Active commuting to school: A longitudinal analysis examining persistence of behavior over time in four New Jersey cities.

Active commuting to school: A longitudinal analysis examining persistence of behavior over time in four New Jersey cities.
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DOI:
10.1016/j.pmedr.2022.101718
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发表时间:
2022-04
影响因子:
2.8
通讯作者:
Ohri-Vachaspati, Punam
Ohri-Vachaspati, Punam
中科院分区:
医学3区
文献类型:
--
作者:
DeWeese, Robin S.;Acciai, Francesco;Tulloch, David;Lloyd, Kristen;Yedidia, Michael J.;Ohri-Vachaspati, Punam

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有证据表明,儿童时期开始的健康行为可能会随着时间的推移而持续下去。本研究的目的是确定是否积极通勤上学/从学校(ACS)在基线预测持续ACS在随访2至5年后。在2009年至2017年期间,对新泽西四个低收入城市的两组3-15岁的家庭进行了随机抽样,并跟踪了两到五年。每周至少有一天步行、骑自行车或滑板上学/放学的儿童被归类为活跃通勤者。本分析包括在两个时间点具有完整数据的儿童(n = 383)。采用多因素Logistic回归分析T1和T2时ACS之间的相关性。模型调整了儿童年龄,性别和种族/民族;父母的教育和出生状态(本土出生与外国出生);家庭贫困水平;汽车可用性;邻里水平特征;以及从家到学校的距离。在调整了到学校的距离和其他相关协变量后,T1时患有ACS的儿童在T2时患ACS的几率是T1时不积极通勤的儿童的7倍多(p < 0.001)。距离,无论在T1的积极通勤状态与T2的积极通勤呈负相关。鼓励ACS的政策和干预措施,以及那些减少孩子家和学校之间距离的政策和干预措施,可能会导致整个童年时期以及可能进入成年期的习惯性主动通勤和身体活动行为增加。
Evidence suggests that healthy behaviors initiated during childhood may continue over time. The objective of this study was to determine whether active commuting to/from school (ACS) at baseline predicted continued ACS at follow-up two to five years later. Two cohorts of households with 3–15 year-olds in four low-income New Jersey cities were randomly sampled and followed for two to five year periods between 2009 and 2017. Children who walked, bicycled, or skateboarded to/from school at least one day/week were classified as active commuters. Children with complete data at both time points were included in this analysis (n = 383). Multivariate logistic regression was used to examine the association between ACS at T1 and T2. Models adjusted for child age, sex, and race/ethnicity; parent’s education and nativity status (native-born vs foreign-born); household poverty level; car availability; neighborhood level characteristics; and distance from home to school. Children who engaged in ACS at T1 had over seven times the odds of ACS at T2 compared to children who did not actively commute at T1 (p < 0.001), after adjusting for distance to school and other relevant covariates. Distance, regardless of active commuting status at T1 was inversely associated with active commuting at T2. Policies and interventions encouraging ACS, and those that decrease the distance between a child’s home and school, may result in increased, habitual active commuting and physical activity behavior throughout childhood and possibly into adulthood.
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