPA among school leavers, especially those who do not enter tertiary education. Encouraging sporting club membership during high school might be important.
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