| Literature DB >> 33807263 |
Janet Loebach1, Marcos Sanches2, Julia Jaffe1, Tara Elton-Marshall3,4,5,6.
Abstract
Outdoor play and independent, neighborhood activity, both linked with healthy childhood development, have declined dramatically among Western children in recent decades. This study examines how social, cultural and environmental factors may be hindering children's outdoor and community-based play. A comprehensive survey was completed by 826 children (aged 10-13 years) and their parents from 12 schools (four each urban, suburban and rural) from a large county in Ontario, Canada. Five multilevel regression models, controlling for any school clustering effect, examined associations between outdoor play time per week and variable sets representing five prevalent factors cited in the literature as influencing children's outdoor play (OP). Models predicted that younger children and boys were more likely to spend time playing outdoors; involvement in organized physical activities, other children nearby to play with, higher perception of benefits of outdoor play, and higher parental perceptions of neighborhood social cohesion also predicted more time in outdoor play. Time outdoors was less likely among children not allowed to play beyond home without supervision, felt they were 'too busy' with screen-based activities, and who reported higher fears related to playing outdoors. Study findings have important implications for targeting environmental, cultural and policy changes to foster child-friendly communities which effectively support healthy outdoor play.Entities:
Keywords: barriers; child-friendly communities; community environments; community planning; independent mobility; neighborhood; outdoor play; screen-based activity; time outdoors
Year: 2021 PMID: 33807263 PMCID: PMC8037806 DOI: 10.3390/ijerph18073617
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Participant Characteristics.
| Participants |
| % | |
|---|---|---|---|
| Child-parent dyads | 826 | ||
| Gender | Girls | 404 | 48.9% |
| Boys | 422 | 51.1% | |
| Grade | Gr. 6 | 317 | 38.4% |
| Gr. 7 | 275 | 33.3% | |
| Gr. 8 | 234 | 28.3% | |
| Neighborhood Type | Urban | 258 | 31.2% |
| Suburban | 212 | 25.7% | |
| Rural | 356 | 43.1% | |
| Household Income per Year | Less than USD 60,000 | 169 | 20.5% |
| USD 60,000 to 100,000 | 164 | 19.9% | |
| More than USD 100,000 | 284 | 34.4% | |
| Prefer not to answer | 145 | 17.6% | |
| Missing | 64 | 7.7% | |
| Parent Education | High school or less | 107 | 13.0% |
| College diploma or some university | 336 | 40.7% | |
| University degree | 366 | 44.3% | |
| Missing | 17 | 2.1% | |
| Child Immigrant Status | Born in Canada | 675 | 81.7% |
| Immigrant to Canada | 147 | 17.8% | |
| Parent Immigrant Status | Born in Canada | 617 | 74.7% |
| Immigrant to Canada | 195 | 23.6% | |
| Missing | 14 | 1.7% | |
| Child Ethnicity | Identified as White/Caucasian | 567 | 68.6% |
| Identified as a least one Non-White/Caucasian ethnicity | 230 | 27.8% | |
| Missing | 29 | 3.5% | |
| No. of Children in Household | 1 | 136 | 16.5% |
| 2 | 415 | 50.2% | |
| 3 | 171 | 20.7% | |
| 4 or more | 76 | 9.2% | |
| Missing | 28 | 3.4% | |
Participant Children’s Time Outdoors and On Screens.
| Outdoor Play | Indoor Screen Time (Hours per Day) | ||||
|---|---|---|---|---|---|
| Average | 7.72 | ||||
|
| % |
| % | ||
| I don’t play outdoors | 17 | 2.1 | No time | 14 | 1.7 |
| 1 h or less | 55 | 6.7 | 30 min | 87 | 10.5 |
| >1 h to <4 h | 249 | 30.1 | 1 h | 158 | 19.1 |
| >4 h to <8 h | 202 | 24.5 | 2 to 3 h | 278 | 33.7 |
| >8 h to <14 h | 161 | 19.5 | 4 to 6 h | 175 | 21.2 |
| More than 14 h | 122 | 14.8 | 7 or more h | 88 | 10.7 |
| Missing | 20 | 2.4 | Missing | 26 | 3.1 |
| Proportion meeting > 1 h per day outdoors recommendation | ~34.3% | Proportion exceeding < 2h per day recommendation | 65.5% | ||
Demographic Characteristics: Descriptives and Model 1 Results 1.
