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Socioeconomic differences in leisure-time physical activity: the role of social participation and social capital in shaping health related behaviour

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  • Lindström, Martin
  • Hanson, Bertil S.
  • Östergren, Per-Olof
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    Abstract

    Several studies have shown socioeconomic differences in leisure-time physical activity. One explanation may be socioeconomic differences in relevant psychosocial conditions. The Malmö Diet and Cancer Study is a prospective cohort study including inhabitants in Malmö, Sweden. The baseline questionnaire used in this cross-sectional study was completed by the 11,837 participants born 1926-1945 in 1992-1994. Leisure-time physical activity was measured by an item presenting a variety of activities. These activities were aggregated into a summary measure of leisure-time physical activity that takes both the intensity and duration of each specific activity into consideration. The effects of the psychosocial variables on the socioeconomic differences in leisure-time physical activity were calculated in a multivariate logistic regression analysis. The quartile with the lowest degree of leisure-time physical activity was not evenly distributed between the socioeconomic groups. Socioeconomic differences were seen as odds ratios 1.5 for skilled and 1.5 for unskilled male manual workers, compared to the high level non-manual employees. An OR 1.6 was observed for female unskilled manual workers. Self-employed men and female pensioners also had a significantly increased risk of low leisure-time physical activity. Adjustment for age, country of origin and previous/current diseases had no effect on these SES differences. Finally, adjusting for social participation almost completely erased the SES differences. Among the psychosocial variables, social participation was the strongest predictor of low physical activity, and a strong predictor for socioeconomic differences in low leisure-time physical activity. Social participation measures the individual's social activities in, for example political parties and organisations. It therefore seems possible that some of the socioeconomic differences in leisure-time physical activity are due to differing social capital between socioeconomic groups.

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    File URL: http://www.sciencedirect.com/science/article/B6VBF-41SCB0C-B/2/c4c4604c7dfddf5146e9a9c3f20e9161
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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 52 (2001)
    Issue (Month): 3 (February)
    Pages: 441-451

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    Handle: RePEc:eee:socmed:v:52:y:2001:i:3:p:441-451

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    Keywords: Socioeconomic status Leisure-time physical activity Social participation Social capital Sweden;

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    Cited by:
    1. Lindström, Martin, 2009. "Marital status, social capital, material conditions and self-rated health: A population-based study," Health Policy, Elsevier, vol. 93(2-3), pages 172-179, December.
    2. Legh-Jones, Hannah & Moore, Spencer, 2012. "Network social capital, social participation, and physical inactivity in an urban adult population," Social Science & Medicine, Elsevier, vol. 74(9), pages 1362-1367.
    3. Shortt, S. E. D., 2004. "Making sense of social capital, health and policy," Health Policy, Elsevier, vol. 70(1), pages 11-22, October.
    4. Cleland, Verity & Ball, Kylie & Crawford, David, 2012. "Socioeconomic position and physical activity among women in Melbourne, Australia: Does the use of different socioeconomic indicators matter?," Social Science & Medicine, Elsevier, vol. 74(10), pages 1578-1583.
    5. Favara, Marta, 2012. ""United we stand divided we fall": maternal social participation and children's nutritional status in Peru," Policy Research Working Paper Series 6264, The World Bank.

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