Examining the Incremental Effects of Participant Sporting Events in Promoting Active Living: Creating Actionable Knowledge to Tackle a Public Health Crisis

摘要

Using a theoretical synergy between the Psychological Continuum Model (PCM) and Behavioral Ecological Model (BEM), the current dissertation research provides empirical evidence to support that organized participant sporting events can play a significant role in building a healthier community. First, using a proprietary U.S. community-based panel data from 2008 to 2014, study 1 examines the incremental effects of participant sporting events (PSE) in promoting active living at the population level. Panel regression with an instrumental variable approach and Multigroup Latent Growth Curve Analysis were administered. The key findings included (1) these population-based interventions have the capacity to impact population health at the state level; (2) such an influence significantly varies across the United States contingent upon a state's economic development and the geographical region to which a state belongs. In study 2, the Multilevel Mediation Analysis was conducted with a spatially clustered cross-sectional data in 2014. The findings revealed that the access to exercise opportunities at the state level represents the underlying mechanism through which various forms of participant sporting events have the ability to elicit positive effects on health with respects to mental health, physical health, and physical activity participation at the county level. The findings suggested that PSEs represent effective public health platform to create healthier communities through integrating physically active leisure into population's everyday routines. Overall, empirical results also help us better understand the importance of effectively leveraging community sporting events to deliver required health benefits to the general public and create practical guidelines to inform policy formation on resource allocation.