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Wende ME, Hughey SM, McLain AC, Hallum S, Hipp JA, Schipperijn J, Stowe EW, Kaczynski AT. Identifying multilevel predictors of behavioral outcomes like park use: A comparison of conditional and marginal modeling approaches. PLoS One 2024; 19:e0301549. [PMID: 38626162 PMCID: PMC11020402 DOI: 10.1371/journal.pone.0301549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Accepted: 03/18/2024] [Indexed: 04/18/2024] Open
Abstract
This study compared marginal and conditional modeling approaches for identifying individual, park and neighborhood park use predictors. Data were derived from the ParkIndex study, which occurred in 128 block groups in Brooklyn (New York), Seattle (Washington), Raleigh (North Carolina), and Greenville (South Carolina). Survey respondents (n = 320) indicated parks within one half-mile of their block group used within the past month. Parks (n = 263) were audited using the Community Park Audit Tool. Measures were collected at the individual (park visitation, physical activity, sociodemographic characteristics), park (distance, quality, size), and block group (park count, population density, age structure, racial composition, walkability) levels. Generalized linear mixed models and generalized estimating equations were used. Ten-fold cross validation compared predictive performance of models. Conditional and marginal models identified common park use predictors: participant race, participant education, distance to parks, park quality, and population >65yrs. Additionally, the conditional mode identified park size as a park use predictor. The conditional model exhibited superior predictive value compared to the marginal model, and they exhibited similar generalizability. Future research should consider conditional and marginal approaches for analyzing health behavior data and employ cross-validation techniques to identify instances where marginal models display superior or comparable performance.
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Affiliation(s)
- Marilyn E. Wende
- Department of Health Education & Behavior, College of Health & Human Performance, University of Florida, Gainesville, FL, United States of America
| | - S. Morgan Hughey
- Department of Health and Human Performance, School of Health Sciences, College of Charleston, Charleston, SC, United States of America
| | - Alexander C. McLain
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States of America
| | - Shirelle Hallum
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States of America
| | - J. Aaron Hipp
- Department of Parks, Recreation, and Tourism Management, Center for Geospatial Analytics, North Carolina State University, Raleigh, NC, United States of America
| | - Jasper Schipperijn
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Ellen W. Stowe
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States of America
| | - Andrew T. Kaczynski
- Department of Health Promotion, Education, and Behavior, Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States of America
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Muyiduli X, Zhang R, Zhang J, Zhe W, Dong Y, Wang W, Fang P, Zhang Y, Zhang S, Sulidan A, Rejiafu S, Sun J. Prevalence and relevant factors of depression among adolescents in Xinjiang, China: A cross-sectional survey. Medicine (Baltimore) 2024; 103:e37090. [PMID: 38363909 PMCID: PMC10869075 DOI: 10.1097/md.0000000000037090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Accepted: 01/05/2024] [Indexed: 02/18/2024] Open
Abstract
The aim of this study is to elucidate the prevalence of depression and examine the contributing factors to depression among adolescents in Xinjiang, China. A stratified cluster sampling methodology was employed in this study, with the sample size determined through consideration of prior studies on adolescent depression. Employing this approach, 6 schools were chosen from each prefecture-level city, designated as urban areas, and 3 schools were selected from each county. Subsequently, individual classes were treated as units, and a minimum of 80 students from each grade were surveyed within the entire class. The investigation of adolescents involved the administration of a questionnaire assessing the factors influencing depression, along with the Center for Epidemiologic Studies Depression Scale (CES-D). Multivariate linear regression was used to analyze the influencing factors of depression. The occurrence rates of depression were 12.17%, 13.05%, 12.32%, and 9.29% in junior middle school, senior middle school, vocational high school, and college, respectively. The corresponding CES-D scores were 10.54 ± 8.26, 11.20 ± 8.37, 12.17 ± 6.94, and 11.33 ± 6.28. Significant associations with the CES-D score were observed for gender, smoking, alcohol consumption, and spending more than 4 hours online daily across the educational levels mentioned. The risk of experiencing depressive symptoms was elevated among female junior and senior high school students who spent more than 4 hours daily on the internet, engaged in cigarette smoking, and consumed alcohol. The findings underscore the significance of targeting high-risk groups, particularly through home-school collaborations, to mitigate excessive internet use and consequently reduce the likelihood of depressive symptoms in students.
