Jason A Mendoza1, David Cowan, Yan Liu. 1. Dept of Pediatrics, University of Washington School of Medicine and the Center for Child Health, Behavior, and Development at Seattle Children's Research Institute.
Abstract
BACKGROUND: Few reports examined long term predictors of children's active commuting to school (walking or cycling to school, ACS). PURPOSE: To identify predictors of ACS over 1 school year among a sample of children with relatively high rates of ACS. METHODS: Parents were surveyed in September 2010 (Time 1) and April 2011 (Time 2). The dependent variable was children's commuting mode to school (active versus passive). Independent variables included: 1) parents' outcome expectations (from Social Cognitive Theory: the expected risks/benefits for their child doing ACS), 2) distance to school, 3) participation in an adult-led walk to school group, 4) temperature, and 5) child demographics. Generalized mixed-models estimated odds ratios for ACS (n = 369 or 49.7% of Time 1 respondents). RESULTS: Males (OR = 2.59, 95% CI [1.57-4.30]), adult-led walk to school group participation (OR = 1.80, 95% CI [1.14-2.86]), parents' outcome expectations (OR = 1.26, 95% CI [1.14-1.39]), temperature (OR = 1.03, 95% CI [1.01-1.07), distance to school (OR = 0.23, 95% CI [0.14-0.37]), and Latino ethnicity (OR = 0.28, 95% CI [0.12-0.65]) were associated with ACS. CONCLUSIONS: Programs and policies sensitive to parents' concerns (eg, adult-led walk to school groups) and targeting Latinos and girls appear promising for increasing ACS.
BACKGROUND: Few reports examined long term predictors of children's active commuting to school (walking or cycling to school, ACS). PURPOSE: To identify predictors of ACS over 1 school year among a sample of children with relatively high rates of ACS. METHODS: Parents were surveyed in September 2010 (Time 1) and April 2011 (Time 2). The dependent variable was children's commuting mode to school (active versus passive). Independent variables included: 1) parents' outcome expectations (from Social Cognitive Theory: the expected risks/benefits for their child doing ACS), 2) distance to school, 3) participation in an adult-led walk to school group, 4) temperature, and 5) child demographics. Generalized mixed-models estimated odds ratios for ACS (n = 369 or 49.7% of Time 1 respondents). RESULTS: Males (OR = 2.59, 95% CI [1.57-4.30]), adult-led walk to school group participation (OR = 1.80, 95% CI [1.14-2.86]), parents' outcome expectations (OR = 1.26, 95% CI [1.14-1.39]), temperature (OR = 1.03, 95% CI [1.01-1.07), distance to school (OR = 0.23, 95% CI [0.14-0.37]), and Latino ethnicity (OR = 0.28, 95% CI [0.12-0.65]) were associated with ACS. CONCLUSIONS: Programs and policies sensitive to parents' concerns (eg, adult-led walk to school groups) and targeting Latinos and girls appear promising for increasing ACS.
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