Ahmed Shahnawaz, Uddin Riaz, Ziviani Jenny, Gomersall Sjaan, Khan Asaduzzaman
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Institute for Physical Activity and Nutrition (IPAN), Deakin University, Geelong, Australia.
Sports Med Health Sci. 2022 Feb 23;4(2):112-118. doi: 10.1016/j.smhs.2022.02.002. eCollection 2022 Jun.
This study aimed to examine the prevalence of physical activity (PA), screen time (ST), sleep, and fruit and vegetable intake of children with low-and-middle-income countries (LMIC) parents, high-income countries (HIC), and Australian children, and whether these behaviours are associated with their immigrant status. Data for this study were from wave 7 of the Birth cohort (B cohort) of the Longitudinal Study of Australian Children. We used generalized estimating equations (GEE) to examine associations between health behaviours and immigrant status. The models were adjusted for a number of covariates. Children with LMIC parents had lower odds of meeting PA and sleep recommendations and higher odds ratio () of meeting fruit and vegetable intake, and ST recommendations than Australian or HIC children. Children with LMIC parents had one-third the odds of meeting the PA recommendations ( 0.39 [95% 0.22-0.70]) than Australian children. No significant differences were observed in lifestyle behaviours among children with HIC parents and Australian children. Lifestyle behaviours of children with LMIC parents differed from those of HIC and Australian children. However, children with HIC parents and Australian children had comparable lifestyle behaviours. Identified disparities in lifestyle behaviours among immigrant children can inform strategies to bring equity in Australian children's lifestyles. Our study underscores the importance of culturally appropriate targeted interventions to promote PA and sleep of children with LMIC parents.
本研究旨在调查父母来自低收入和中等收入国家(LMIC)的儿童、高收入国家(HIC)的儿童以及澳大利亚儿童的身体活动(PA)、屏幕使用时间(ST)、睡眠情况以及水果和蔬菜摄入量,以及这些行为是否与其移民身份相关。本研究的数据来自澳大利亚儿童纵向研究出生队列(B队列)的第7波。我们使用广义估计方程(GEE)来研究健康行为与移民身份之间的关联。模型针对一些协变量进行了调整。与澳大利亚或HIC儿童相比,父母来自LMIC的儿童达到PA和睡眠建议的几率较低,而达到水果和蔬菜摄入量及ST建议的比值比(OR)较高。与澳大利亚儿童相比,父母来自LMIC的儿童达到PA建议的几率只有三分之一(OR = 0.39 [95%可信区间0.22 - 0.70])。在父母来自HIC的儿童和澳大利亚儿童之间,未观察到生活方式行为有显著差异。父母来自LMIC的儿童的生活方式行为与HIC和澳大利亚儿童不同。然而,父母来自HIC的儿童和澳大利亚儿童有相似的生活方式行为。已确定的移民儿童生活方式行为差异可为实现澳大利亚儿童生活方式公平的策略提供参考。我们的研究强调了采取文化上适当的针对性干预措施以促进父母来自LMIC的儿童的PA和睡眠的重要性。