The role of family, school and neighbourhood in explaining inequalities in physical activity trajectories between age 9 and 18.

Family Health inequalities Ireland Longitudinal data Neighbourhood Physical activity School Social determinants of health

Journal

SSM - population health
ISSN: 2352-8273
Titre abrégé: SSM Popul Health
Pays: England
ID NLM: 101678841

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 14 06 2022
revised: 10 08 2022
accepted: 19 08 2022
entrez: 20 9 2022
pubmed: 21 9 2022
medline: 21 9 2022
Statut: epublish

Résumé

Differentials in physical activity (PA) between social and economic groups has been shown to contribute significantly to social gradients in health and life expectancy, yet relatively little is known about why differentials in PA emerge. This paper uses longitudinal data on a nationally representative sample of 6,216 young people aged between 9 and 18, from Ireland, to measure the role of family, school and neighbourhood level factors in accounting for differentials in PA trajectories between groups of young people, defined by level of maternal education, whilst adjusting for the individual characteristics of the young person (sex, age, personality, body mass index and health-status). Levels of PA fall significantly across the sample between 9 and 18, and the decline in PA is larger for the children of lower educated mothers. We find a clear gradient in PA at each age by maternal education for both males and females. Descriptive analyses found social gradients in the majority of our risk factors. Using multi-level, linear spline regression models to decompose differentials between groups, we find that family-level mechanisms account for the biggest proportion of the differential in PA for both males (50.8%) and females (35.1%). Differences in income across maternal education categories accounted for 24.1% of the differential for males and 14.7% among females, making it the second most effective mechanism in explaining the social patterning of PA. Neighbourhood-level processes resulted in a modest reduction in the same differential, while school level processes had the effect of equalising differences in PA across maternal education groups.

Identifiants

pubmed: 36124255
doi: 10.1016/j.ssmph.2022.101216
pii: S2352-8273(22)00195-1
pmc: PMC9482142
doi:

Types de publication

Journal Article

Langues

eng

Pagination

101216

Informations de copyright

© 2022 The Authors.

Déclaration de conflit d'intérêts

Authors have no conflicts of Interest to declare.

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Auteurs

Olivia McEvoy (O)

Department of Sociology, School of Social Sciences and Philosophy, Trinity College, Dublin, Ireland.

Frances Cronin (F)

Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Ireland.

Ross Brannigan (R)

Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Ireland.

Debbi Stanistreet (D)

Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Ireland.

Richard Layte (R)

Department of Sociology, School of Social Sciences and Philosophy, Trinity College, Dublin, Ireland.

Classifications MeSH