International Journal of Behavioral Nutrition and Physical Activity | |
Social inequalities in young children’s sports participation and outdoor play | |
Hein Raat2  Vincent W V Jaddoe1  Albert Hofman3  Niek Pot4  Selma H Bouthoorn2  Wilma Jansen5  Anne I Wijtzes2  | |
[1] Department of Pediatrics, Erasmus Medical Center, Rotterdam, The Netherlands;Department of Public Health, Erasmus MC, University Medical Center, Rotterdam 3000, CA, The Netherlands;Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands;School of Human Movement & Sports, Windesheim University of Applied Sciences, Zwolle, the Netherlands;Department of Social Development, Rotterdam, The Netherlands | |
关键词: Physical activity; Inequalities; Outdoor play; Sports; Ethnic; Socioeconomic; | |
Others : 1146172 DOI : 10.1186/s12966-014-0155-3 |
|
received in 2014-06-20, accepted in 2014-12-05, 发布年份 2014 | |
【 摘 要 】
Background
Research on social inequalities in sports participation and unstructured physical activity among young children is scarce. This study aimed to assess the associations of family socioeconomic position (SEP) and ethnic background with children’s sports participation and outdoor play.
Methods
We analyzed data from 4726 ethnically diverse 6-year-old children participating in the Generation R Study. Variables were assessed by parent-reported questionnaires when the child was 6 years old. Low level of outdoor play was defined as outdoor play <1 hour per day. Series of multiple logistic regression analyses were performed to assess associations of family SEP and ethnic background with children’s sports participation and outdoor play.
Results
Socioeconomic inequalities in children’s sports participation were found when using maternal educational level (p < 0.05), paternal educational level (p < 0.05), maternal employment status (p < 0.05), and household income (p < 0.05) as family SEP indicator (less sports participation among low SEP children). Socioeconomic inequalities in children’s outdoor play were found when using household income only (p < 0.05) (more often outdoor play <1 hour per day among children from low income household). All ethnic minority children were significantly more likely to not to participate in sports and play outdoor <1 hour per day compared with native Dutch children. Adjustment for family SEP attenuated associations considerably, especially with respect to sports participation.
Conclusion
Low SEP children and ethnic minority children are more likely not to participate in sports and more likely to display low levels of outdoor play compared with high SEP children and native Dutch children, respectively. In order to design effective interventions, further research, including qualitative studies, is needed to explore more in detail the pathways relating family SEP and ethnic background to children’s sports participation and outdoor play.
【 授权许可】
2014 Wijtzes et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150403095142456.pdf | 354KB | download | |
Figure 1. | 33KB | Image | download |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Janssen I, Leblanc AG: Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act 2010, 7:40. BioMed Central Full Text
- [2]Loprinzi PD, Cardinal BJ, Loprinzi KL, Lee H: Benefits and environmental determinants of physical activity in children and adolescents. Obes Facts 2012, 5(4):597-610.
- [3]Must A, Tybor DJ: Physical activity and sedentary behavior: a review of longitudinal studies of weight and adiposity in youth. Int J Obes (Lond) 2005, 29(Suppl 2):S84-S96.
- [4]Singh A, Uijtdewilligen L, Twisk JW, van Mechelen W, Chinapaw MJ: Physical activity and performance at school: a systematic review of the literature including a methodological quality assessment. Arch Pediatr Adolesc Med 2012, 166(1):49-55.
- [5]Timmons BW, Leblanc AG, Carson V, Connor Gorber S, Dillman C, Janssen I, Kho ME, Spence JC, Stearns JA, Tremblay MS: Systematic review of physical activity and health in the early years (aged 0–4 years). Appl Physiol Nutr Metab 2012, 37(4):773-792.
- [6]Burdette HL, Whitaker RC: Resurrecting free play in young children: looking beyond fitness and fatness to attention, affiliation, and affect. Arch Pediatr Adolesc Med 2005, 159(1):46-50.
- [7]Eime RM, Young JA, Harvey JT, Charity MJ, Payne WR: A systematic review of the psychological and social benefits of participation in sport for children and adolescents: informing development of a conceptual model of health through sport. Int J Behav Nutr Phys Act 2013, 10:98. BioMed Central Full Text
- [8]Steptoe A, Butler N: Sports participation and emotional wellbeing in adolescents. Lancet 1996, 347(9018):1789-1792.
- [9]Brophy S, Cooksey R, Lyons RA, Thomas NE, Rodgers SE, Gravenor MB: Parental factors associated with walking to school and participation in organised activities at age 5: analysis of the Millennium Cohort Study. BMC Public Health 2011, 11:14. BioMed Central Full Text
- [10]Dollman J, Lewis NR: The impact of socioeconomic position on sport participation among South Australian youth. J Sci Med Sport 2010, 13(3):318-322.
