Perceived influences on and strategies to reduce sedentary behavior in disadvantaged women experiencing depressive symptoms: A qualitative study

ObjectiveRecent studies have found linked sedentary behavior (e.g. Television viewing) with risk of depression. Socio-economically disadvantaged women comprise one group at high risk of both sedentary behavior and depression; hence it is important to explore the influences on sedentary behavior amongst this target group. This study assessed perceived influences on sedentary behavior (particularly television viewing) amongst women living in disadvantaged neighborhoods and experiencing depressive symptoms, as well as potential strategies to reduce sedentary behavior amongst this target group.MethodsEighteen women (aged 18–46) living in disadvantaged neighborhoods and experiencing depressive symptoms (assessed using the CES-D 10) participated in semi-structured telephone interviews which assessed intra-personal, social and physical environmental influences on sedentary behavior. Women were also encouraged to suggest strategies that may assist in reducing sedentary behavior. Thematic analyses were performed on transcribed interview data.ResultsThe qualitative data revealed four key themes relating to influences on television viewing: depression, childhood television habits, weather, and the impact of children. Strategies which were suggested by women to reduce sedentary behavior included time management/multi-tasking and standing versus sitting.ConclusionsWomen were able to suggest few strategies to explicitly reduce sedentary behavior, indicating the need for further promotion, education and research.

► We interview women with depressive symptoms about influences on sedentary behavior.
► Depression, childhood television habits, weather and children were key influences.
► Multi-tasking was a key strategy used by women to reduce sedentary behavior.
► Such information can inform intervention strategies to reduce sedentary behavior.