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Are the correlates of active school transport context-specific?
R Larouche1, O L Sarmiento2, S T Broyles3
1Children's Hospital of Eastern Ontario Research Institute , Ottawa, Ontario, Canada.
International Journal of Obesity Supplements
|May 7, 2016
Summary
Active school transport (AST) prevalence varies globally. Longer travel times were linked to less AST, but factors differ by location, suggesting tailored interventions are needed for children worldwide.
Area of Science:
- Global health
- Pediatric epidemiology
- Behavioral science
Background:
- Active school transport (AST) is linked to increased physical activity in children.
- Previous AST correlate studies are limited to high-income countries with mixed findings.
- Global understanding of AST determinants is lacking.
Purpose of the Study:
- To investigate the individual and neighborhood correlates of AST in 9-11-year-old children across diverse global sites.
- To examine variations in AST prevalence and its associated factors worldwide.
Main Methods:
- A global sample of 6555 children (9-11 years) reported their main school travel mode and trip duration.
- Parent questionnaires assessed individual and neighborhood correlates of AST.
- Multilevel generalized linear mixed models (GLMM) analyzed AST associations, with site-stratified analyses due to moderation.
Main Results:
- AST prevalence ranged widely (5.2%–79.4%) across 12 international sites.
- Longer school trip duration (≥16 min) was associated with lower AST odds in 8 sites.
- Other individual and neighborhood factors showed limited associations across sites.
Conclusions:
- Significant global variability exists in AST prevalence and its correlates.
- A 'one size fits all' approach is unsuitable for AST interventions.
- Future research should explore psychosocial factors and AST in diverse international contexts.
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