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The Role of the Social Determinants of Health on Engagement in Physical Activity or Exercise among Adults Living with HIV: A Scoping Review

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  • Farhana Safa

    (Institute for Mental Health Policy Research (IMHPR), Centre for Addiction and Mental Health (CAMH), Toronto, ON M5S 2S1, Canada
    Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON M5S 2S1, Canada)

  • Natalia McClellan

    (AIDS Community Care Montreal, SIDA Bénévoles Montréal, Montreal, QC H2L 2Y4, Canada)

  • Sarah Bonato

    (Library Services, Centre for Addiction and Mental Health (CAMH), Toronto, ON M5S 2S1, Canada)

  • Sergio Rueda

    (Institute for Mental Health Policy Research (IMHPR), Centre for Addiction and Mental Health (CAMH), Toronto, ON M5S 2S1, Canada
    Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON M5S 2S1, Canada
    Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5T 1R8, Canada
    Institute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada)

  • Kelly K. O’Brien

    (Institute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada
    Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5G 1V7, Canada
    Rehabilitation Sciences Institute (RSI), University of Toronto, Toronto, ON M5G 1V7, Canada)

Abstract

Physical activity (PA) and exercise are an effective rehabilitation strategy to improve health outcomes among people living with HIV (PLWH). However, engagement in exercise among PLWH can vary. Our aim was to characterize the literature on the role of social determinants of health (SDOH) on engagement in PA or exercise among adults living with HIV. We conducted a scoping review using the Arksey and O’Malley Framework. We searched databases between 1996 and 2021. We included articles that examined PA or exercise among adults with HIV and addressed at least one SDOH from the Public Health Agency of Canada Framework. We extracted data from included articles onto a data extraction charting form, and collated results using content analytical techniques. Of the 11,060 citations, we included 41 articles, with 35 studies involving primary data collection 23 (66%) quantitative, 8 (23%) qualitative, and four (11%) mixed methods. Of the 14,835 participants, 6398 (43%) were women. Gender ( n = 24 articles), social support ( n = 15), and income and social status ( n = 14) were the most commonly reported SDOH in the literature with the majority of studies addressing only one SDOH. Future research should consider the intersection between multiple SDOH to better understand their combined impact on engagement in PA or exercise among PLWH.

Suggested Citation

  • Farhana Safa & Natalia McClellan & Sarah Bonato & Sergio Rueda & Kelly K. O’Brien, 2022. "The Role of the Social Determinants of Health on Engagement in Physical Activity or Exercise among Adults Living with HIV: A Scoping Review," IJERPH, MDPI, vol. 19(20), pages 1-37, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13528-:d:946853
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    References listed on IDEAS

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    1. Henry Saffer & Dhaval Dave & Michael Grossman & Leigh Ann Leung, 2013. "Racial, Ethnic, and Gender Differences in Physical Activity," Journal of Human Capital, University of Chicago Press, vol. 7(4), pages 378-410.
    2. Schulz, A.J. & Zenk, S. & Odoms-Young, A. & Hollis-Neely, T. & Nwankwo, R. & Lockett, M. & Ridella, W. & Kannan, S., 2005. "Healthy eating and exercising to reduce diabetes: Exploring the potential of social determinants of health frameworks within the context of community-based participatory diabetes prevention," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 645-651.
    3. Teresa Seeman & Xinguang Chen, 2002. "Risk and Protective Factors for Physical Functioning in Older Adults With and Without Chronic Conditions," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 57(3), pages 135-144.
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