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Affiliation(s)
- Xiamusiye Muyiduli
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Rong Zhang
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Jun Zhang
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Wei Zhe
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Yan Dong
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Wenlei Wang
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Ping Fang
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Yi Zhang
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Song Zhang
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Adila Sulidan
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Shawulaxi Rejiafu
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Jingxuan Sun
- Division for Chronic and Non-communicable Disease Control and Prevention, The Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region, Urumqi, China
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Vanderloo LM, Saravanamuttoo K, Bourke M, Zhong S, Szpunar M, Gilliland J, Burke SM, Irwin JD, Truelove S, Tucker P. Parents' attitudes regarding their children's play during COVID-19: Impact of socioeconomic status and urbanicity. SSM Popul Health 2023; 24:101549. [PMID: 38021457 PMCID: PMC10661847 DOI: 10.1016/j.ssmph.2023.101549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Revised: 10/17/2023] [Accepted: 10/27/2023] [Indexed: 12/01/2023] Open
Abstract
Objectives The COVID-19 pandemic has had a profound impact on the daily routines of parents and children. This study explored the influence of socioeconomic status (SES) and urbanicity on parents' attitudes toward their children's active play opportunities 6 months and 1.5 years into COVID-19. Methods A sample of 239 Ontario parents of children aged 12 and younger completed two online surveys (August-December 2020; 2021) to assess parents' intentions, beliefs, and comforts concerning their child's eventual return to play, in addition to various sociodemographic and physical activity variables. Descriptive analyses were run as well as an exploratory factor analysis (EFA) was conducted to group the 14 attitude items into subscales for analysis, to ensure reliability and validity of attitude measures. Results In general, parents in communities with more urban features (e.g., densely populated areas), single-parents, full-time employed parents, and parents with lower-incomes were more hesitant to return their children to active play during the pandemic. Conclusion Findings from this work highlight SES and urbanicity disparities that continue to exist during COVID-19.
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Affiliation(s)
- Leigh M. Vanderloo
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, Elborn College, 1201 Western Road, Room 2547, London, ON, N6G 1H1, Canada
- ParticipACTION, 77 Bloor Street West, Suite 1205, Toronto, ON, M5S 1M2, Canada
| | - Kendall Saravanamuttoo
- Health and Rehabilitation Sciences Program, Faculty of Health Sciences, University of Western Ontario, London, ON, N6A 5B9, Canada
| | - Matthew Bourke
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, Elborn College, 1201 Western Road, Room 2547, London, ON, N6G 1H1, Canada
| | - Shiran Zhong
- Department of Geography and Environment, University of Western Ontario, London, ON, N6G 1H1, Canada
| | - Monika Szpunar
- Health and Rehabilitation Sciences Program, Faculty of Health Sciences, University of Western Ontario, London, ON, N6A 5B9, Canada
| | - Jason Gilliland
- Department of Geography and Environment, University of Western Ontario, London, ON, N6G 1H1, Canada
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, ON N6G 1H1, Canada
- Children's Health Research Institute, Lawson Health Research Institute, London, ON, N6C 2R5, Canada
- Department of Pediatrics, University of Western Ontario, London, ON, N6G 1H1, Canada
- Department of Epidemiology & Biostatistics, University of Western Ontario, London, ON, N6G 1H1, Canada
| | - Shauna M. Burke
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, ON N6G 1H1, Canada
- Children's Health Research Institute, Lawson Health Research Institute, London, ON, N6C 2R5, Canada
| | - Jennifer D. Irwin
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, ON N6G 1H1, Canada
| | - Stephanie Truelove
- Member Interest Groups Section, Professional Development and Practice Support, College of Family Physicians of Canada, Mississauga, ON, L4W 5A4, Canada
| | - Patricia Tucker
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, Elborn College, 1201 Western Road, Room 2547, London, ON, N6G 1H1, Canada
- Children's Health Research Institute, Lawson Health Research Institute, London, ON, N6C 2R5, Canada
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Sánchez-Valdivia N, Pérez-del-Pulgar C, de Bont J, Anguelovski I, López-Gay A, Pistillo A, Triguero-Mas M, Duarte-Salles T. Residential Proximity to Urban Play Spaces and Childhood Overweight and Obesity in Barcelona, Spain: A Population-Based Longitudinal Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13676. [PMID: 36294256 PMCID: PMC9603004 DOI: 10.3390/ijerph192013676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 10/17/2022] [Accepted: 10/18/2022] [Indexed: 06/16/2023]
Abstract
Findings on the relationship between play spaces and childhood overweight and obesity are mixed and scarce. This study aimed to investigate the associations between residential proximity to play spaces and the risk of childhood overweight or obesity and potential effect modifiers. This longitudinal study included children living in the city of Barcelona identified in an electronic primary healthcare record database between 2011 and 2018 (N = 75,608). Overweight and obesity were defined according to the WHO standards and we used 300 m network buffers to assess residential proximity to play spaces. We calculated the risk of developing overweight or obesity using Cox proportional hazard models. A share of 29.4% of the study population developed overweight or obesity, but we did not find consistent associations between play space indicators and overweight or obesity. We did not find any consistent sign of effect modification by sex, and only some indications of the modifying role of area socioeconomic status and level of exposure. Although it is not possible to draw clear conclusions from our study, we call for cities to continue increasing and improving urban play spaces with an equitable, healthy, and child-friendly perspective.
