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Predictors of healthier and more sustainable school travel mode profiles among Hong Kong adolescents

BACKGROUND: Adolescent travel mode choices to/from school vary in their physical activity (PA) component and environmental sustainability. Research has typically focussed on correlates of active travel, the most healthy and sustainable mode, in comparison to other modes combined. Under the premise t...

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Autores principales: Barnett, Anthony, Akram, Muhammad, Sit, Cindy Hui-Ping, Mellecker, Robin, Carver, Alison, Cerin, Ester
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537196/
https://www.ncbi.nlm.nih.gov/pubmed/31138203
http://dx.doi.org/10.1186/s12966-019-0807-4
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author Barnett, Anthony
Akram, Muhammad
Sit, Cindy Hui-Ping
Mellecker, Robin
Carver, Alison
Cerin, Ester
author_facet Barnett, Anthony
Akram, Muhammad
Sit, Cindy Hui-Ping
Mellecker, Robin
Carver, Alison
Cerin, Ester
author_sort Barnett, Anthony
collection PubMed
description BACKGROUND: Adolescent travel mode choices to/from school vary in their physical activity (PA) component and environmental sustainability. Research has typically focussed on correlates of active travel, the most healthy and sustainable mode, in comparison to other modes combined. Under the premise that a small shift from less to more healthy/sustainable modes may be a more feasible than a shift to ‘pure’ active travel (e.g., walking), we examined potential correlates of the odds of undertaking more vs. less healthy/sustainable modes. METHODS: Hong Kong adolescents attending secondary school and a parent/caregiver (n = 1299 dyads) participated in this cross-sectional study. Latent profile analyses identified groups of adolescents with different transport mode profiles to/from school. Profiles were ranked based on relative PA/sustainability outcomes. Multilevel logistic regression identified environmental, social and psychological factors associated with more vs. less PA/sustainable transport mode profiles to/from school. RESULTS: Most frequent transport modes were walking and public transport. Latent profile analysis resulted in a 7-profile model (walk (n = 430); walk & public transport (n = 93); public transport (n = 486); bicycle, car & taxi (n = 60); school bus to & public transport from school (n = 54); school bus (n = 106); car to & car/public transport from school (n = 70)). All profile comparisons were associated with at least one environmental variable. School proximity, access to services and parent transport-related PA were generally associated with higher odds of healthier-more sustainable transport modes. Adolescent-perceived distance and effort barriers to walking and cycling were generally associated with lower odds of more healthy/sustainable modes. DISCUSSION: Most adolescents engaged in relatively healthy/sustainable travel modes to/from school. Public transport to walking and school bus to public transport mode shifts are likely to have the biggest impact towards more healthy/sustainable modes. Encouraging parent-related transport PA may positively influence adolescent mode choice. Relatively dense, destination-rich neighbourhoods may encourage more healthy/sustainable transport modes to/from school by providing easy access to schools and services. CONCLUSION: Government policy encouraging enrolment in the closest local school and private school encouragement of public transport rather than school buses may have the greatest impact on shifts to more healthy/sustainable transport modes to/from school in Hong Kong adolescents. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12966-019-0807-4) contains supplementary material, which is available to authorized users.
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spelling pubmed-65371962019-05-30 Predictors of healthier and more sustainable school travel mode profiles among Hong Kong adolescents Barnett, Anthony Akram, Muhammad Sit, Cindy Hui-Ping Mellecker, Robin Carver, Alison Cerin, Ester Int J Behav Nutr Phys Act Research BACKGROUND: Adolescent travel mode choices to/from school vary in their physical activity (PA) component and environmental sustainability. Research has typically focussed on correlates of active travel, the most healthy and sustainable mode, in comparison to other modes combined. Under the premise that a small shift from less to more healthy/sustainable modes may be a more feasible than a shift to ‘pure’ active travel (e.g., walking), we examined potential correlates of the odds of undertaking more vs. less healthy/sustainable modes. METHODS: Hong Kong adolescents attending secondary school and a parent/caregiver (n = 1299 dyads) participated in this cross-sectional study. Latent profile analyses identified groups of adolescents with different transport mode profiles to/from school. Profiles were ranked based on relative PA/sustainability outcomes. Multilevel logistic regression identified environmental, social and psychological factors associated with more vs. less PA/sustainable transport mode profiles to/from school. RESULTS: Most frequent transport modes were walking and public transport. Latent profile analysis resulted in a 7-profile model (walk (n = 430); walk & public transport (n = 93); public transport (n = 486); bicycle, car & taxi (n = 60); school bus to & public transport from school (n = 54); school bus (n = 106); car to & car/public transport from school (n = 70)). All profile comparisons were associated with at least one environmental variable. School proximity, access to services and parent transport-related PA were generally associated with higher odds of healthier-more sustainable transport modes. Adolescent-perceived distance and effort barriers to walking and cycling were generally associated with lower odds of more healthy/sustainable modes. DISCUSSION: Most adolescents engaged in relatively healthy/sustainable travel modes to/from school. Public transport to walking and school bus to public transport mode shifts are likely to have the biggest impact towards more healthy/sustainable modes. Encouraging parent-related transport PA may positively influence adolescent mode choice. Relatively dense, destination-rich neighbourhoods may encourage more healthy/sustainable transport modes to/from school by providing easy access to schools and services. CONCLUSION: Government policy encouraging enrolment in the closest local school and private school encouragement of public transport rather than school buses may have the greatest impact on shifts to more healthy/sustainable transport modes to/from school in Hong Kong adolescents. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12966-019-0807-4) contains supplementary material, which is available to authorized users. BioMed Central 2019-05-28 /pmc/articles/PMC6537196/ /pubmed/31138203 http://dx.doi.org/10.1186/s12966-019-0807-4 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Barnett, Anthony
Akram, Muhammad
Sit, Cindy Hui-Ping
Mellecker, Robin
Carver, Alison
Cerin, Ester
Predictors of healthier and more sustainable school travel mode profiles among Hong Kong adolescents
title Predictors of healthier and more sustainable school travel mode profiles among Hong Kong adolescents
title_full Predictors of healthier and more sustainable school travel mode profiles among Hong Kong adolescents
title_fullStr Predictors of healthier and more sustainable school travel mode profiles among Hong Kong adolescents
title_full_unstemmed Predictors of healthier and more sustainable school travel mode profiles among Hong Kong adolescents
title_short Predictors of healthier and more sustainable school travel mode profiles among Hong Kong adolescents
title_sort predictors of healthier and more sustainable school travel mode profiles among hong kong adolescents
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537196/
https://www.ncbi.nlm.nih.gov/pubmed/31138203
http://dx.doi.org/10.1186/s12966-019-0807-4
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