- [11]Fairclough SJ, Boddy LM, Hackett AF, Stratton G: Associations between children’s socioeconomic status, weight status, and sex, with screen-based sedentary behaviours and sport participation. Int J Pediatr Obes 2009, 4(4):299-305.
- [12]Johnston LD, Delva J, O’Malley PM: Sports participation and physical education in American secondary schools: current levels and racial/ethnic and socioeconomic disparities. Am J Prev Med 2007, 33(4 Suppl):S195-S208.
- [13]Nielsen G, Gronfeldt V, Toftegaard-Stockel J, Andersen LB: Predisposed to participate? The influence of family socio-economic background on children’s sports participation and daily amount of physical activity. Sport Soc 2012, 15(1).
- [14]Seabra AF, Mendonca DM, Thomis MA, Peters TJ, Maia JA: Associations between sport participation, demographic and socio-cultural factors in Portuguese children and adolescents. Eur J Public Health 2008, 18(1):25-30.
- [15]Vella SA, Cliff DP, Okely AD: Socio-ecological predictors of participation and dropout in organised sports during childhood. Int J Behav Nutr Phys Act 2014, 11:62. BioMed Central Full Text
- [16]Voss LD, Hosking J, Metcalf BS, Jeffery AN, Wilkin TJ: Children from low-income families have less access to sports facilities, but are no less physically active: cross-sectional study (EarlyBird 35). Child Care Health Dev 2008, 34(4):470-474.
- [17]Nielsen G, Hermansen B, Bugge A, Dencker M, Andersen LB: Daily physical activity and sports participation among children from ethnic minorities in Denmark. Eur J Sport Sci 2013, 13(3):321-331.
- [18]Aarts MJ, de Vries SI, van Oers HA, Schuit AJ: Outdoor play among children in relation to neighborhood characteristics: a cross-sectional neighborhood observation study. Int J Behav Nutr Phys Act 2012, 9:98. BioMed Central Full Text
- [19]Kimbro RT, Brooks-Gunn J, McLanahan S: Young children in urban areas: links among neighborhood characteristics, weight status, outdoor play, and television watching. Soc Sci Med 2011, 72(5):668-676.
- [20]Veitch J, Salmon J, Ball K: Individual, social and physical environmental correlates of children’s active free-play: a cross-sectional study. Int J Behav Nutr Phys Act 2010, 7:11. BioMed Central Full Text
- [21]Jaddoe VW, van Duijn CM, Franco OH, van der Heijden AJ, van Iizendoorn MH, de Jongste JC, van der Lugt A, Mackenbach JP, Moll HA, Raat H, Rivadeneira F, Steegers EA, Tiemeier H, Uitterlinden AG, Verhulst FC, Hofman A: The Generation R Study: design and cohort update 2012. Eur J Epidemiol 2012, 27(9):739-756.
- [22]Netherlands Bureau for Economic Policy Analysis: http://www.cpb.nl [last accessed February 2014].
- [23]Statistics Netherlands: Standaard Onderwijsindeling 2003. 2004, Voorburg/Heerlen.
- [24]Statistics Netherlands: Jaarrapport Integratie 2010. 2010, Den Haag/Heerlen.
- [25]Braveman P, Cubbin C, Marchi K, Egerter S, Chavez G: Measuring socioeconomic status/position in studies of racial/ethnic disparities: maternal and infant health. Public Health Rep 2001, 116(5):449-463.
- [26]Braveman PA, Cubbin C, Egerter S, Chideya S, Marchi KS, Metzler M, Posner S: Socioeconomic status in health research: one size does not fit all. JAMA 2005, 294(22):2879-2888.
- [27]Davey Smith G: Learning to live with complexity: ethnicity, socioeconomic position, and health in Britain and the United States. Am J Public Health 2000, 90(11):1694-1698.
- [28]Mickey RM, Greenland S: The impact of confounder selection criteria on effect estimation. Am J Epidemiol 1989, 129(1):125-137.
- [29]Greenland S, Finkle WD: A critical look at methods for handling missing covariates in epidemiologic regression analyses. Am J Epidemiol 1995, 142(12):1255-1264.
- [30]Galobardes B, Lynch J, Smith GD: Measuring socioeconomic position in health research. Br Med Bull 2007, 81–82:21-37.
- [31]Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G: Indicators of socioeconomic position (part 2). J Epidemiol Community Health 2006, 60(2):95-101.
- [32]Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G: Indicators of socioeconomic position (part 1). J Epidemiol Community Health 2006, 60(1):7-12.
- [33]Lahelma E: Health inequalities–the need for explanation and intervention. Eur J Public Health 2006, 16(4):339.
- [34]Brockman R, Jago R, Fox KR, Thompson JL, Cartwright K, Page AS: “Get off the sofa and go and play”: family and socioeconomic influences on the physical activity of 10–11 year old children. BMC Public Health 2009, 9:253. BioMed Central Full Text
- [35]Holt NL, Kingsley BC, Tink LN, Scherer J: Benefits and challenges associated with sport participation by children and parents from low-income families. Psychol Sport Exerc 2011, 12(5).
