A Comparison of Correlates Associated With Adult Physical Activity
Behavior in Major Cities and Regional Settings
Camille E. Short, Corneel Vandelanotte, Amanda Rebar, and Mitch J. Duncan
Central Queensland University, Rockhampton, Australia
Objective: People living outside of urban areas are at higher risk for physical inactivity. Understanding
physical activity correlates in different settings is important for understanding this risk. This study compared
psychological, demographic, and health-related correlates of activity among adults living in major cities (urban
areas) and regional (low-population density) towns and whether there were significant differences in how
these potential determinants related to physical activity. Methods: Participants (n = 756) were male and
female adults who were members of the Australian Health and Social Science panel. Participant characteristics
and physical activity were assessed using standardized measures via an online survey. Differences in the
strength of the relation between the physical activity correlates were tested using equality of regression
coefficient tests. Results: Few differences in physical activity determinants between major cities and regional
settings were observed. For major city and regional areas, self-efficacy and outcome expectations were the
most strongly related correlates to physical activity. The strength of associations between the correlates and
physical activity did not differ between areas, with the exception of working status. Not working was
associated with lower odds of meeting physical activity guidelines for major city residents but not for regional
residents. Conclusion: Physical activity correlates were generally similar for people living in major city and
regional areas. This suggests that physical activity interventions targeting personal factors do not need to tailor
to a person’s level of urbanization. Studies examining the interaction between psychological correlates of
physical activity and environmental factors are needed.
Keywords: physical activity, adults, geographical location, correlates
There is strong evidence that engaging in regular physical
activity is protective against the occurrence of several chronic
diseases, such as cardiovascular disease, diabetes, cancer, hyper-
tension, obesity, depression, and osteoporosis, and against prema-
ture death (Nocon et al., 2008; Warburton, Nicol, & Bredin, 2006).
Regular physical activity is also known to have several quality-
of-life benefits, including improved mood and physical function-
ing (Penedo & Dahn, 2005). Unfortunately, most adults living in
westernized countries are not sufficiently active to obtain health
benefits (Sisson & Katzmarzyk, 2008). The economic and health
burdens associated with these low population levels of activity
have been flagged as a global public health concern (Allender,
Foster, Scarborough, & Rayner, 2007; Katzmarzyk, Gledhill, &
Shepard, 2000). The challenge is to develop population approaches
to physical activity promotion that can be implemented in a cost-
effective and sustainable way. To inform this process, a greater
understanding of the factors that affect physical activity behavior,
especially among at-risk groups, is needed.
One population group at higher risk for physical inactivity are
those living outside of urban areas. Studies exploring activity
levels by degree of urbanization have shown that urban-based
adult populations are more active than regional- and rural-based
adult populations (Australian Bureau of Statistics, 2011b; Badland
& Schofield, 2006; Brown et al., 2013; Centers for Disease &
Prevention, 1998; Trost, Owen, Bauman, Sallis, & Brown, 2002).
In part, this is likely due to how these settings differ in terms of
sociodemographic and environmental factors, such as reduced
access to education and reduced access to physical activity facil-
ities in regional and remote compared with urban areas (Badland &
Schofield, 2006; Bauman et al., 2012). However, this difference in
behavior may also reflect differences in psychological determi-
nants of physical activity.
Some evidence suggests that there are urban versus nonurban
differences in individual, social, and environmental determinants
of physical activity that would be missed if analyses were not
stratified by level of urbanization. For example, in a study of
ethnically diverse, middle- and older-aged U.S. women, it was
shown that younger age, perception of fewer barriers, and social
support were associated with increased leisure-time physical ac-
tivity in urban areas whereas in nonurban areas, these factors plus
White race, higher educational attainment, and an aesthetically
pleasing environment were associated with increased leisure-time
physical activity (Wilcox, Castro, King, Housemann, & Brownson,
2000). In another U.S. study, exercising on neighborhood streets
was shown to be positively associated with physical activity
among nonurban, but not urban, residents, whereas having friends
to exercise with and access to walking paths and parks was shown
This article was published Online First November 25, 2013.
Camille E. Short, Corneel Vandelanotte, Amanda Rebar, and Mitch J.
Duncan, Institute for Health and Social Science Research, Centre for
Physical Activity Studies, Central Queensland University, Rockhampton,
Australia.
Correspondence concerning this article should be addressed to Camille
E. Short, Centre for Physical Activity Studies, Institute for Health and
Social Science Research, Central Queensland University, Building 18,
Bruce Highway, Rockhampton, 4701, Australia. E-mail: c.short@cqu
.edu.au
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Health Psychology © 2013 American Psychological Association
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