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Affiliation(s)
- Nacho Sánchez-Valdivia
- Barcelona Lab for Urban Environmental Justice and Sustainability, Institute of Environmental Science and Technology (ICTA), Universitat Autònoma de Barcelona (UAB), 08003 Barcelona, Spain
- Hospital del Mar Medical Research Institute (IMIM), Carrer Doctor Aiguader, 88, 08003 Barcelona, Spain
| | - Carmen Pérez-del-Pulgar
- Barcelona Lab for Urban Environmental Justice and Sustainability, Institute of Environmental Science and Technology (ICTA), Universitat Autònoma de Barcelona (UAB), 08003 Barcelona, Spain
- Hospital del Mar Medical Research Institute (IMIM), Carrer Doctor Aiguader, 88, 08003 Barcelona, Spain
- Helmholtz Centre for Environmental Research—UFZ Department Environmental Politics, 04318 Leipzig, Germany
- Department for Political Science, Friedrich-Schiller-University, 07737 Jena, Germany
| | - Jeroen de Bont
- Institute of Environmental Medicine, Karolinska Institute, 171 77 Stockholm, Sweden
| | - Isabelle Anguelovski
- Barcelona Lab for Urban Environmental Justice and Sustainability, Institute of Environmental Science and Technology (ICTA), Universitat Autònoma de Barcelona (UAB), 08003 Barcelona, Spain
- Hospital del Mar Medical Research Institute (IMIM), Carrer Doctor Aiguader, 88, 08003 Barcelona, Spain
- ICREA (Institució Catalana de Recerca i Estudis Avançats), 08010 Barcelona, Spain
| | - Antonio López-Gay
- Department of Geography, Universitat Autònoma de Barcelona (UAB), 08193 Barcelona, Spain
- Center for Demographic Studies, 08193 Bellaterra, Spain
| | - Andrea Pistillo
- Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain
| | - Margarita Triguero-Mas
- Barcelona Lab for Urban Environmental Justice and Sustainability, Institute of Environmental Science and Technology (ICTA), Universitat Autònoma de Barcelona (UAB), 08003 Barcelona, Spain
- Hospital del Mar Medical Research Institute (IMIM), Carrer Doctor Aiguader, 88, 08003 Barcelona, Spain
- Mariana Arcaya’s Research Lab, Department of Urban Studies and Planning, Massachusetts Institute of Technology, 77 Massachusetts Ave, Cambridge, MA 02139, USA
| | - Talita Duarte-Salles
- Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain
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Joisten C. Bewegungsmangel und mögliche gesundheitliche Auswirkungen der Covid-19-Pandemie auf Kinder und Jugendliche. FORUM KINDER- UND JUGENDSPORT 2022. [PMCID: PMC9491647 DOI: 10.1007/s43594-022-00074-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Christine Joisten
- Institut für Bewegungs- und Neurowissenschaften, Abteilung für Bewegungs- und Gesundheitsförderung, Deutsche Sporthochschule Köln, Köln, Deutschland
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6
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Ma M, Adeney M, Chen W, Deng D, Tan S. To Create a Safe and Healthy Place for Children: The Associations of Green Open Space Characteristics With Children's Use. Front Public Health 2022; 9:813976. [PMID: 35368510 PMCID: PMC8966046 DOI: 10.3389/fpubh.2021.813976] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 12/06/2021] [Indexed: 12/03/2022] Open
Abstract
Green open space (GOS) is an important outdoor resource for the well-being of children by providing places for physical activity (PA), especially in the highly urbanized environment. The COVID-19 lockdowns have made children have more sedentary time than before due to less access to public places. This article aims to examine the associations of GOS characteristics (environmental and surrounding) and children's use (visitation and PA pattern) to provide evidence for promoting their PA during the pandemic. This study employed the method of GPS positioner, accelerometer, and survey to measure the children's actual use in GOS. A total of 179 children participated in the study and 10 GOSs were selected. The children were provided with the accelerometers and GPS positioners to track their walking steps, duration, and locations. The environmental characteristics and 1 km buffer of the selected GOSs were explored as extended study area. Results showed that 49.16% of children reported more visitations than before the pandemic, and 48.60% of them preferred to go on weekdays during the pandemic. Both environmental and surrounding characteristics could affect the visitation pattern. The size (p < 0.000), residential ratio (p < 0.000), and intersection density (p < 0.000) were found as the factors significantly associated with visitation pattern. The children's PA pattern was mainly associated with the environmental characteristics of size (p < 0.000), sports, and playground proportion (p < 0.000). The locations of children's PA were mainly around square, playground, sheltered place, and waterside areas. COVID-19 has transformed the children's use of GOS, as well as their relationship with GOS. The large GOS was more likely to promote PA and its use by the children. The environmental and surrounding characteristics of GOS could affect their use pattern, whereas their PA pattern was mainly associated with the environmental characteristics. The findings suggest that GOS characteristics could be an effective solution to respond the challenge from the pandemic, and promote their visitation and PA.