- [36]Humbert ML, Chad KE, Spink KS, Muhajarine N, Anderson KD, Bruner MW, Girolami TM, Odnokon P, Gryba CR: Factors that influence physical activity participation among high- and low-SES youth. Qual Health Res 2006, 16(4):467-483.
- [37]Veitch J, Hume C, Salmon J, Crawford D, Ball K: What helps children to be more active and less sedentary? Perceptions of mothers living in disadvantaged neighbourhoods. Child Care Health Dev 2013, 39(1):94-102.
- [38]Lahelma E, Martikainen P, Laaksonen M, Aittomaki A: Pathways between socioeconomic determinants of health. J Epidemiol Community Health 2004, 58(4):327-332.
- [39]Stronks K, van de Mheen H, van den Bos J, Mackenbach JP: The interrelationship between income, health and employment status. Int J Epidemiol 1997, 26(3):592-600.
- [40]Hoekman R, Straatmeier J: Sport en recessie 2013 (English: Sports and recession 2013). 2013: Utrecht.
- [41]Jehoel-Gijsbers G: Kunnen alle kinderen meedoen? Onderzoek naar de maatschappelijke participatie van arme kinderen (English: Are all children taking part? Research on the social participation of poor Dutch children). 2009: Den Haag.
- [42]Roest A: Kunnen meer kinderen meedoen? Veranderen in de maatschappelijke deelname van kinderen, 2008–2010 (English: Are more children taking part? Changes in the social participation of Dutch children, 2008–2010). Den Haag; 2011
- [43]Spence JC, Holt NL, Dutove JK, Carson V: Uptake and effectiveness of the Children’s Fitness Tax Credit in Canada: the rich get richer. BMC Public Health 2010, 10:356. BioMed Central Full Text
- [44]Davison KK, Lawson CT: Do attributes in the physical environment influence children’s physical activity? A review of the literature. Int J Behav Nutr Phys Act 2006, 3:19. BioMed Central Full Text
- [45]O’Driscoll T, Banting LK, Borkoles E, Eime R, Polman R: A systematic literature review of sport and physical activity participation in culturally and linguistically diverse (CALD) migrant populations. J Immigr Minor Health 2014, 16(3):515-530.
- [46]Pena MM, Dixon B, Taveras EM: Are you talking to ME? The importance of ethnicity and culture in childhood obesity prevention and management. Child Obes 2012, 8(1):23-27.
- [47]Rawlins E, Baker G, Maynard M, Harding S: Perceptions of healthy eating and physical activity in an ethnically diverse sample of young children and their parents: the DEAL prevention of obesity study. J Hum Nutr Diet 2013, 26(2):132-144.
- [48]Dias JJ, Whitaker RC: Black mothers’ perceptions about urban neighborhood safety and outdoor play for their preadolescent daughters. J Health Care Poor Underserved 2013, 24(1):206-219.
- [49]Kimbro RT, Schachter A: Neighborhood Poverty and Maternal Fears of Children’s Outdoor Play. Fam Relat 2011, 60(4):461-475.
- [50]Weir LA, Etelson D, Brand DA: Parents’ perceptions of neighborhood safety and children’s physical activity. Prev Med 2006, 43(3):212-217.
- [51]Jansen W, Mackenbach JP, Joosten-van Zwanenburg E, Brug J: Weight status, energy-balance behaviours and intentions in 9-12-year-old inner-city children. J Hum Nutr Diet 2010, 23(1):85-96.
- [52]van der Horst K, Oenema A, Velde SJT, Brug J: Gender, ethnic and school type differences in overweight and energy balance-related behaviours among Dutch adolescents. Int J Pediatr Obes 2009, 4(4):371-380.
- [53]Australian Government Department of Health: Make your move - Sit less - Be active for life! Australia’s physical activity and sedentary behaviour guidelines 5–12 years. Commonwealth of Australia; 2014.
- [54]Australian Government Department of Health: Make your move - Sit less - Be active for life! Australia’s physical activity and sedentary behaviour guidelines 13–17 years. Commonwealth of Australia; 2014.
- [55]Tremblay MS, Warburton DE, Janssen I, Paterson DH, Latimer AE, Rhodes RE, Kho ME, Hicks A, Leblanc AG, Zehr L, Murumets K, Duggan M: New Canadian physical activity guidelines. Appl Physiol Nutr Metab 2011, 36(1):36-46. 47–58
- [56]World Health Organization: Global recommendations on physical activity for health: 5–17 years old. World Health Organization; 2011.
- [57]Nicaise V, Kahan D, Sallis JF: Correlates of moderate-to-vigorous physical activity among preschoolers during unstructured outdoor play periods. Prev Med 2011, 53(4–5):309-315.