RESUMO
Decreased physical activity (PA) has been associated with residents living in neighborhoods perceived as being disordered or having high crime levels. What is unknown are the characteristics of individuals who engage in moderate to vigorous levels of PA (MVPA) despite living in these vulnerable neighborhoods, or who may be referred to as positive deviants (PD). We examined the factors associated with PD for PA among Jamaicans. Between 2016 and 2017 the Jamaica Health and Lifestyle Survey, a cross-sectional nationally representative survey (n = 2807), was conducted on individuals aged 15 years and older. Regression analyses were performed to identify associations with PD, defined using engagement in MVPA among persons living in vulnerable neighborhoods (N = 1710). Being female (odds ratio [OR]a = 0.64 (0.48, 0.86); p = 0.003), obese while living in an urban area (ORa = 0.39; 95 % CI = 0.26, 0.59; p < 0.0001), unemployed (ORa = 0.53; 95 % CI = 0.39, 0.73; p < 0.0001), or a student (ORa = 0.62; 95 % CI = 0.39, 0.98); p = 0.041) was associated with a significantly lower likelihood of PD, while having a personal medical history of at least one chronic disease significantly increased likelihood (ORa = 1.43; 95 % CI = 1.08, 1.90; p = 0.014). Taking a PD approach may be one angle to consider in trying to determine what is working and for whom, so that this may be harnessed in policy, prevention and intervention programming to increase PA.
RESUMO
Age-specific population growth rates were introduced to demographic analysis in earlier work by Bennett and Horiuchi (1981) and Preston and Coale (1982). In this paper, we derive a method which uses these growth rates to transform what may be a set of incompletely recorded deaths by age into a life table that accurately reflects the true mortality experience of the population under study. The method does not rely on the assumption of stability and, for example, in contrast to intercensal cohort survival techniques, is simple to implement when presented with nontraditional intercensal interval lengths. Thus we can obtain mortality estimates for less developed countries with defective data, despite departures from stability. Further, we assess the sensitivity of the method to violations in various assumptions underlying the procedure: error in estimated growth rates, existence of non-zero net intercensal migration, age dependence in the completeness of death registration, and misreporting of age at death and age in the population. We demonstrate the use of the method in an application to data referring to Argentine females during the period 1960 to 1970.