期刊
BMJ OPEN
卷 12, 期 4, 页码 -出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/bmjopen-2021-057082
关键词
public health; epidemiology; community child health
资金
- Indonesia Endowment Fund for Education [201908220815174]
- Medical Research Council [MC_UU_00006/5]
- National Institute for Health Research (NIHR) using UK aid from the UK Government [16/137/34]
This study investigated the prevalence of adolescent active travel to school (ATS) in 31 countries and territories in Asia. The overall prevalence of ATS was found to be 55%, with variations by age group, sex, and BMI category. Older adolescents, males, and those with underweight or normal BMI were more likely to actively travel to school, while females and those with overweight or obesity were less likely. The reasons for these differences remain unknown.
Objective This study aimed to examine the prevalence of adolescent active travel to school (ATS) across 31 countries and territories in Asia, overall and by age group, sex and body mass index (BMI) category. Design Cross-sectional study. Setting 31 Asian countries. Participants 152 368 adolescents aged 13-17 years with complete data for age, sex, measured weight and height and active travel to school from 31 Asian countries from the Global School-based student Health Survey (GSHS). Primary outcome Self-reported active travel to school categorised into passive (0 days) and active (1-7 days). Results Overall prevalence of adolescent ATS in Asia based on random-effect meta-analysis was 55%, ranging from 18% (UAE) to 84% (Myanmar). There was limited subregional variation: 47% in the Eastern Mediterranean (EM), 56% in the South East Asia and 64% in the Western Pacific. Summarised by random-effect meta-analysis, being an older adolescent aged 16 years and older (vs younger age below 16 years: OR: 1.08; 95% CI: 1.00 to 1.16) was positively associated with ATS. This association was strongest in EM countries. Summarised by random-effect meta-analysis, females (vs males: OR: 0.79; 95% CI: 0.71 to 0.89) and adolescents with overweight/obesity (vs underweight and normal BMI: OR: 0.92; 95% CI: 0.86 to 0.99) were less likely to use ATS. Association with sex was strongest in EM countries. Heterogeneity was considerable in all meta-analyses. Conclusion The prevalence of adolescent ATS in Asia varies substantially. Overall, older and male adolescents, and adolescents with underweight and normal BMI category are more likely to actively travel to school. However, the main contributor to differences in ATS between and within regions remain unknown. Although there is substantial scope for improving ATS rates in Asia, any policy actions and interventions should be cognisant of local built, social and natural environmental contexts that may influence active travel behaviour.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据