대도시 청장년층의 걷기와 신체활동 결정요인:개인 및 지역사회 수준의 접근

초록

-Objectives:An ecological approach to promoting physical activity involves a multidimensional strategy that addresses individual-level, socioeconomic, and environmental factors. This study aims to identify individual- and community-level factors associated with walking and physical activity among young and middle-aged adults residing in major urban areas. -Methods:We analyzed data from the 2022 Community Health Survey conducted by the Korea Disease Control and Prevention Agency and local indicators from Statistics Korea. The study included 47,470 individuals residing in Seoul and six major metropolitan cities. Two outcome variables were included: (1) engagement in moderate-to-vigorous physical activity and (2) walking activity. Multilevel logistic regression analyses were stratified by sex. -Results:Among men, moderate-to-vigorous physical activity was significantly associated with individual factors such as age, education level, family income, employment status, smoking, and diabetes. The regional proportion of health and welfare service providers emerged as a relevant community-level factor. Among women, education level, household income, alcohol consumption, diabetes, urban park area, and regional rate of healthy lifestyle practices were significant factors. Walking activity was associated with various individual-level factors, including age, education, income, employment, smoking, and obesity, along with community-level factors such as healthy lifestyle practice rates and perceived overall social safety. -Conclusion:Determinants of physical activity varied by sex among urban adults; both individual- and community-level environmental factors showed significant associations with physical activity engagement. These results emphasize the importance for developing public health policies that reflect local characteristics, including the expansion of exercise-friendly infrastructure, promotion of healthy lifestyle practices, and ensuring safe walking environments.

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