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Active school transport in an urban environment:prevalence and perceived barriers

BACKGROUND: Active school transport (AST) can increase children’s and adolescents’ physical activity. The proportion of children and adolescents who engage in AST has declined internationally in recent decades. This study examines the prevalence, correlates, and perceived barriers to AST in the city...

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Autores principales: Wex, Isabel, Geserick, Mandy, Leibert, Tim, Igel, Ulrike, Sobek, Carolin, Meigen, Christof, Kiess, Wieland, Vogel, Mandy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037850/
https://www.ncbi.nlm.nih.gov/pubmed/36959624
http://dx.doi.org/10.1186/s12889-023-15464-7
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author Wex, Isabel
Geserick, Mandy
Leibert, Tim
Igel, Ulrike
Sobek, Carolin
Meigen, Christof
Kiess, Wieland
Vogel, Mandy
author_facet Wex, Isabel
Geserick, Mandy
Leibert, Tim
Igel, Ulrike
Sobek, Carolin
Meigen, Christof
Kiess, Wieland
Vogel, Mandy
author_sort Wex, Isabel
collection PubMed
description BACKGROUND: Active school transport (AST) can increase children’s and adolescents’ physical activity. The proportion of children and adolescents who engage in AST has declined internationally in recent decades. This study examines the prevalence, correlates, and perceived barriers to AST in the city of Leipzig, Germany. METHODS: The study sample includes 1070 participants, 364 children and 706 adolescents, aged between 6 and 18 years, as well as their parents. The parents as well as adolescents age 10 and above completed questionnaires concerning sociodemographic variables, means of transport/AST and perceived barriers to AST. The distance between home and school was calculated as the network distance from the home to school address using the Dijkstra algorithm. Based on these data, logistic models were fitted in a two-step variable selection process, using AST as the dependent variable. RESULTS: Approximately half of the children (59%) and adolescents (51%) engaged in AST. The prevalence of AST exhibited a negative correlation with age (Odds Ratio (OR) = 0.94, 95% confidence interval (CI) = 0.9–0.99, p = 0.015) and did not significantly differ by gender (children: OR(girls) = 1.5, CI = 0.95–2.25, p = 0.075, adolescents: OR(girls) = 1.01, CI = 0.75–1.37, p = 0.924). A high socioeconomic status was positively correlated to AST on the morning trip (OR = 1.7, CI 1.3–2.21, p < 0.01) but negatively on the afternoon trip (OR = 0.7, CI = 0.53–0.9, p < 0.01) in the summer. Common barriers for children (from their parents’ perspective) and for adolescents (from their own and their parents’ perspective) were distance and a heavy load to carry. The parents of adolescents did not perceive any other specific barriers as a serious impediment. Further significant barriers perceived by the younger children’s parents were adults giving a lift on the way to other errands, no other children to walk or cycle with, and too much traffic. Too much traffic was also a significant barrier for adolescents, as were taking too much time and bad weather conditions. CONCLUSIONS: Future interventions promoting AST in an urban environment should be guided by the identified perceived barriers. TRIAL REGISTRATION: LIFE Child has been retrospectively registered with ClinicalTrials.gov (NCT02550236). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-15464-7.
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spelling pubmed-100378502023-03-25 Active school transport in an urban environment:prevalence and perceived barriers Wex, Isabel Geserick, Mandy Leibert, Tim Igel, Ulrike Sobek, Carolin Meigen, Christof Kiess, Wieland Vogel, Mandy BMC Public Health Research BACKGROUND: Active school transport (AST) can increase children’s and adolescents’ physical activity. The proportion of children and adolescents who engage in AST has declined internationally in recent decades. This study examines the prevalence, correlates, and perceived barriers to AST in the city of Leipzig, Germany. METHODS: The study sample includes 1070 participants, 364 children and 706 adolescents, aged between 6 and 18 years, as well as their parents. The parents as well as adolescents age 10 and above completed questionnaires concerning sociodemographic variables, means of transport/AST and perceived barriers to AST. The distance between home and school was calculated as the network distance from the home to school address using the Dijkstra algorithm. Based on these data, logistic models were fitted in a two-step variable selection process, using AST as the dependent variable. RESULTS: Approximately half of the children (59%) and adolescents (51%) engaged in AST. The prevalence of AST exhibited a negative correlation with age (Odds Ratio (OR) = 0.94, 95% confidence interval (CI) = 0.9–0.99, p = 0.015) and did not significantly differ by gender (children: OR(girls) = 1.5, CI = 0.95–2.25, p = 0.075, adolescents: OR(girls) = 1.01, CI = 0.75–1.37, p = 0.924). A high socioeconomic status was positively correlated to AST on the morning trip (OR = 1.7, CI 1.3–2.21, p < 0.01) but negatively on the afternoon trip (OR = 0.7, CI = 0.53–0.9, p < 0.01) in the summer. Common barriers for children (from their parents’ perspective) and for adolescents (from their own and their parents’ perspective) were distance and a heavy load to carry. The parents of adolescents did not perceive any other specific barriers as a serious impediment. Further significant barriers perceived by the younger children’s parents were adults giving a lift on the way to other errands, no other children to walk or cycle with, and too much traffic. Too much traffic was also a significant barrier for adolescents, as were taking too much time and bad weather conditions. CONCLUSIONS: Future interventions promoting AST in an urban environment should be guided by the identified perceived barriers. TRIAL REGISTRATION: LIFE Child has been retrospectively registered with ClinicalTrials.gov (NCT02550236). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-15464-7. BioMed Central 2023-03-23 /pmc/articles/PMC10037850/ /pubmed/36959624 http://dx.doi.org/10.1186/s12889-023-15464-7 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Wex, Isabel
Geserick, Mandy
Leibert, Tim
Igel, Ulrike
Sobek, Carolin
Meigen, Christof
Kiess, Wieland
Vogel, Mandy
Active school transport in an urban environment:prevalence and perceived barriers
title Active school transport in an urban environment:prevalence and perceived barriers
title_full Active school transport in an urban environment:prevalence and perceived barriers
title_fullStr Active school transport in an urban environment:prevalence and perceived barriers
title_full_unstemmed Active school transport in an urban environment:prevalence and perceived barriers
title_short Active school transport in an urban environment:prevalence and perceived barriers
title_sort active school transport in an urban environment:prevalence and perceived barriers
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037850/
https://www.ncbi.nlm.nih.gov/pubmed/36959624
http://dx.doi.org/10.1186/s12889-023-15464-7
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