| Demographics | Unadjusted Model + | Adjusted Model ++ | ||||||
|---|---|---|---|---|---|---|---|---|
| Mean | 95% CI | Mean | 95% CI | |||||
| Grade | 6 | 317 (38) | 8.4 | 7.6–9.1 | 0.026 * | 8.4 | 7.7–9.0 | 0.046 * |
| 7 | 275 (33) | 7.3 | 6.5–8.2 | 7.5 | 6.7–8.2 | |||
| 8 | 234 (28) | 7.0 | 6.2–7.9 | 7.1 | 6.4–7.9 | |||
| Gender | Boys | 422 (51) | 8.5 | 7.8–9.2 | <0.001 *** | 8.6 | 8.0–9.2 | <0.001 *** |
| Girls | 404 (49) | 6.7 | 6.0–7.4 | 6.8 | 6.3–7.4 | |||
| Income per Year | < USD 60,000 | 169 (20) | 7.5 | 6.3–8.7 | 0.234 | 7.1 | 5.9–8.3 | 0.376 |
| USD 60–99,999 | 164 (20) | 8.2 | 7.4–8.9 | 8.2 | 7.5–8.8 | |||
| USD 100,000+ | 284 (34) | 7.2 | 6.5–7.9 | 7.5 | 6.8–8.2 | |||
| Prefer not to answer | 145 (18) | 8.4 | 5.4–11.5 | 7.4 | 3.5–11.3 | |||
| Missing | 64 (8) | 7.3 | 6.3–8.3 | 7.4 | 6.5–8.4 | |||
| Education | High school or less | 107 (13) | 7.0 | 6.0–8.1 | 0.350 | 7.1 | 6.1–8.0 | 0.391 |
| College/Some Univ. | 336 (41) | 8.0 | 7.2–8.9 | 8.0 | 7.3–8.8 | |||
| Graduated university | 366 (44) | 7.7 | 6.7–8.8 | 7.8 | 6.8–8.7 | |||
| Missing | 17 (2) | 8.5 | 6.9–10.1 | 8.7 | 7.0–10.3 | |||
| Neighbor-hood Type | Urban | 258 (31) | 6.8 | 6.0–7.5 | 0.006 ** | 7.0 | 6.2–7.9 | 0.171 |
| Suburban | 212 (26) | 7.8 | 7.0–8.7 | 7.9 | 7.1–8.8 | |||
| Rural | 356 (43) | 8.4 | 7.7–9.0 | 8.1 | 7.4–8.8 | |||
| Ethnicity | White | 567 (69) | 8.1 | 7.5–8.7 | 0.018 * | 8.0 | 7.4–8.5 | 0.389 |
| Non-White | 230 (28) | 6.7 | 5.9–7.6 | 7.2 | 6.2–8.2 | |||
| Missing | 29 (4) | 7.1 | 4.8–9.3 | 7.2 | 4.9–9.4 | |||
| Child Immigrant Status | Born in Canada | 675 (82) | 8.0 | 7.5–8.5 | 0.002 ** | 7.9 | 7.4–8.4 | 0.127 |
| Immigrant to Canada | 147 (18) | 6.2 | 5.2–7.2 | 6.8 | 5.6–8.1 | |||
| Parent Immigrant Status | Born in Canada | 617 (75) | 7.9 | 7.4–8.5 | 0.069 | 7.7 | 7.1–8.2 | 0.843 |
| Immigrant to Canada | 195 (24) | 6.8 | 5.9–7.7 | 7.8 | 6.7–8.9 | |||
| Missing | 14 (2) | 9.0 | 5.6–12.3 | 8.8 | 5.1–12.5 | |||
| Number of children in the household | 1 | 136 (16) | 7.7 | 6.6–8.8 | 0.499 | 7.9 | 6.9–8.9 | 0.242 |
| 2 | 415 (50) | 7.4 | 6.7–8.1 | 7.5 | 6.9–8.1 | |||
| 3 | 171 (21) | 7.5 | 6.5–8.5 | 7.5 | 6.6–8.4 | |||
| 4 to 8 | 76 (9) | 8.7 | 7.3–10.2 | 9.2 | 7.9–10.6 | |||
| Missing | 28 (3) | 8.2 | 5.9–10.6 | 7.9 | 5.1–10.6 | |||
1 Means are in hours per week. * p < 0.05 ** p < 0.01 *** p < 0.001. + Raw sample size and mean time outdoors adjusted for school clustering only. p-values are for test of mean differences across levels of the demographics (similar to ANOVA). p-values are calculated from Wald Chi-square statistics from multilevel models where an intercept is fitted at the school level. Demographics are tested separately. ++ Means are estimated marginal means from a multilevel model that includes school level intercept and all demographics as independent variables simultaneously. p-values are calculated from Wald Chi-square statistics from the model.
