BMC Public Health | |
A multilevel examination of gender differences in the association between features of the school environment and physical activity among a sample of grades 9 to 12 students in Ontario, Canada | |
Paul Veugelers1  Susan Elliott3  Joel A Dubin4  Steve Manske5  Scott T Leatherdale2  Erin P Hobin5  | |
[1] School of Public Health, University of Alberta, Edmonton, Alberta T6G 2T4, Canada;School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario N2L 3G1, Canada;Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada;Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, Ontario N2L 3G1, Canada;Propel Centre for Population Health Impact, University of Waterloo, Waterloo, Ontario N2L 3G1, Canada | |
关键词: School; Prevention; Environment; Gender; Adolescents; Physical activity; | |
Others : 1163901 DOI : 10.1186/1471-2458-12-74 |
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received in 2011-08-31, accepted in 2012-01-24, 发布年份 2012 | |
【 摘 要 】
Background
Creating school environments that support student physical activity (PA) is a key recommendation of policy-makers to increase youth PA. Given males are more active than females at all ages, it has been suggested that investigating gender differences in the features of the environment that associate with PA may help to inform gender-focused PA interventions and reduce the gender disparity in PA. The purpose of this cross-sectional study was to explore gender differences in the association between factors of the school environment and students' time spent in PA.
Methods
Among a sample of 10781 female and 10973 male students in grades 9 to 12 from 76 secondary schools in Ontario, Canada, student- and school-level survey PA data were collected and supplemented with GIS-derived measures of the built environment within 1-km buffers of the 76 schools.
Results
Findings from the present study revealed significant differences in the time male and female students spent in PA as well as in some of the school- and student-level factors associated with PA. Results of the gender-specific multilevel analyses indicate schools should consider providing an alternate room for PA, especially for providing flexibility activities directed at female students. Schools should also consider offering daily physical education programming to male students in senior grades and providing PA promotion initiatives targeting obese male students.
Conclusions
Although most variation in male and female students' time spent in PA lies between students within schools, there is sufficient between-school variation to be of interest to practitioners and policy-makers. More research investigating gender differentials in environment factors associated with youth PA are warranted.
【 授权许可】
2012 Hobin et al; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150413122007867.pdf | 340KB | download | |
Figure 2. | 33KB | Image | download |
Figure 1. | 25KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
【 参考文献 】
- [1]Bouchard C, Shephard R, Stephens T: Physical activity, fitness, and health. Champaign, IL: Human Kinetics; 1994:77-88.
- [2]Herman K, Craig C, Gauvin L, Katzmarzyk P: Tracking of obesity and physical activity from childhood to adulthood: the physical activity longitudinal study. Int J Ped Obesity 2009, 4:281-288.
- [3]Colley R, Garriguet D, Janssen I, Craig C, Clarke J, et al.: Physical activity of Canadian children and youth: accelerometer results from the 2007 to 2009 Canadian Health Measures Survey. Health Rep 2011, 22(1):15-23.
- [4]Centers for Disease Control and Prevention: Youth risk behavior surveillance-United States 2009. MMWR 2010, 59(No. SS-5):1-142.
- [5]Brown T, Summerbell C: Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: an update to the obesity guidance produced by the National Institute for Health and Clinical Excellence. Obes Rev 2009, 10(1):110-141.
- [6]Simen-Kapeu A, Veugelers P: Should public health interventions aimed at reducing childhood overweight and obesity be gender-focused? BMC Publ Health 2010, 10:340. BioMed Central Full Text
- [7]Committee on Environmental Health for the American Academy of Pediatrics: The built environment: designing communities to promote physical activity in children. Pediatrics 2009, 123:1591-1598.
- [8]Stokols D: Transformational processes in people-environment relations. In The Social Psychology of Time. Edited by McGrath JE. Beverly Hills, CA: Sage Publications; 233:252-1988.
- [9]Ross N, Tremblay S, Graham K: Neighbourhood influences on health in Montreal. Canada Soc Sci Med 2004, 59:1485-1494.
- [10]Kavanagh A, Bentley R: Walking: a gender issue? Aust J Soc Issues 2008, 43(1):45-64.
- [11]Story M, Kaphingst K, French S: The role of schools in obesity prevention. Future Child 2006, 16:109-142.
- [12]Public Health Agency of Canada. Curbing childhood obesity: A federal, provincial, and territorial framework for action to promote health weights. Available at: http://www.phac-aspc.gc.ca/hp-ps/hl-mvs/framework-cadre/index-eng.php webcite [Accessed June 24, 2011]
- [13]Nichol M, Pickett W, Janssen I: Associations between school recreational environments and physical activity. J Sch Health 2009, 79(6):247-254.
