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Community SES, Perceived Environment, and Physical Activity During Home-Based Cardiac Rehabilitation: Is There a Need to Consider the Urban vs. Rural Distinction?

Abstract

Physical activity (MVPA) levels during home-based cardiac rehabilitation (CR) remain problematic. Consequently, the present study examined the association between MVPA and urban vs. rural residential status and the perceived environment in patients attending home-based CR. A total of 280 patients completed a questionnaire assessing demographic, clinical, MVPA, and perceived environmental variables measured at baseline and 3 months later. Patient addresses were geocoded and linked to the 2006 Canadian census to establish the urban/rural distinction. Results showed that urban and rural patients had similar baseline MVPA and improvements in MVPA by 3 months. Several perceived environmental variables were significantly related to MVPA throughout home-based CR that were common and urban/rural-specific. Therefore, although there does not appear to be an urban vs. rural advantage in MVPA levels during home-based CR, there does appear to be environmental/MVPA-specific relationships specific to urban and rural patients that may warrant attention.

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Acknowledgments

This research was supported by the Social Sciences and Humanities Research Council of Canada. Dr. Blanchard is supported by the Canada Research Chairs program.

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Correspondence to Chris Blanchard.

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Blanchard, C., Rainham, D., McSweeney, J. et al. Community SES, Perceived Environment, and Physical Activity During Home-Based Cardiac Rehabilitation: Is There a Need to Consider the Urban vs. Rural Distinction?. J Urban Health 89, 285–295 (2012). https://doi.org/10.1007/s11524-011-9661-7

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Keywords

  • Physical activity
  • Home-Based cardiac rehabilitation
  • Urban
  • Rural
  • Community SES
  • Perceived Environment