Time Available for Outdoor Free Play: Descriptives and Model 2 Results. Adjusted model controls for demographic variables in Model 1 (Table 3) 1.
| Unadjusted Model + | Adjusted Model ++ | |||||||
|---|---|---|---|---|---|---|---|---|
| Mean | 95% CI | Mean | 95% CI | |||||
| Too busy with sports | Strongly Disagree/Disagree | 454 (56) | 7.7 | 7.0–8.4 | 0.902 | 8.0 | 7.4–8.5 | 0.35 |
| Neither Agree or Disagree | 217 (27) | 7.5 | 6.6–8.4 | 7.2 | 6.5–8.0 | |||
| Strongly Agree/Agree | 147 (18) | 7.6 | 6.5–8.7 | 7.5 | 6.5–8.5 | |||
| Too busy with clubs | Strongly Disagree/Disagree | 677 (82) | 8.1 | 7.5–8.6 | <0.001 *** | 7.9 | 7.4–8.3 | 0.312 |
| Neither Agree or Disagree | 92 (11) | 5.8 | 4.5–7.1 | 7.0 | 5.8–8.2 | |||
| Strongly Agree/Agree | 40 (5) | 5.5 | 3.6–7.4 | 6.4 | 4.6–8.3 | |||
| Missing | 17 (2) | 6.7 | 3.8–9.7 | 7.0 | 3.7–10.2 | |||
| Too busy with chores | Strongly Disagree/Disagree | 621 (76) | 7.9 | 7.3–8.5 | 0.104 | 7.7 | 7.2–8.1 | 0.734 |
| Neither Agree or Disagree | 137 (17) | 7.0 | 5.9–8.0 | 7.5 | 6.5–8.5 | |||
| Strongly Disagree/Disagree | 621 (76) | 7.9 | 7.3–8.5 | 0.104 | 7.7 | 7.2–8.1 | 0.734 | |
| Too busy on screens | Strongly Disagree/Disagree | 411 (50) | 9.6 | 9.0–10.3 | <0.001 *** | 9.5 | 8.9–10.0 | <0.001 *** |
| Neither Agree or Disagree | 218 (26) | 6.8 | 6.0–7.7 | 7.0 | 6.2–7.7 | |||
| Strongly Agree/Agree | 186 (23) | 4.5 | 3.6–5.4 | 4.6 | 3.7–5.5 | |||
| Missing | 11 (1) | 6.7 | 3.3–10.1 | 4.7 | 0.2–9.1 | |||
| Days per week in organized physical activities | Never | 164 (20) | 5.7 | 4.7–6.7 | <0.001 *** | 6.0 | 5.1–7.0 | <0.001 *** |
| < once a week | 51 (6) | 6.8 | 5.2–8.6 | 7.3 | 5.7–8.9 | |||
| 1–3 times a week | 365 (44) | 7.5 | 6.8–8.2 | 7.5 | 6.9–8.0 | |||
| 4 or more times a week | 231 (28) | 9.6 | 8.7–10.5 | 9.4 | 8.6–10.2 | |||
| Missing | 15 (2) | 7.3 | 4.1–10.6 | 5.5 | 2.0–8.9 | |||
| Daily indoor screen/digital time | None | 14 (2) | 6.9 | 3.7–10.1 | 0.002 ** | 5.6 | 2.5–8.6 | 0.178 |
| 1/2 h/day | 87 (11) | 10.0 | 8.7–11.4 | 8.6 | 7.4–9.9 | |||
| 1 h/day | 158 (19) | 8.2 | 7.1–9.2 | 7.4 | 6.5–8.3 | |||
| 2–3 h/day | 278 (34) | 7.3 | 6.5–8.1 | 7.2 | 6.5–7.9 | |||
| 4–6 h/day | 175 (21) | 7.3 | 6.4–8.3 | 8.0 | 7.1–8.8 | |||
| 7+ h/day | 88 (11) | 6.3 | 5.0–7.6 | 8.1 | 6.8–9.3 | |||
| Missing | 26 (3) | 8.3 | 5.8–10.7 | 9.4 | 6.8–11.9 | |||
1 Means are in hours per week. ** p < 0.01 *** p < 0.001. + Raw sample size and mean time outdoors adjusted for school clustering only. p-values are for test of mean differences across levels of the variables (similar to ANOVA). p-values are calculated from Wald Chi-square statistics from multilevel models where an intercept is fitted at the school level. Each variable in the set was tested separately. ++ Means are estimated marginal means from a single multilevel model that includes school level intercept and all demographics as control variables as well as all the Set 2 variables simultaneously. p-values are calculated from Wald Chi-square statistics from the model.
