Health behavior and behavioral economics: economic preferences and physical activity stages of change in a low-income African-American community

Am J Health Promot. 2013 Mar-Apr;27(4):211-21. doi: 10.4278/ajhp.110624-QUAN-264.

Abstract

Purpose: To examine the relationship between physical activity stages of change and preferences for financial risk and time.

Design: A cross-sectional, community-based study.

Setting: A low-income, urban, African-American neighborhood.

Subjects: One hundred sixty-nine adults.

Measures: Self-reported physical activity stages of change-precontemplation to maintenance, objectively measured body mass index and waist circumference, and economic preferences for time and risk measured via incentivized economic experiments.

Analysis: Multivariable ordered logistic regression models were used to examine the association between physical activity stages of change and economic preferences while controlling for demographic characteristics of the individuals.

Results: Individuals who are more tolerant of financial risks (odds ratio [OR] = 1.31, p < .05) and whose time preferences indicate more patience (OR = 1.68, p < .01) are more likely to be in a more advanced physical activity stage (e.g., from preparation to action). The likelihood of being in the maintenance stage increases by 5.6 and 10.9 percentage points for each one-unit increase in financial risk tolerance or one-unit increase in the time preference measure, respectively.

Conclusion: Greater tolerance of financial risk and more patient time preferences among this low-income ethnic minority population are associated with a more advanced physical activity stage. Further exploration is clearly warranted in larger and more representative samples.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Black or African American*
  • Cross-Sectional Studies
  • Economics*
  • Female
  • Health Behavior*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Motor Activity*
  • Odds Ratio
  • Poverty*
  • Risk Reduction Behavior*
  • Surveys and Questionnaires
  • Texas
  • Urban Population*