The Effect of Perceived and Structural Neighborhood Conditions on Adolescents' Physical Activity and Sedentary Behaviors
The Effect of Perceived and Structural Neighborhood Conditions on Adolescents' Physical Activity and Sedentary Behaviors
复制标题
DOI：
10.1001/archpediatrics.2010.167
复制
发表时间：
2010-10-01
影响因子：
--
通讯作者：
Pate, Russell R.
中科院分区：
文献类型：
--
作者：
Kim, Jinseok;Liu, Jihong;Pate, Russell R.
目的：为了检验身体活动和久坐行为是否与感知和结构性邻里条件相关。设计：对来自第一波的数据进行二次分析（1994 - 1995）的美国青少年健康全国纵向研究。设置：青少年及其父母的家庭访谈。参与者：13，668名青少年（6 794名青春期男孩和6 874名青春期女孩; 7-12年级）。感知邻域条件（公众滋扰、非法入境、以及在个人和人口普查区层面衡量的非正式控制）和结构性邻里特征（集中贫困、移民集中和人口普查区一级的居住稳定性）。结果测量：未能达到中度至剧烈体力活动（MVPA）指南（每天2小时）。（调整的比值比[OR]，0.76; 95%置信区间[CI]，0.68-0.84）或高（OR，0.56; 95%CI，0.50-0.61）与较低水平相比，社区中的非正式关系和高非正式控制（OR，0.90; 95%CI，0.82-0.99）与未能满足MVPA指南呈负相关。在人口普查区一级，高度非正式控制（OR，1.16; 95% CI，1.04-1.29）和中度（OR，1.13; 95% CI，1.01-1.26）和高（OR，1.22; 95%置信区间，1.06-1.40）与较低水平相比，集中贫困也与未能达到MVPA准则有关（根据社会人口特征调整后）。与最低水平相比，（OR，1.19; 95% CI，1.04-1.36）和迁移浓度（OR，1.18; 95%CI，1.01-1.38）与筛查时间过长相关。这些发现表明，知觉和结构性邻里因素都应该被认为是了解青少年的身体活动，久坐不动的行为
Objective: To test whether physical activity and sedentary behaviors are associated with perceived and structural neighborhood conditions.Design: Secondary analysis of data from wave I (19941995) of the National Longitudinal Study of Adolescent Health in the United States.Setting: In-home interviews of adolescents and their parents.Participants: Thirteen thousand six hundred sixty-eight adolescents (6794 adolescent boys and 6874 adolescent girls; grades 7-12).Main Exposures: Perceived neighborhood conditions (public nuisance, acquaintanceship, and informal control measured at both individual and census tract levels) and structural neighborhood characteristics (concentrated poverty, immigrant concentration, and residential stability at the census tract level).Outcome Measures: Failure to meet moderate to vigorous physical activity (MVPA) guidelines (2 hours per day).Results: Individual-level perception of intermediate (adjusted odds ratio [OR], 0.76; 95% confidence interval [CI], 0.68-0.84) or high (OR, 0.56; 95% CI, 0.50-0.61) acquaintanceship and high informal control (OR, 0.90; 95% CI, 0.82-0.99) in the neighborhood were negatively associated with failure to meet the MVPA guidelines compared with lower levels. At the census tract level, high informal control (OR, 1.16; 95% CI, 1.04-1.29) and intermediate (OR, 1.13; 95% CI, 1.01-1.26) and high (OR, 1.22; 95% CI, 1.06-1.40) concentrated poverty compared with lower levels were also associated with failing to meet the MVPA guidelines (when adjusted for sociodemographic characteristics). Compared with the lowest levels, high public nuisance (OR, 1.19; 95% CI, 1.04-1.36) and immigrant concentration (OR, 1.18; 95% CI, 1.01-1.38) at the census tract level were associated with excessive screen time.Conclusion: These findings suggest that both perceptual and structural neighborhood factors should be considered to understand adolescents' physical activity and sedentary behaviors.