- [14]Haug E, Torsheim T, Samdal O: Local school policies increase physical activity in Norwegian secondary schools. Health Promot Int 2009, 25(1):63-72.
- [15]Hobin E, Leatherdale S, Manske S, Robertson-Wilson J: Multi-level analysis of school factors associated with student physical activity levels among elementary school students in Ontario, Canada. Can J Public Health 2010, 101(6):495-499.
- [16]Veugelers P, Fitzergald A: Prevalence of and risk factors for childhood overweight and obesity. CMAJ 2005, 173(6):607-613.
- [17]Trilk J, Ward D, Dowda M, Pfeiffer K, Porter D, Hibbert J, Pate R: Do physical activity facilities near schools affect physical activity in high school girls? Health Place 2011, 17:651-657.
- [18]Haug E, Torsheim R, Sallis J, Samdal O: The characteristics of the outdoor school environment associated with physical activity. J Sch Health 2010, 25(2):248-256.
- [19]Beighle A, Morgan C, Le Masurier G, et al.: Children's physical activity during recess and outside of school. J Sch Health 2006, 76:516-520.
- [20]Wong S, Leatherdale S, Manske S: Reliability and validity of a school-based physical activity questionnaire. Med Sci Sports Exer 2006, 38(9):1593-1600.
- [21]Leatherdale S, Manske S, Wong S, Cameron R: Integrating research, policy, and practice in school-based physical activity prevention programming: the School Health Action, Planning, and Evaluation System (SHAPES) physical activity module. Health Promot Prac 2009, 10(2):254-261.
- [22]Pouliou T, Elliot S: Individual and socio-environmental determinants of overweight and obesity in urban Canada. Health Place 2010, 16:389-398.
- [23]Leatherdale S, Papadakis S: A multi-level examination of the association between older social models in the school environment and overweight and obesity among younger students. J Youth Adolesc 2011, 40:361-372.
- [24]Statistics Canada, Census tract profiles, 2006 CensusAvailable at: http://www12.statcan.ca/census-recensement/2006/dp-pd/prof/92-597/index.cfm?lang=E webcite [Accessed 3 May 2011]
- [25]Tremblay M, Warburton D, Janssen I, Paterson D, Latimer A, Rhodes R, Kho M, Hicks A, LeBlanc A, et al.: New Canadian physical activity guidelines. Appl Physiol Nutr Metab 2011, 36:36-46. Onis et al., 2007
- [26]Robertson-Wilson J, Leatherdale S, Wong S: Social-ecological correlates of active commuting to school among high school students. J Adolesc Health 2007, 42(5):486-495.
- [27]Hobin E, Leatherdale S, Manske S, Burkhalter R, Woodruff S: Multilevel analysis of school factors associated with student enrolment in school physical education among secondary students in Ontario. Canada JSch Health 2010, 80:445-452.
- [28]Health Canada and the Canadian Society for Exercise Physiology: Canada's physical activity guide for youth. Minister of Public Works and Government Services Canada, Ottawa, Ont; 2002. Cat. No. H39-611/2002-IE
- [29]Frank L, Sallis J, Saelens B, Cain K, Conway T, et al.: The development of a walkability index: application to the neighbourhood quality of life study. Br J Sports Med 2010, 44(13):924-933.
- [30]Merriam P, Ockene I, Hebert J, et al.: Seasonal variations of blood cholesterol levels: study methodology. J Biol Rhythms 1999, 14:330-339.
- [31]Giles P: Low income measurement in Canada. Available at: http://www.statcan.gc.ca/pub/75f0002m/75f0002m2004011-eng.pdf webcite [Accessed 3 May 2011]
- [32]Elliott S, Taylor S, Walter S, Stieb D, Frank J, Eyles J: Modeling psychosocial effects of exposure to solid waste facilities. Soc Sci Med 1993, 37(6):791-804.
- [33]Dunn J, Taylor S, Elliott S, Walter S: Psychosocial effects of PCB contamination and remediation: the case of Smithville, Ontario. Soc Sci Med 1994, 39(8):1093-1104.
- [34]Loucaides C, Chedzoy S, Bennett N: Differences in physical activity levels between urban and rural school children in Cyprus. Health Ed Res 2004, 19(2):138-147.
