Exploring barriers and facilitators to physical activity experienced by young adults in socioeconomically deprived areas of Sheffield
Problem
Increasing physical activity (PA) is an evidence-based public health strategy for primary prevention and management of non-communicable diseases (NCDs). Complex social determinants of health mean that socioeconomically deprived populations experience higher morbidity and mortality from NCDs, and are less physically active. Targeting health-protective behaviour change in these populations has potential to: reduce NCD incidence; enhance healthy life expectancy; reduce pressure on local health services; and ultimately reduce health inequalities. Primary care has a key role in delivery of this lifestyle advice. Current literature shows some exploration of factors affecting PA uptake in deprived areas worldwide, uncovering multiplex barriers and facilitators to PA which affect individuals and communities. Our literature review found few studies examining these influences in the UK and specifically few focussing on young adults, who potentially have most to gain from long-term benefits of physical activity. This study aims to explore reasons behind socioeconomic inequalities in PA uptake in Sheffield, by investigating barriers and facilitators to increasing PA for adults aged 18-35 living in the most deprived areas of the city.
Approach
This is a qualitative study using semi-structured interviews with a purposive diverse sample of 18-35 year olds, living in areas ranked in the lowest quintile of English Indices of Multiple Deprivation (IMD). The interviews utilise a topic guide derived from the literature review and a PPI focus group. Participants are recruited through local health trainers, community organisations, poster advertising and snowball sampling. Interviews with local health trainers are also being conducted to gain another perspective on the research question. Interviews are transcribed and data analysed thematically, with interviews continuing until data saturation.
Findings
Interviews and data analyses will be completed by June 2020. It is expected a range of barriers and facilitators to PA will be uncovered, encompassing personal, social, educational, financial and environmental factors.
Consequences
Findings will be disseminated among community organisations and local healthcare professionals. Conclusions will be used to inform the planning and delivery of more effective PA interventions in study areas, with the aim of boosting uptake of PA and encouraging healthy living locally.