Children’s License for Community Activity and Mobility: Descriptives and Model 3 Results. Adjusted model controls for demographic variables in Model 1 (Table 3) 1.
| Unadjusted Model + | Adjusted Model ++ | |||||||
|---|---|---|---|---|---|---|---|---|
| Mean | 95% CI | Mean | 95% CI | |||||
| Not Allowed to Travel Beyond Home w/o Adult | No | 705 (85) | 8.1 | 7.5–8.7 | <0.001 *** | 7.9 | 7.5–8.4 | 0.002 ** |
| Yes | 121 (15) | 5.2 | 4.1–6.4 | 6.0 | 4.9–7.1 | |||
| Not Allowed to Play Far From Home w/o Adult | Strongly Disagree/Disagree | 456 (56) | 8.8 | 8.2–9.4 | <0.001 *** | 8.6 | 8.1–9.2 | <0.001 *** |
| Neither Agree or Disagree | 188 (23) | 6.4 | 5.5–7.3 | 6.5 | 5.6–7.3 | |||
| Strongly Agree/Agree | 172 (21) | 6.0 | 5.0–6.9 | 6.3 | 5.4–7.3 | |||
| Allowed to Cross Main Roads w/o adult | No | 163 (20) | 6.8 | 5.8–7.8 | 0.147 | 7.7 | 6.7–8.7 | 0.894 |
| Yes | 647 (78) | 7.9 | 7.3–8.5 | 7.7 | 7.2–8.2 | |||
| Missing | 16 (2) | 7.9 | 4.5–11.2 | 6.9 | 3.6–10.2 | |||
| Child Has Cell Phone | No | 323 (40) | 7.4 | 6.6–8.2 | 0.387 | 7.5 | 6.8–8.2 | 0.511 |
| Yes | 494 (60) | 7.8 | 7.1–8.4 | 7.8 | 7.3–8.3 | |||
| Parents | Strongly Disagree/Disagree | 47 (6) | 7.2 | 5.4–9.0 | 0.250 | 7.7 | 6.0–9.5 | 0.583 |
| Neither Agree or Disagree | 127 (15) | 7.4 | 6.3–8.5 | 7.8 | 6.7–8.8 | |||
| Strongly Agree/Agree | 636 (77) | 7.8 | 7.2–8.4 | 7.7 | 7.2–8.2 | |||
| Missing | 16 (2) | 4.8 | 1.7–8.0 | 5.3 | 2.0–8.7 | |||
| Parent: Parental attitude towards level of children supervision | 814 (100) | 0.002 | −0.04–0.05 | 0.916 | 0.04 | −0.01–0.09 | 0.114 | |
1 Means are in hours per week. ** p < 0.01 *** p < 0.001. + Raw sample size and mean time outdoors adjusted for school clustering only. p-values are for test of mean differences across levels of the variables (similar to ANOVA). p-values are calculated from Wald Chi-square statistics from multilevel models where an intercept is fitted at the school level. Each variable in the set was tested separately. ++ Means are estimated marginal means from a single multilevel model that includes school level intercept and all demographics as control variables as well as all the Set 3 variables simultaneously. p-values are calculated from Wald Chi-square statistics from the model. ^ Continuous variable. The mean is the model coefficient (slope).
Socio-environmental Supports for Outdoor Play: Descriptives and Model 4 Results. Adjusted model controls for demographic variables in Model 1 (Table 3) 1.
