Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States.
School of Health and Kinesiology, College of Education, Health, and Human Sciences, University of Nebraska at Omaha, Omaha, NE, United States.
Front Public Health. 2024 Feb 21;12:1345635. doi: 10.3389/fpubh.2024.1345635. eCollection 2024.
Lack of physical activity (PA) among children living in rural communities is a documented public health problem. Although studies have examined community conditions defined by a rural-urban dichotomy, few have investigated rural community conditions with a concentration of Hispanic/Latino people. This cross-sectional study examined sociodemographic characteristics associated with youth sport (YS) participation and daily PA among children living within concentrated Hispanic/Latino rural U.S. Midwest communities.
During spring 2022, 97% of 3rd-6th grade children ( = 281, aged approximately 8-12 years) attending school in rural Midwestern communities ( = 2) with >50% concentration of Hispanic students participated in the Wellscapes Project, a community randomized trial. Participants completed the Youth Activity Profile and supplemental National Survey of Children's Health questions assessing PA behaviors and YS participation. Caregivers of a subsample of children ( 215; males, = 93; females, = 122) consented to pair their child's survey results with school enrollment records (e.g., free/reduced lunch status and race and ethnicity). Mixed models with community as a random effect examined main and interaction effects of grade, sex, ethnoracial status, and family income on YS participation and these sociodemographic characteristics and YS participation on daily moderate-to-vigorous PA (MVPA).
Approximately half of children participated in YS. Non-Hispanic White children ( = 82) were over five times more likely to participate in YS than Hispanic peers ( = 133) (OR = 5.54, 95% CI = 2.64-11.61, < 0.001). YS participants accumulated 8.3 ± 2.3 more minutes of daily MVPA than non-participants ( < 0.001). Sixth graders, females, and Hispanic children reported lower daily MVPA than comparison groups ( < 0.05). Significant interaction effects on daily MVPA between grade and ethnoracial status ((3, 204) = 3.04, = 0.030) were also found.
Disparities in sport participation and PA outcomes based on sociodemographic characteristics exist among children living in ethnoracially diverse rural communities. Strategies to promote YS participation, including community structural changes, may help reduce PA disparities. The research provides valuable insights for policymakers, public health professionals, and community members to address YS participation barriers, not limited to cost, while considering other PA-promotion efforts to improve child population health.
生活在农村社区的儿童缺乏身体活动(PA)是一个有据可查的公共卫生问题。尽管有研究调查了以城乡二分法定义的社区条件,但很少有研究调查集中了西班牙裔/拉丁裔人口的农村社区条件。本横断面研究调查了与生活在集中的西班牙裔/拉丁裔美国中西部农村社区的儿童的青少年运动(YS)参与和日常 PA 相关的社会人口统计学特征。
在 2022 年春季,参与农村中西部社区( = 2)学校的 3 至 6 年级儿童( = 281 名,年龄约为 8-12 岁)中有 97%参加了 Wellscapes 项目,这是一项社区随机试验。参与者完成了青少年活动概况和补充的全国儿童健康调查问题,评估 PA 行为和 YS 参与情况。对儿童的一部分( = 215;男性, = 93;女性, = 122)的家长同意将他们孩子的调查结果与学校入学记录(例如,免费/减价午餐状况以及种族和族裔)进行配对。以社区为随机效应的混合模型检验了年级、性别、民族种族地位和家庭收入对 YS 参与以及这些社会人口统计学特征和 YS 参与对日常中等到剧烈 PA(MVPA)的主效应和交互效应。
大约一半的儿童参加了 YS。非西班牙裔白人儿童( = 82)参加 YS 的可能性是西班牙裔同龄人( = 133)的五倍以上(OR = 5.54,95%CI = 2.64-11.61, < 0.001)。YS 参与者比非参与者每天多积累 8.3 ± 2.3 分钟的日常 MVPA( < 0.001)。六年级、女性和西班牙裔儿童报告的日常 MVPA 低于比较组( < 0.05)。还发现了年级和民族种族地位之间在日常 MVPA 上的显著交互效应((3,204) = 3.04, = 0.030)。
生活在民族种族多样化的农村社区的儿童中,存在基于社会人口统计学特征的运动参与和 PA 结果的差异。促进 YS 参与的策略,包括社区结构变化,可能有助于减少 PA 差异。这项研究为政策制定者、公共卫生专业人员和社区成员提供了有价值的见解,以解决 YS 参与障碍,而不仅仅是成本问题,同时考虑到其他促进 PA 的努力,以改善儿童人群的健康。