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Barriers to and Suggestions for a Healthful,Active Lifestyle as Perceived by Rural and Urban Costa Rican Adolescents
Authors:Rafael Monge-Rojas  Carlos Garita-Arce  Marta Sánchez-López  Uriyoán Colón-Ramos
Affiliation:1. Department of Maternal and Child Health Care, School of Public Health, Shandong University, Jinan, People’s Republic of China;2. Shandong Medical College (Jinan), Jinan, People’s Republic of China;3. EBM Research Center, Kyoto University Graduate School of Medicine, Kyoto, Japan;4. CSIR-Centre for Cellular and Molecular Biology, Hyderabad, India;1. Assistant Professor, Department of Physical Therapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, Sevilla, Spain;2. Clinician, Department of Physical Therapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, Sevilla, Spain;3. Assistant Professor, Department of Physical Therapy, Universitary School of Osuna, Sevilla, Spain;4. Physiotherapist, Osteopathic Physician, DO, Assistant Professor, Department of Physical Therapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, Sevilla, Spain;5. Consultant, Unit of Traumatology and Orthopaedics, Virgen del Rocío Hospital, Sevilla, Spain;1. Hazard Evaluation and Epidemiology Research Group, National Institute of Occupational Safety and Health, Japan;2. Faculty of Medicine, University of Tsukuba;3. Pharmacogenomics Project EBM Research Center, Kyoto University;4. Faculty of Health and Sport Sciences, University of Tsukuba;1. Department of Orthopaedic Surgery, University Hospital of Saint Etienne, Saint-Etienne, France;2. Univ Lyon - UJM-Saint-Etienne, Inter-university Laboratory of Human Movement Science, EA 7424, F-42023, Saint-Etienne, France;3. Laboratory of Human Anatomy, Faculty of Medicine, University Hospital of Saint-Etienne, University of Saint-Etienne, Saint-Etienne, France
Abstract:ObjectiveTo assess the perceptions of rural and urban Costa Rican adolescents regarding which barriers and motivators affect their adoption of an active lifestyle.DesignData were collected in focus group discussions.Participants108 male and female adolescents aged 12 to 18 from the 7th to 11th grades.SettingTwo urban and 1 rural high school in San José, Costa Rica.Phenomena of InterestActive lifestyle; barriers and motivators for active life.AnalysisData were reviewed for emerging themes, and themes were coded using content analysis procedures.ResultsMajor barriers: (a) physical education curriculum was focused on competitive sports; (b) lack of facilities in the school and community environments; (c) family did not provide good role models and reinforced the socially expected gender roles. Key motivators: (a) changed the physical education curriculum to focus on leisure and recreational activities; (b) increased the availability of facilities both in the school and in the community; and (c) provided a strong social support network.Conclusions and ImplicationsThe school, community, and family environments are potential targets for physical activity interventions for adolescents. Future studies should explore in depth the influence of adolescent socialization patterns (particularly for females) in the establishment of an active lifestyle.
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