| Unadjusted Model + | Adjusted Model ++ | |||||||
|---|---|---|---|---|---|---|---|---|
| Mean | 95% CI | Mean | 95% CI | |||||
| Avail. of outdoor space at home | No | 53 (6) | 5.0 | 3.4–6.7 | 0.001 ** | 6.6 | 4.7–8.4 | 0.177 |
| Yes | 772 (94) | 7.9 | 7.3–8.4 | 7.9 | 7.4–8.3 | |||
| Neighborhood Traffic Limits OP | Strongly Disagree/Disagree | 640 (78) | 8.1 | 7.6–8.7 | <0.001 *** | 8.0 | 7.6–8.5 | 0.164 |
| Neither Agree or Disagree | 128 (16) | 6.2 | 5.1–7.3 | 6.9 | 5.8–8.0 | |||
| Strongly Agree/Agree | 54 (7) | 5.6 | 4.0–7.3 | 7.0 | 5.2–8.8 | |||
| Kids in the neighborhood to play with | Strongly Disagree/Disagree | 299 (37) | 6.8 | 6.0–7.6 | <0.001 *** | 7.1 | 6.4–7.8 | 0.005 ** |
| Neither Agree or Disagree | 163 (20) | 6.8 | 5.8–7.8 | 7.2 | 6.3–8.1 | |||
| Strongly Agree/Agree | 356 (44) | 8.8 | 8.1–9.6 | 8.6 | 8.0–9.2 | |||
| Neighborhood Traffic Limits Mobility | Strongly Disagree/ Disagree | 591 (72) | 7.9 | 7.2–8.5 | 0.407 | 7.6 | 7.1–8.1 | 0.704 |
| Neither Agree or Disagree | 143 (17) | 7.3 | 6.3–8.4 | 8.1 | 7.0–9.1 | |||
| Strongly Agree/Agree | 78 (9) | 6.9 | 5.5–8.3 | 8.4 | 7.0–9.8 | |||
| Missing | 14 (2) | 6.3 | 3.0–9.6 | 9.6 | 1.5–17.8 | |||
| Feel Safe | Strongly Disagree/Disagree | 44 (5) | 8.2 | 6.3–10.1 | 0.112 | 9.5 | 7.5–11.5 | 0.379 |
| Neither Agree or Disagree | 93 (11) | 6.4 | 5.1–7.7 | 7.6 | 6.3–8.9 | |||
| Strongly Agree/Agree | 670 (81) | 7.8 | 7.2–8.4 | 7.7 | 7.3–8.2 | |||
| Missing | 19 (2) | 5.9 | 3.2–8.7 | 8.0 | 3.6–12.4 | |||
| Parent: Neighborhood Safe for Kids During the Day | Strongly Disagree/Disagree | 14 (2) | 5.8 | 2.6–9.0 | 0.083 | 8.6 | 5.2–12.1 | 0.763 |
| Neither Agree or Disagree | 46 (6) | 6.0 | 4.2–7.8 | 7.3 | 5.4–9.1 | |||
| Strongly Agree/Agree | 760 (93) | 7.8 | 7.2–8.4 | 7.8 | 7.4–8.2 | |||
| Parent: Neighborhood Has Good Places for Play | Strongly Disagree/Disagree | 67 (8) | 7.8 | 6.3–9.4 | <0.001 *** | 8.3 | 6.8–9.9 | 0.017 * |
| Neither Agree or Disagree | 70 (9) | 4.8 | 3.3–6.2 | 5.8 | 4.3–7.2 | |||
| Strongly Agree/Agree | 682 (83) | 7.9 | 7.3–8.5 | 7.9 | 7.5–8.4 | |||
| Child Perceived Neighbourhood Crime ^ | 790 | −0.16 | −0.26–−0.06 | 0.002 ** | −0.11 | −0.22- 0.01 | 0.062 | |
| Parent: Perception of Neighbourhood Cohesion ^ | 799 | 0.22 | 0.11–0.32 | <0.001 *** | 0.13 | 0.02- 0.25 | 0.027 * | |
1 Means are in hours per week. * p < 0.05 ** p < 0.01 *** p < 0.001. + Raw sample size and mean time outdoors adjusted for school clustering only. p-values are for test of mean differences across levels of the variables (similar to ANOVA). p-values are calculated from Wald Chi-square statistics from multilevel models where an intercept is fitted at the school level. Each variable in the set was tested separately. ++ Means are estimated marginal means from a single multilevel model that includes school level intercept and all demographics as control variables as well as all the Set 4 variables simultaneously. p-values are calculated from Wald Chi-square statistics from the model. ^ Continuous variable. The mean is the model coefficient (slope).
