When Moving Is the Only Option: The Role of Necessity Versus Choice for Understanding and Promoting Physical Activity in Low- and Middle-Income Countries. Salvo, D., Jáuregui, A., Adlakha, D., Sarmiento, O. L., & Reis, R. S. Annual Review of Public Health, 44(Volume 44, 2023):151–169, April, 2023. Publisher: Annual Reviews![When Moving Is the Only Option: The Role of Necessity Versus Choice for Understanding and Promoting Physical Activity in Low- and Middle-Income Countries [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex 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.
@article{salvo_when_2023,
title = {When {Moving} {Is} the {Only} {Option}: {The} {Role} of {Necessity} {Versus} {Choice} for {Understanding} and {Promoting} {Physical} {Activity} in {Low}- and {Middle}-{Income} {Countries}},
volume = {44},
issn = {0163-7525, 1545-2093},
shorttitle = {When {Moving} {Is} the {Only} {Option}},
url = {https://www.annualreviews.org/content/journals/10.1146/annurev-publhealth-071321-042211},
doi = {10.1146/annurev-publhealth-071321-042211},
abstract = {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.},
language = {en},
number = {Volume 44, 2023},
urldate = {2025-03-19},
journal = {Annual Review of Public Health},
author = {Salvo, Deborah and Jáuregui, Alejandra and Adlakha, Deepti and Sarmiento, Olga L. and Reis, Rodrigo S.},
month = apr,
year = {2023},
note = {Publisher: Annual Reviews},
pages = {151--169},
}
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