School of Mathematics and Statistics, Carleton University, Ottawa, ON, K1S 5B6, Canada.
Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, ON, K1S 5H4, Canada.
Can J Public Health. 2021 Apr;112(2):331-341. doi: 10.17269/s41997-020-00440-0. Epub 2021 Jan 27.
In Canada, students are increasingly reliant on motorized vehicles to commute to school, and few meet the recommended overall physical activity guidelines. Infrastructure and built environments around schools may promote active commuting to and from school, thereby increasing physical activity. To date, few Canadian studies have examined this research question.
This study is a cross-sectional analysis of 11,006 students, aged 11-20, who participated in the 2016/2017 Ontario Student Drug Use and Health Survey. The remote sensing-derived Normalized Difference Vegetation Index (NDVI), at a buffer of 500 m from the schools' locations, was used to characterize greenness, while the 2016 Canadian Active Living Environments (Can-ALE) measure was used for walkability. Students were asked about their mode of regular commuting to school, and to provide information on several socio-demographic variables. Multivariable logistic regression models were used to quantify associations between active commuting and greenness and the Can-ALE. The resulting odds ratios, and their 95% confidence intervals, were adjusted for a series of risk factors that were collected from the survey.
Overall, 21% of students reported active commuting (biking or walking) to school, and this prevalence decreased with increasing age. Students whose schools had higher Can-ALE scores were more likely to be active commuters. Specifically, the adjusted odds ratio (OR) of being an active commuter for schools in the highest quartile of the Can-ALE was 2.11 (95% CI = 1.64, 2.72) when compared with those in the lowest. For children, aged 11-14 years, who attended schools in high dwelling density areas, a higher odds of active commuting was observed among those in the upper quartile of greenness relative to the lowest (OR = 1.41; 95% CI = 0.92, 2.15). In contrast, for lower dwelling density areas, greenness was inversely associated with active commuting across all ages.
Our findings suggest that students attending schools with higher Can-ALE scores are more likely to actively commute to school, and that positive impacts of greenness on active commuting are evident only in younger children in more densely populated areas. Future studies should collect more detailed data on residential measures of the built environment, safety, distance between home and school, and mixed modes of commuting behaviours.
在加拿大,学生越来越依赖机动车辆上学,很少有人达到推荐的总体身体活动指南。学校周围的基础设施和建筑环境可能会促进学生上下学的积极出行,从而增加身体活动。迄今为止,加拿大很少有研究探讨这个问题。
本研究是对 2016/2017 年安大略省学生毒品使用和健康调查中 11006 名 11-20 岁学生的横断面分析。使用遥感衍生的归一化差异植被指数(NDVI),在距学校 500 米的缓冲区内来描述绿化程度,而 2016 年加拿大积极生活环境(Can-ALE)测量用于评估可步行性。学生被问及他们上学的常规通勤方式,并提供了一些社会人口统计学变量的信息。多变量逻辑回归模型用于量化积极通勤与绿化和 Can-ALE 之间的关系。根据从调查中收集的一系列风险因素,对得到的比值比及其 95%置信区间进行了调整。
总体而言,21%的学生报告说上学时采用积极的通勤方式(骑自行车或步行),且这一比例随着年龄的增长而降低。那些学校 Can-ALE 得分较高的学生更有可能成为积极的通勤者。具体来说,与得分最低的学校相比,处于 Can-ALE 得分最高四分之一的学校的学生成为积极通勤者的调整后比值比(OR)为 2.11(95%CI=1.64,2.72)。对于 11-14 岁的儿童,在高居住密度地区上学的儿童,与得分最低的学校相比,居住在绿化程度较高的学校的儿童,其积极通勤的可能性更高(OR=1.41;95%CI=0.92,2.15)。相比之下,在居住密度较低的地区,绿化程度与所有年龄段的积极通勤呈反比关系。
我们的研究结果表明,在 Can-ALE 得分较高的学校上学的学生更有可能积极地上下学,而绿化对积极通勤的积极影响仅在人口更密集的地区的年龄较小的儿童中显现。未来的研究应收集更多关于居住建筑环境、安全性、家庭与学校之间的距离以及混合出行方式的详细数据。