{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T17:49:39Z","timestamp":1776275379960,"version":"3.50.1"},"reference-count":80,"publisher":"Human Kinetics","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Background<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Latino persons with chronic spine pain (CSP) face distinct challenges to engaging in physical activity (PA) that may be explained by factors at multiple levels of the socioecological model and by intersecting oppressions. The objective of this study was to use the socioecological model and intersectionality framework to explore multilevel and intersecting determinants of PA among Latino persons with CSP using a qualitative approach.\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    A purposive sample of Latino persons with CSP living in the United States near the US\u2013Mexican border completed a demographic survey and participated in semistructured interviews. Interview questions related to PA experiences were based on the socioecological model and intersectionality framework. Interviews were audio recorded, transcribed verbatim, and coded deductively using rapid qualitative analysis in the original language (English or Spanish).\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Participants (N\u2009=\u200925, 65% women, 72% Spanish speakers) identified factors at the intrapersonal (eg,\u00a0pain severity, mobility limitations, activity pacing, negative mental, and emotional states), interpersonal (eg,\u00a0social support and competing social priorities), and environmental (eg,\u00a0physical residence, neighborhood walkability, and neighborhood safety) levels. Individual PA experiences differed at varying intersections of culture with gender, geography, socioeconomic status, and employment status among Latino persons with CSP.\n                    <jats:italic>\n                      <jats:bold>Conclusions<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Latino persons with CSP face multilevel barriers to PA engagement that vary across social identities and impact the support, safety, and resources needed to engage in PA. Study findings can inform future PA interventions that tailor strategies to the unique needs of this population, with the goal of improving PA levels and pain management.\n                  <\/jats:p>","DOI":"10.1123\/jpah.2025-0546","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T06:17:03Z","timestamp":1768976223000},"page":"745-753","source":"Crossref","is-referenced-by-count":0,"title":["El Dolor Es Lo Que Me Saluda: A Qualitative Study on Multilevel and Intersectional Factors Impacting Physical Activity Among Latino Persons With Chronic Spine Pain"],"prefix":"10.1123","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9661-0617","authenticated-orcid":true,"given":"Patricia","family":"Dionicio","sequence":"first","affiliation":[{"name":"San Diego Joint Doctoral Program in Public Health, Division of Health Promotion, San Diego State University\/University of California\u00a0San Diego, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4643-283X","authenticated-orcid":true,"given":"Katrina S.","family":"Monroe","sequence":"additional","affiliation":[{"name":"School of Physical Therapy, San Diego State University, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3099-8081","authenticated-orcid":true,"given":"Elizabeth V.","family":"Eikey","sequence":"additional","affiliation":[{"name":"Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, San Diego, CA, USA"},{"name":"The Design Lab, University of California San Diego, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8609-5762","authenticated-orcid":true,"given":"Chadwick","family":"Campbell","sequence":"additional","affiliation":[{"name":"Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alma I.","family":"Behar","sequence":"additional","affiliation":[{"name":"School of Public Health, San Diego State University, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Job G.","family":"Godino","sequence":"additional","affiliation":[{"name":"Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, San Diego, CA, USA"},{"name":"Laura Rodriguez Research Institute, Family Health Centers of San Diego, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8284-4789","authenticated-orcid":true,"given":"Sara P.","family":"Gombatto","sequence":"additional","affiliation":[{"name":"School of Physical Therapy, San Diego State University, San Diego, CA, USA"},{"name":"SDSU HealthLINK Center, San Diego State University, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"key":"r1","series-title":"Pain Res Manag","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/1729059","article-title":"Chronic spinal pain: pathophysiology, diagnosis, and treatment","volume":"2019","author":"Peng B","year":"2019","unstructured":"Peng B, Bogduk N, DePalma MJ, Ma K. 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