Longitudinal associations between neighbourhood trust, social support and physical activity in adolescents: evidence from the Olympic Regeneration in East London (ORiEL) study.
HEALTH BEHAVIOUR
INEQUALITIES
PHYSICAL ACTIVITY
PREVENTION
PUBLIC HEALTH
SOCIAL CAPITAL
SOCIAL COHESION
SOCIAL ENVIRONMENT
SOCIAL EPIDEMIOLOGY
SOCIAL SUPPORT
SPORT
Journal
Journal of epidemiology and community health
ISSN: 1470-2738
Titre abrégé: J Epidemiol Community Health
Pays: England
ID NLM: 7909766
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
22
10
2019
revised:
12
04
2020
accepted:
15
04
2020
pubmed:
10
5
2020
medline:
3
9
2021
entrez:
10
5
2020
Statut:
ppublish
Résumé
Most UK adolescents do not achieve recommended levels of physical activity (PA). Previous studies suggest that the social environment could contribute to inequalities in PA behaviours, but longitudinal evidence is limited. We examined whether neighbourhood trust and social support were longitudinally associated with four common forms of PA: walking to school, walking for leisure, outdoor PA and pay and play PA. We further assessed whether gender moderated these associations. We used longitudinal data from the Olympic Regeneration in East London (ORiEL) study. In 2012, 3106 adolescents aged 11-12 were enrolled from 25 schools in four deprived boroughs of East London, UK. Adolescents were followed-up in 2013 and 2014. The final sample includes 2664 participants interviewed at waves 2 and 3. We estimated logistic regression models using generalised estimating equations (GEEs) (pooled models) and proportional odds models (models of change) to assess associations between the social environment exposures and the PA outcomes, adjusting for potential confounders. Item non-response was handled using multilevel multiple imputation. We found that different aspects of the social environment predict different types of PA. Neighbourhood trust was positively associated with leisure-type PA. Social support from friends and family was positively associated with walking for leisure. There was some evidence that changes in exposures led to changes in the PA outcomes. Associations did not systematically differ by gender. These results confirm the importance of the social environment to predict PA and its change over time in a deprived and ethnically diverse adolescent population.
Sections du résumé
BACKGROUND
Most UK adolescents do not achieve recommended levels of physical activity (PA). Previous studies suggest that the social environment could contribute to inequalities in PA behaviours, but longitudinal evidence is limited. We examined whether neighbourhood trust and social support were longitudinally associated with four common forms of PA: walking to school, walking for leisure, outdoor PA and pay and play PA. We further assessed whether gender moderated these associations.
METHODS
We used longitudinal data from the Olympic Regeneration in East London (ORiEL) study. In 2012, 3106 adolescents aged 11-12 were enrolled from 25 schools in four deprived boroughs of East London, UK. Adolescents were followed-up in 2013 and 2014. The final sample includes 2664 participants interviewed at waves 2 and 3. We estimated logistic regression models using generalised estimating equations (GEEs) (pooled models) and proportional odds models (models of change) to assess associations between the social environment exposures and the PA outcomes, adjusting for potential confounders. Item non-response was handled using multilevel multiple imputation.
RESULTS
We found that different aspects of the social environment predict different types of PA. Neighbourhood trust was positively associated with leisure-type PA. Social support from friends and family was positively associated with walking for leisure. There was some evidence that changes in exposures led to changes in the PA outcomes. Associations did not systematically differ by gender.
CONCLUSION
These results confirm the importance of the social environment to predict PA and its change over time in a deprived and ethnically diverse adolescent population.
Identifiants
pubmed: 32385128
pii: jech-2019-213412
doi: 10.1136/jech-2019-213412
pmc: PMC7614811
mid: EMS181447
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
710-718Subventions
Organisme : Medical Research Council
ID : MC_UU_12023/21
Pays : United Kingdom
Organisme : Department of Health
ID : 09/3005/09
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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