Review Article

Physical Activity among Adults with Low Socioeconomic Status Living in Industrialized Countries: A Meta-Ethnographic Approach to Understanding Socioecological Complexities

Table 3

Descriptive characteristics of included studies by year of publication.

Source no.AuthorYearCountrySampleEthnicityData collectionTopics of interestAim

1Bostock [54]2000United KingdomN = 30 mothers on social security benefitsWhite (60%), black, Pakistani, Indian, and Gujarati MuslimSemistructured interviewsWalking, physical fatigue, and psychosocial stressTo contend that “no access to a car” is not only an indicator of low socioeconomic status but of walking as a mode of transport

2Burton et al. [55].2003AustraliaN = 60 men and women between 18–60 years from three socioeconomic groups (high, middle, and low)Ethnicity not stated (predominant white assumed)Semistructured interviewsRecreational physical activityTo explore how influences on recreational physical activity were patterned by socioeconomic position

3Ball et al. [56]2006AustraliaN = 56 women aged 18–65 years (19 from high, 19 from middle, and 18 from low SES area)Ethnicity not stated (predominant white assumed)Semistructured interviewsPhysical activityTo investigate why women of low socioeconomic status are less physically active than women of higher SES

4Bove and Olson [57]2006United StatesN = 28 mothers at least 18 years and one child younger than 12 years. Annual household income less than 200% of the federal poverty levelEthnicity not stated (predominant white assumed)In-depth interviewsPhysical activity and eating patternsTo understand overweight and obesity from the perspective of low-income mothers living in rural New York state, focusing in particular on challenges to maintaining a healthy weight that might be unique to rural poverty

5Yen et al. [58]2006United StatesN = 52 women aged 21 to 66 years, at least one child under 18 living at home. From three different neighbourhoods (lower, moderate, and higher income)Majority Hispanic with non-Hispanic white minority8 Focus group discussions (FGDs)Diet, physical activity, and smokingTo investigate women’s perceptions of neighbourhood resources and hazards associated with poor diet, physical inactivity, and cigarette smoking

6Griffin et al. [59]2007United StatesN = 27 adults (70% women and 30% men) living in community where 73% of adult residents have annual income less than $25,000African Americans3 FGDsPhysical activityTo increase understanding of how safety and environmental factors influence physical activity among African American residents about how to best design physical activity interventions for their neighbourhood

7Hartweg and Isabelli-García [60]2007United StatesN = 43 women aged 25 to 61 with family incomes less than 185% of the poverty levelImmigrants from Mexico7 FGDsGeneral health, nutrition, and physical activityTo investigate health perceptions of first- and second-generation, low-income, Spanish-speaking women from Mexico and Central America to learn their views of health and also to identify any differences between subcultures

8Kamphuis et al. [61]2007NetherlandsN = 38 men and women aged 29–81 years selected based on their neighbourhood’s deprivation level and highest educational attainmentEthnicity not stated (predominant white assumed)FGDsPhysical activity, fruit, and vegetable consumptionTo explore how perceptions of environmental influences on health behaviour pattern across socioeconomic groups in Netherlands

9Chang et al. [62]2008United StatesN = 80 mothers, 18 to 35 years of age, at least one child enrolled in program providing nutrition consultation for low-income women and childrenNon-Hispanic, black or non-Hispanic white8 FGDsHealthy eating and physical activityTo identify motivators and barriers to healthful eating and physical activity among low-income overweight and obese non-Hispanic black and non-Hispanic white mothers

10Bragg et al. [63]2009United StatesN = 50 men and women aged 18–89 years with family income less than $40,000 and N = 41 adolescentsAfrican American, Hispanic, non-Hispanic white12 FGDsPhysical activityTo identify motivators and barriers relative to engagement in physical activity as reported by culturally diverse low-income adolescents and adults

11Steenhuis et al. [64]2009NetherlandsN = 27 men and women with lower socioeconomic status using education level as an indicatorDutchIn-depth interviewsPhysical activity and participation in sports activitiesTo investigate the importance of economic restraints for taking part in sports activities as well as perceptions of low-income people toward different pricing interventions

12Withall et al. [65]2009United KingdomN = 27 parents aged 16 to 54 years (1 man and 26 women), at least one child under 11 years and living in an economically disadvantaged areaWhite5 FGDsDiet, physical activity, and obesityTo examine reported barriers to consuming a healthy diet and engaging in regular physical activity among low-income families with existing issues of overweight or obesity

13Kaiser and Baumann [66]2010United StatesN = 20 men and women aged 18 years or over with annual household income less than 200% of Federal Poverty Guidelines for reported household sizeLatino and non-Latino4 FGDsPhysical activity and healthy dietTo describe the perspectives of low-income adults in 2 rural Wisconsin counties on the factors that influence physical activity and healthy eating

14Greaney et al. [67]2012United StatesN = 35 adults aged 18–45 years (20 women, 15 men). Majority report household income of less than $20,000 and not having graduated from high schoolImmigrants from South America, Central America, Mexico, or the Caribbean4 FGDsDiet and physical activityTo explore how migration influenced physical activity and dietary behaviours among Latino immigrants

15Hartweg et al. [68]2012United StatesN = 30 women approximately, aged 18–64 years with family income less than 185% of United States poverty levelImmigrants from Mexico5 FGDsPhysical activityTo elicit recent Mexican immigrant women’s perceptions of “being physically active” and to describe how living in United States has influenced their perceptions of being physically active

16Mansfield et al. [69]2012CanadaN = 42 mothers (median age 35.7 years, standard deviation 7.7 years) self-identified as SED using MacArthur Scale of Subjective Social Status, have at least one child ≤14 years of age still living at homeMultiethnic6 FGDsPhysical activityTo identify the individual, social, and environmental factors influencing utilitarian and leisure time physical activities of multiethnic socioeconomically disadvantaged mothers

17Mohamed et al. [70]2014United StatesN = 20, Somali men living in Rochester, Minnesota. Age ranged from 24 to 65Somali men3 FGDs and 3 in-depth interviewsPhysical activityDetermine perceptions of physical activity

18Wieland et al. [71]2015United StatesN = 127 (adults 54 and adolescents 73), immigrants and refugees mean annual income varied from USD 14,862 to 24,857Immigrants and refugees of Cambodian, Mexican, Somali, and Sudanese background16 FGDsPhysical activityDetermine reasons for low level of PA among the immigrants and refugees

19Gray et al. [72]2016United KingdomN = 28 among older adults with low/high SES, using self-determination theory and self-efficacy theory frameworkOlder adults with low/high SES4 FGDsPhysical activityExplore motives and barriers to physical activity among older adults of differing socioeconomic status