- [35]Centers for Disease Control and Prevention: General physical activities defined by level of intensity. Available at: http://www.cdc.gov/physicalactivity/downloads/PA_Intensity_table_2_1.pdf webcite [Accessed June 25, 2011]
- [36]Canadian Fitness and Lifestyle Research InstituteKids CAN PLAY! http://www.cflri.ca/eng/statistics/surveys/documents/CANPLAY2010_Bulletin01_PA_levelsEN.pdf webcite [Accessed June 25, 2011]
- [37]Bronfenbrenner U: The Ecology of Human Development: Experiments by Nature and Design. Cambridge, MA: Harvard University Press; 1979.
- [38]Loucaides C, Plotnikoff R, Bercovitz K: Differences in the correlates of physical activity between urban and rural Canadian youth. J Sch Health 2007, 77(4):164-170.
- [39]Cradock A, Melly S, Allen J, Morris J, Gortmaker S: Characteristics of school campuses and physical activity among youth. Am J Prev Med 2007, 33(2):106-113.
- [40]Cradock A, Melly S, Allen J, Morris J, Gortmaker S: Youth destinations associated with objective measures of physical activity in adolescents. J Adolesc Health 2009, 45:S91-S98.
- [41]Rose G: Sick individuals and sick populations. Int J Epidemiol 1985, 14(1):32-38.
- [42]Gibbons S, Wharf-Higgins J, Gaul C, Van Gyn G: Listening to female students in high school physical education. Avante 1999, 5(2):1-20.
- [43]Dwyer J, Allison K, LeMoine K, Adlaf E, Goodman J, Faulkner G, Lysy D: A provincial study of opportunities for school-based physical activity in secondary schools. J Adolesc Health 2006, 39:80-86.
- [44]Jenkinson K, Benson A: Barriers to providing physical education and physical activity in Victorian state secondary schools. Aust J Teach Educ 2010., 35(8) Article 1. http://ro.ecu.edu.au/ajte/vol35/iss8/1 webcite [Accessed January 18, 2012]
- [45]Belcher B, Berrigan D, Dodd K, Emken A, Chou C, Spruijt-Metz D: Physical activity in US youth: effect of race/ethnicity, age, gender, and weight status. Med Sci Sports Exerc 2010, 42(12):2211-2221.
- [46]Duncan M, Winkler E, Sugiyama T, Cerin E, duToit L, Leslie E, Owen N: Relationships of land use mix with walking for transport: do land uses and geographical scale matter? J Urban Health 2010, 87(5):782-795.
- [47]De Bourdeaudhuij I, Sallis J, Saelens B: Environmental correlates of physical activity in a sample of Belgian adults. Am J Health Promot 2003, 18(1):83-92.
- [48]Van Dyck D, Cardon G, Deforche B, De Bourdeaudjuij I: Lower neighbourhood walkability and longer distance to school are related to physical activity in Belgian adolescents. Prev Med 2009, 48(6):516-518.
- [49]Byrd-Williams C: Influence of gender, BMI, and Hispanic ethnicity on physical activity in children. Int J Pediatr Obes 2007, 2(3):159-166.
- [50]McMurray R, Harrell J, Deng S, Bradley C, Cox L, Bangdiwala S: The influence of physical activity, socioeconomic status, and ethnicity on the weight status of adolescents. Obes Res 2000, 8(2):130-139.
- [51]McMurray R, Ward D, Elder J, Lytle L, Strikmiller P, Baggett C, Young D: Do overweight girls overreport physical activity? Am J Health Behav 2008, 32(5):538-546.
- [52]Arbour-Nicitopoulos K, Faulkner G, Leatherdale S: Learning from non-reported data: interpreting missing body mass index values in young children. Meas Phys Educ Exerc Sci 2010, 14(4):241-251.
- [53]Sallis J, Zakarian J, Hovell M, Hofstetter R: Ethnic, socioeconomic, and sex differences in physical activity among adolescents. J Clin Epidemiol 1996, 49(2):125-134.
- [54]Humbert M: On the sidelines: the experiences of young women in physical education classes. Avante 1995, 1(2):58-77.
- [55]Fairclough S, Stratton G: Improving health-enhancing physical activity in girls' physical education. Health Educ Res 2005, 20(4):448-457.
- [56]Janssen I, Boyce W, Simpson K, Pickett W: Influence of individual- and area-level measures of socioeconomic status on obesity, unhealthy eating, and physical inactivity in Canadian adolescents. Am J Clin Nut 2006, 83:139-145.