TY - JOUR
T1 - When Moving Is the Only Option
T2 - The Role of Necessity Versus Choice for Understanding and Promoting Physical Activity in Low- and Middle-Income Countries
AU - Salvo, Deborah
AU - Jáuregui, Alejandra
AU - Adlakha, Deepti
AU - Sarmiento, Olga L.
AU - Reis, Rodrigo S.
PY - 2023
Y1 - 2023
N2 - Given its origins in high-income countries, the field of physical activity and public health research and promotion has broadly followed a choice-based model. However, a substantial amount of the physical activity occurring routinely in many settings, particularly in low- and middle-income countries (LMICs), is the result of economic necessity and is not due to true, free choices. We propose the necessity- versus choice-based physical activity models framework as a conceptual tool to ground physical activity and public health research and promotion efforts in LMICs, helping ensurethat these efforts are relevant, ethical, responsive, and respectful to local contexts. Identifying ways to ensure that LMIC populations can maintain high levels of active transport while increasing opportunities for active leisure must be prioritized. To promote equity, physical activity research, programs, and policies in LMICs must focus on improving the conditions under which necessity-driven physical activity occurs for a vast majority of the population.
AB - Given its origins in high-income countries, the field of physical activity and public health research and promotion has broadly followed a choice-based model. However, a substantial amount of the physical activity occurring routinely in many settings, particularly in low- and middle-income countries (LMICs), is the result of economic necessity and is not due to true, free choices. We propose the necessity- versus choice-based physical activity models framework as a conceptual tool to ground physical activity and public health research and promotion efforts in LMICs, helping ensurethat these efforts are relevant, ethical, responsive, and respectful to local contexts. Identifying ways to ensure that LMIC populations can maintain high levels of active transport while increasing opportunities for active leisure must be prioritized. To promote equity, physical activity research, programs, and policies in LMICs must focus on improving the conditions under which necessity-driven physical activity occurs for a vast majority of the population.
KW - active transport
KW - global health
KW - health equity
KW - LMICs
KW - low- and middle-income countries
KW - physical activity
KW - social justice
UR - http://www.scopus.com/inward/record.url?scp=85148933729&partnerID=8YFLogxK
U2 - 10.1146/annurev-publhealth-071321-042211
DO - 10.1146/annurev-publhealth-071321-042211
M3 - Article
C2 - 36525957
AN - SCOPUS:85148933729
SN - 0163-7525
VL - 44
SP - 151
EP - 169
JO - Annual Review of Public Health
JF - Annual Review of Public Health
ER -