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Intersectional Identities and 24-hr Movement Behavior Recommendation Adherence Among U.S. Children and Adolescents
Suryeon Ryu1, Jordan A Carlson1, Helena H Laroche1
1Children's Mercy Hospital, Kansas City, MO, USA.
Summary
Understanding how individual traits and social factors affect children's 24-hour movement behaviors (24HMB) is key. Disparities exist across subgroups, necessitating tailored strategies beyond one-size-fits-all approaches.
Area of Science:
- Public Health
- Behavioral Science
- Sociology
Background:
- Individual characteristics and social drivers of health (SDOH) interact to influence 24-hour movement behaviors (24HMB).
- Previous research often focused on single factors, overlooking intersectional influences on physical activity (PA), sedentary behavior (SB), and sleep.
- Understanding these complex interactions is crucial for developing effective public health interventions.
Purpose of the Study:
- To identify intersectional subgroups based on individual characteristics and SDOH.
- To examine disparities in meeting recommendations for PA, SB, sleep, and combined 24HMB across these subgroups.
- To inform the development of targeted strategies for improving 24HMB adherence.
Main Methods:
- Latent class analysis of National Survey of Children's Health data (n=68,000, ages 6-17).
- Inclusion of variables: sex, race/ethnicity, caregiver education, household language, and food sufficiency.
- Survey-weighted logistic regression to estimate class differences in meeting 24HMB recommendations.
Main Results:
- Five distinct subgroups emerged, varying in demographic and socioeconomic profiles.
- Prevalence of meeting PA recommendations (19.48%) was lower than SB (49.93%) and sleep (64.52%) recommendations.
- Disadvantaged subgroups showed significantly lower odds of meeting PA, SB, and sleep recommendations, and higher odds of meeting none of the recommendations compared to a reference group.
Conclusions:
- Intersectional approaches considering combinations of individual characteristics and SDOH are essential for improving 24HMB adherence.
- Current one-size-fits-all strategies are insufficient for addressing disparities in children's movement behaviors.
- Future interventions should be tailored to the specific needs of diverse subgroups to promote healthier lifestyles.
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