J Phys Act Health. 2021 Mar 11;18(4):418-425. doi: 10.1123/jpah.2020-0157. Print 2021 Apr 1.
In response to conflicting findings for activity levels across sociodemographic groups, this study examined differences in adolescents' in-school, out-of-school, and weekend physical activity (PA) by sociodemographic subgroups using representative US data.
Data were obtained from the Family Life, Activity, Sun, Health, and Eating study. Multiple regression models compared in-school, out-of-school, and weekend PA by gender and race/ethnicity, and examined potential modification of associations by grade (middle vs high school) and socioeconomic status (lower vs higher).
Final analytic sample was 1413 adolescents (Mean age = 14.5 y, 51.3% female, 64.5% white). Compared with whites, in-school PA was significantly higher among blacks and those classified as other race/ethnicity for middle school (69.8 and 71.0, respectively, vs 66.4 min/d), and among Hispanics for high school (52.7 vs 48.4 min/d). Hispanics' (vs whites') out-of-school PA was significantly lower for middle school (63.7 vs 66.6 min/d), but higher for high school (54.0 vs 51.8 min/d). In-school PA was significantly higher among adolescents of lower (vs higher) socioeconomic status among males and Hispanics (all Ps < .05).
The relation of race/ethnicity with PA varies by grade and time of day/week. Socioeconomic status findings contradict previously reported findings. Efforts to increase PA based on sociodemographic disparities should consider potential interaction effects.
针对不同社会人口群体的活动水平存在相互矛盾的研究结果,本研究使用美国代表性数据,通过社会人口亚组研究了青少年在校内、校外和周末体育活动(PA)方面的差异。
数据来自家庭生活、活动、阳光、健康和饮食研究。多元回归模型比较了性别和种族/民族的校内、校外和周末 PA,并检查了年级(初中与高中)和社会经济地位(低与高)对关联的潜在修饰作用。
最终分析样本为 1413 名青少年(平均年龄 14.5 岁,51.3%为女性,64.5%为白人)。与白人相比,黑人和其他种族/民族的初中生在校内 PA 显著更高(分别为 69.8 和 71.0 分钟/天,而 66.4 分钟/天),而高中生的西班牙裔则显著更高(52.7 分钟/天,而 51.8 分钟/天)。与白人相比,西班牙裔青少年的校外 PA 在初中阶段明显较低(63.7 分钟/天,而 66.6 分钟/天),但在高中阶段则明显较高(54.0 分钟/天,而 51.8 分钟/天)。在男性和西班牙裔青少年中,较低(较高)社会经济地位的青少年在校内 PA 明显较高(所有 P 值均<.05)。
种族/民族与 PA 的关系因年级和一天/一周的时间而异。社会经济地位的研究结果与之前的报告结果相矛盾。基于社会人口差异增加 PA 的努力应考虑潜在的相互作用效应。