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哪些父母相关因素可预测美国东南部儿童的积极上学交通方式?

What Parental Correlates Predict Children's Active Transportation to School in the Southeast United States?

出版信息

J Phys Act Health. 2021 May 5;18(6):705-713. doi: 10.1123/jpah.2020-0023. Print 2021 Jun 1.

DOI:10.1123/jpah.2020-0023
PMID:33952706
Abstract

BACKGROUND

School-aged children in the Southeast, compared with other United States of America (US) regions, have significantly lower levels of active transportation to school (ATS). The purpose of this study was to contrast the parental correlates of ATS choice specific to the Southeast with other areas of the US.

METHODS

This study utilized national data from 2952 households with school-aged children located within a 20-minute walk to a school. Parents reported their children's ATS behavior and their own ATS beliefs and perceptions. Logistic regression contrasted correlates of parents from the Southeast with other regions.

RESULTS

Parents in the Southeast, compared with parents across the US, were significantly less likely to allow their child to take ATS (12.9% vs 33.3%, respectively) (odds ratio [OR] = 0.46; 95% confidence interval [CI] = 0.36-0.59). Specific to the Southeast, parental correlates linked to increases in ATS were Black race/ethnicity (OR = 1.68; 95% CI, 1.31-2.60), being single, (OR = 1.71; 95% CI, 1.15-2.54), and any parental physical activity (P value for trend = .0053). The only correlate associated with a decrease in ATS in the Southeast was heightened safety concerns (eg, traffic speed, safe crossings) (OR = 0.44; 95% CI, 0.23-0.84).

CONCLUSIONS

Among households with children in the Southeast, ATS interventions that allay parental safety concerns and that promote physical activity among parents might lead to increases in ATS.

摘要

背景

与美国其他地区相比,东南部学龄儿童选择主动上学交通方式(ATS)的比例明显较低。本研究旨在对比东南部与美国其他地区 ATS 选择的父母相关因素。

方法

本研究利用了来自全国 2952 户有学龄儿童的家庭的数据,这些家庭的孩子在步行 20 分钟内可以到达学校。父母报告了孩子的 ATS 行为以及他们自己的 ATS 信念和认知。逻辑回归对比了来自东南部和其他地区的父母的相关因素。

结果

与全美父母相比,东南部父母让孩子选择 ATS 的可能性显著较低(分别为 12.9%和 33.3%)(优势比 [OR] = 0.46;95%置信区间 [CI] = 0.36-0.59)。具体到东南部,与增加 ATS 相关的父母相关因素包括黑人和西班牙裔种族(OR = 1.68;95% CI,1.31-2.60)、单身(OR = 1.71;95% CI,1.15-2.54)和任何父母的身体活动(P 值趋势<.0053)。唯一与东南部 ATS 减少相关的因素是增加安全顾虑(例如,交通速度、安全交叉口)(OR = 0.44;95% CI,0.23-0.84)。

结论

在东南部有孩子的家庭中,缓解父母安全顾虑并促进父母身体活动的 ATS 干预措施可能会导致 ATS 的增加。

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