Social determinants of physical inactivity in the Northern Manhattan Study (NOMAS)

Joshua Z. Willey, Myunghee C. Paik, Ralph L Sacco, Mitchell S V Elkind, Bernadette Boden-Albala

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Physical inactivity is an important and modifiable cardiovascular disease risk factor. Little is known about the social determinants of physical inactivity in older, urban-dwelling populations. We collected socio-demographic and medical risk factor information and physical activity questionnaires in the Northern Manhattan Study. Logistic regression models were constructed to examine whether measures of social isolation, race-ethnicity, and sex were associated with physical inactivity. Physical inactivity was present in 40.5% of the cohort. In multivariable models adjusted for medical comorbidities, Hispanic race-ethnicity (compared to non-Hispanic white) was associated with higher odds of physical inactivity (OR 2.18, 95% CI 1.78, 2.67), while women were more likely to be inactive than men (OR 1.33, 95% CI 1.15, 1.54). Having Medicaid/being uninsured (OR 1.20, 95% CI 1.02, 1.42), and having fewer than 3 friends (1.41, 95% CI 1.15, 1.72) were also associated with physical inactivity. Physical inactivity is common, particularly in Hispanics, women, and those who are socially isolated. Public health interventions aimed at increasing physical activity in these more sedentary groups are required.

Original languageEnglish
Pages (from-to)602-608
Number of pages7
JournalJournal of Community Health
Volume35
Issue number6
DOIs
StatePublished - Dec 1 2010

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Hispanic Americans
ethnicity
Logistic Models
Exercise
determinants
Social Isolation
Urban Population
Medicaid
urban population
comorbidity
Comorbidity
social isolation
Cardiovascular Diseases
Public Health
public health
logistics
Demography
Disease
regression
questionnaire

Keywords

  • Physical activity
  • Social isolation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Social determinants of physical inactivity in the Northern Manhattan Study (NOMAS). / Willey, Joshua Z.; Paik, Myunghee C.; Sacco, Ralph L; Elkind, Mitchell S V; Boden-Albala, Bernadette.

In: Journal of Community Health, Vol. 35, No. 6, 01.12.2010, p. 602-608.

Research output: Contribution to journalArticle

Willey, Joshua Z. ; Paik, Myunghee C. ; Sacco, Ralph L ; Elkind, Mitchell S V ; Boden-Albala, Bernadette. / Social determinants of physical inactivity in the Northern Manhattan Study (NOMAS). In: Journal of Community Health. 2010 ; Vol. 35, No. 6. pp. 602-608.
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