Child and Parent Attitudes Towards Outdoor Play: Descriptives and Model 5 Results. Adjusted model controls for demographic variables in Set 1 (Table 3) 1.
| Unadjusted Model + | Adjusted Model ++ | |||||||
|---|---|---|---|---|---|---|---|---|
| Mean | 95% CI | Mean | 95% CI | |||||
| Playing outside is fun and exciting | Strongly Disagree/Disagree | 38 (5) | 2.9 | 0.9–4.8 | <0.001 *** | 7.0 | 4.8–9.2 | 0.672 |
| Neither Agree or Disagree | 95 (12) | 4.6 | 3.4–5.8 | 7.4 | 6.1–8.7 | |||
| Strongly Agree/Agree | 690 (84) | 8.4 | 7.8–8.9 | 7.9 | 7.5–8.3 | |||
| I don’t like to play outside | Strongly Disagree/Disagree | 668 (82) | 8.6 | 8.1–9.2 | <0.001 *** | 8.1 | 7.6–8.5 | 0.046 * |
| Neither Agree or Disagree | 86 (11) | 4.3 | 3.0–5.6 | 6.2 | 4.9–7.5 | |||
| Strongly Agree/Agree | 65 (8) | 3.1 | 1.7–4.6 | 7.0 | 5.2–8.9 | |||
| I don’t like to play outside because it is boring | Strongly Disagree/Disagree | 630 (77) | 8.7 | 8.1–9.3 | <0.001 *** | 8.1 | 7.6–8.5 | 0.159 |
| Neither Agree or Disagree | 118 (14) | 5.0 | 3.9–6.1 | 7.0 | 5.9–8.1 | |||
| Strongly Agree/Agree | 71 (9) | 3.1 | 1.7–4.5 | 6.5 | 4.7–8.3 | |||
| I don’t like to play outside because it is too dirty | Strongly Disagree/Disagree | 720 (87) | 8.0 | 7.4–8.5 | 0.001 *** | 7.7 | 7.3–8.1 | 0.894 |
| Neither Agree or Disagree | 67 (8) | 5.7 | 4.2–7.2 | 8.1 | 6.7–9.5 | |||
| Strongly Agree/Agree | 28 (3) | 4.4 | 2.2–6.7 | 8.5 | 6.2–10.9 | |||
| Missing | 11 (1) | 8.0 | 4.4–11.6 | 8.1 | 3.8–12.5 | |||
| I don’t like to play outside because I will get too hot/sweaty | Strongly Disagree/Disagree | 637 (78) | 8.5 | 8.0–9.0 | <0.001 *** | 8.0 | 7.6–8.4 | 0.160 |
| Neither Agree or Disagree | 126 (15) | 5.4 | 4.3–6.5 | 6.8 | 5.7–7.9 | |||
| Strongly Agree/Agree | 55 (7) | 4.0 | 2.4–5.6 | 7.5 | 5.8–9.3 | |||
| I don’t like to play outside because I will get too cold | Strongly Disagree/Disagree | 565 (69) | 8.5 | 7.9–9.1 | <0.001 *** | 7.8 | 7.3–8.3 | 0.995 |
| Neither Agree or Disagree | 172 (21) | 6.6 | 5.7–7.6 | 7.8 | 6.9–8.7 | |||
| Strongly Agree/Agree | 84 (10) | 4.7 | 3.4–6.0 | 7.8 | 6.5–9.2 | |||
| I don’t like to play outside because there are better things to do inside | Strongly Disagree/Disagree | 426 (52) | 9.8 | 9.2–10.4 | <0.001 *** | 8.8 | 8.2–9.4 | <0.001 *** |
| Neither Agree or Disagree | 153 (31) | 6.4 | 5.6–7.1 | 6.7 | 6.0–7.4 | |||
| Strongly Agree/Agree | 241 (17) | 3.9 | 2.9–4.8 | 6.7 | 5.4–8.0 | |||
| Parent: Parent attitudes towards playing outdoors (PACOR) ^ | 802 | 0.1 | 0.1 | <0.001 *** | 0.03 | −0.02–0.07 | 0.205 | |
| Child Perceived Benefits of Outdoor Play (ATOP) ^ | 805 | 2.8 | 2.8 | <0.001 *** | 1.18 | 0.44–1.92 | 0.002 ** | |
| Child Perceived Fears of Outdoor Play (ATOP) ^ | 803 | −1.8 | −1.8 | <0.001 *** | −0.96 | −1.54–−0.39 | 0.001 ** | |
1. Means are in hours per week. * p < 0.05 ** p < 0.01 *** p < 0.001. + Raw sample size and mean time outdoors adjusted for school clustering only. p-values are for test of mean differences across levels of the variables (similar to ANOVA). p-values are calculated from Wald Chi-square statistics from multilevel models where an intercept is fitted at the school level. Each variable in the set was tested separately. ++ Means are estimated marginal means from a single multilevel model that includes school level intercept and all demographics as control variables as well as all the Set 5 variables simultaneously. p-values are calculated from Wald Chi-square statistics from the model. ^ Continuous variable. The mean is the model coefficient (slope).