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Affiliation(s)
- Ming Ma
- College of Architecture and Urban Planning, Yunnan University, Yunnan, China
- Institute for Smart City of Chongqing University in Liyang, Chongqing University, Chongqing, China
- Faculty of Architecture and Urban Planning, Chongqing University, Chongqing, China
- *Correspondence: Ming Ma
| | - Michael Adeney
- School of Public Health, University of Washington, Seattle, WA, United States
| | - Wei Chen
- Department of Bone and Joint Surgery, Sanya Central Hospital, Sanya, China
| | - Darong Deng
- The First Studio, Chongqing Planning and Design Institute, Chongqing, China
| | - Shaohua Tan
- Faculty of Architecture and Urban Planning, Chongqing University, Chongqing, China
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Bassul C, Corish CA, Kearney JM. Associations between Neighborhood Deprivation Index, Parent Perceptions and Preschooler Lifestyle Behaviors. CHILDREN (BASEL, SWITZERLAND) 2021; 8:children8110959. [PMID: 34828672 PMCID: PMC8623473 DOI: 10.3390/children8110959] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Revised: 10/05/2021] [Accepted: 10/20/2021] [Indexed: 01/18/2023]
Abstract
Parental perceptions and use of neighborhood facilities are important factors that are related to children’s dietary intake and physical activity. The aim of this study was to examine the association between neighborhood deprivation index, parents’ perceptions of their neighborhood environment, and healthy/unhealthy markers of child dietary intake, physical activity, and TV screen time. This cross-sectional study was conducted in Dublin, Ireland. The lifestyle behaviors among children and parental perceptions of their neighborhood environment were reported by the parents of 276 children aged 3–5 years by using parent-completed questionnaires. Deprivation index was assessed using the geographic information system (GIS). Data were analyzed using binary logistic regression, adjusting for socio-demographic confounders. In adjusted models, high deprivation index was associated with parental perception of the neighborhood as unsafe for walking and cycling due to crime (OR 1.59, 95% CI 1.04–2.43, p = 0.031) and children’s low engagement in structured physical activity (OR 0.35, 95% CI 0.17–0.72, p = 0.004). Parental perceptions of an unsafe neighborhood due to heavy traffic were negatively correlated with children’s active play (OR 0.73, 95% CI 0.55–0.95, p = 0.022). Children whose parents reported high satisfaction with the number of local sit-in and takeaway restaurants were 41% more likely to consume confectionary/sugar sweetened beverages (SSBs) weekly. In this age group, parents play an important role in children’s lifestyle behaviors; therefore, a better understanding of parents’ perceptions and their use of neighborhood facilities could contribute to creating a healthy environment for this age group.
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Affiliation(s)
- Carolina Bassul
- School of Biological and Health Sciences, City Campus, Technological University Dublin, Kevin Street, D08 TKF7 Dublin, Ireland
- Correspondence: (C.B.); (J.M.K.); Tel.: +353-(0)-1-402-2837 (C.B. & J.M.K.)
| | - Clare A. Corish
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland;
| | - John M. Kearney
- School of Biological and Health Sciences, City Campus, Technological University Dublin, Kevin Street, D08 TKF7 Dublin, Ireland
- Correspondence: (C.B.); (J.M.K.); Tel.: +353-(0)-1-402-2837 (C.B. & J.M.K.)
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