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      “I used to be as fit as a linnet” – Beliefs, attitudes, and environmental supportiveness for physical activity in former mining areas in the North-East of England

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          Abstract

          Studies of geographical variations in physical activity behaviours have suggested that activity levels are particularly low in areas that have undergone employment loss associated with the decline of industry. This is of concern given that affected populations are already at risk of poor health. Applying focus group methodology amongst 19 participants in four groups, this study aims to unpack how broader societal and environmental changes associated with industrial decline affect beliefs and attitudes towards physical activity in ex-mining communities in the North-East of England. Identified core themes comprise the direct impact of deindustrialisation on social and physical environments. Based on our findings, we provide evidence for mechanisms that operate via loss of occupational physical activity as well as the progressive development of environments that are not fit to support population activity levels. Particularly important was the loss of recreational facilities, public green spaces and sports facilities that were owned and organised by the miners themselves with support from the mining companies. Attitudes and beliefs directly related to the areas' industrial past were also seen to be key. We suggest that the development of interventions considering the socio-cultural history and socio-economic reality of communities could be a promising route to encourage more active lifestyles in deprived areas with particularly low levels of physical activity.

          Highlights

          • Reasons for less physical activity previously observed in ex-mining areas unclear.

          • Detailed focus group interviews with community residents to explore influences.

          • Cultures of being physically fit and active present in the past have been lost.

          • Loss of recreational facilities and opportunities associated with colliery closure.

          • Important to consider socio-cultural histories in physical activity interventions.

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          Most cited references38

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          Social environment and physical activity: a review of concepts and evidence.

          The rapidly growing and evolving literature on the social environment and its influence on health outcomes currently lacks a clear taxonomy of dimensions of the social environment and the differing mechanisms through which each influences health-related behavior. This paper identifies five dimensions of the social environment-social support and social networks, socioeconomic position and income inequality, racial discrimination, social cohesion and social capital, and neighborhood factors-and considers each in the context of physical activity to illustrate important differences between them. Increasing the specificity of terminology and methods in social environmental research on health will enable more systematic inquiry and accelerate the rate of scientific discovery in this important area.
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            Focus-group interview and data analysis.

            In recent years focus-group interviews, as a means of qualitative data collection, have gained popularity amongst professionals within the health and social care arena. Despite this popularity, analysing qualitative data, particularly focus-group interviews, poses a challenge to most practitioner researchers. The present paper responds to the needs expressed by public health nutritionists, community dietitians and health development specialists following two training sessions organised collaboratively by the Health Development Agency, the Nutrition Society and the British Dietetic Association in 2003. The focus of the present paper is on the concepts and application of framework analysis, especially the use of Krueger's framework. It provides some practical steps for the analysis of individual data, as well as focus-group data using examples from the author's own research, in such a way as to assist the newcomer to qualitative research to engage with the methodology. Thus, it complements the papers by Draper (2004) and Fade (2004) that discuss in detail the complementary role of qualitative data in researching human behaviours, feelings and attitudes. Draper (2004) has provided theoretical and philosophical bases for qualitative data analysis. Fade (2004) has described interpretative phenomenology analysis as a method of analysing individual interview data. The present paper, using framework analysis concentrating on focus-group interviews, provides another approach to qualitative data analysis.
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              Neighborhood green, social support, physical activity, and stress: assessing the cumulative impact.

              We estimate the cumulative stress mitigating impact of neighborhood greenness by investigating whether neighborhood green mitigates stress directly, and indirectly by encouraging physical activity and/or fostering social support. Using data from a recent community health survey in Chicago and two-stage instrumental variables regression modeling, we find that different components of neighborhood green play distinct roles in influencing stress. Park spaces are found to indirectly mitigate stress by fostering social support. Overall neighborhood vegetation is found to have direct stress mitigation impact, yet the impact is counteracted by its negative effect on social support. When comparing the effect size, park spaces show a more positive impact on health and well-being than the overall neighborhood vegetation level. Policy makers are recommended to focus on creating structured green spaces with public recreation and socialization opportunities rather than simply conserving green spaces in the neighborhood. Previous studies, as they often investigate the direct impact only and rarely use multiple measures of greenness, may have mis-estimated health benefits of neighborhood green. Published by Elsevier Ltd.
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                Author and article information

                Contributors
                Journal
                Soc Sci Med
                Soc Sci Med
                Social Science & Medicine (1982)
                Pergamon
                0277-9536
                1873-5347
                1 February 2015
                February 2015
                : 126
                : 110-118
                Affiliations
                [a ]School of Environmental Sciences, University of East Anglia, Norwich NR4 7TJ, UK
                [b ]Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK
                Author notes
                []Corresponding author. a.p.jones@ 123456uea.ac.uk
                Article
                S0277-9536(14)00791-6
                10.1016/j.socscimed.2014.12.002
                4310854
                25541186
                291961ec-c251-4c56-86bf-8137d579e9f4
                © 2015 The Authors

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

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                Categories
                Article

                Health & Social care
                england,physical activity,industrial decline,former mining communities,changing social and physical environments,focus groups

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