Active school travel is associated with fewer suicide attempts among adolescents from low-and middle-income countries

Chen, Si Tong; Guo, Tianyou; Yu, Qian; Stubbs, Brendon; Clark, Cain C. T.; Zhang, Zhihao; Zhu, Mingyue; Hossain, Mahhub; Yeung, Albert; Griffiths, Mark D.; Zou, Liye

doi:10.1016/j.ijchp.2020.11.001

Cited by 20 publications

(13 citation statements)

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“…Participants having 5 days or more for walking or cycling were regarded as being active, whereas those not reporting 5 days or more for walking or cycling were regarded as being passive. The rational for selecting 5 days or more is that adolescents normally have 5 days for schooling per week, which is in line with a previous study [27].…”

Section: Active School Travel (Exposure)supporting

confidence: 82%

Association between Active School Travel and Depressive Symptoms among 51,702 Adolescents in 26 Low- and Middle-Income Countries

Shuan¹,

Chen²,

Zhu³

et al. 2021

International Journal of Mental Health Promotion

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Little is known about the role of active school travel (AST) on mental health among adolescents. Thus, this study aimed to explore the AST-depression association among adolescents aged 12-15 years from 26 low-and middleincome countries (LMICs). Data from the Global School-based Student Health Survey were analyzed in 51,702 adolescents [mean (SD) age 13.8 (1.0) years; 49.3% boys). Both depressive symptoms and AST were assessed by a single question self-reported measure, respectively. Participants who reported having 5 days or above were considered as AST. Multivariable logistic regression analysis (accounting for sampling weights) was performed while controlling for gender, age, physical activity, sedentary behavior, and food insecurity, and a countrywide meta-analysis was undertaken. The prevalence of depressive symptoms and AST were 30.1% and 37.0%, respectively. Compared with those not having AST, adolescents with AST were less likely to have self-reported depressive symptoms (OR = 0.88, 95%CI: 0.85-0.93) regardless of gender. Countrywide meta-analysis demonstrated that having AST versus not having AST was associated with 12% lower odds for depressive symptoms (OR = 0.88; 95%CI: 0.82-0.94) but with a moderate between-country heterogeneity (I 2 = 59.0%). Based on large samples of adolescents from LMICs, it would be expected that AST may play a critical role in preventing adolescent depression worldwide. However, it is necessary to consider more country-specific This work is licensed under a Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Active School Travel (Exposure)supporting

confidence: 82%

Association between Active School Travel and Depressive Symptoms among 51,702 Adolescents in 26 Low- and Middle-Income Countries

Shuan¹,

Chen²,

Zhu³

et al. 2021

International Journal of Mental Health Promotion

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“…To investigate the potential factors that influence suicide-related behaviors, most previous studies have examined only a few lifestyle behaviors (e.g., physical activity, sleep) ( 8 , 18 ), and have not yet examined others. As such, previous research may offer limited results.…”

Section: Discussionmentioning

confidence: 99%

“…A recent meta-analytical review ( 5 , 6 ) indicated an association between higher PA levels and lower suicidal ideation ( 7 ). Even low levels of PA was found to be associated with a lower risk for suicidal ideation ( 8 ). In contrast, sedentary adolescents have been found to have a greater risk for indulging in suicide-related behaviors ( 9 , 10 ).…”

Section: Introductionmentioning

confidence: 99%

Lifestyle Behaviors and Suicide-Related Behaviors in Adolescents: Cross-Sectional Study Using the 2019 YRBS Data

Chi

Taylor

et al. 2021

Front. Public Health

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Objective: The purpose of this research was to investigate the prevalence of lifestyle behaviors and suicide-related behaviors and the association between them using a nationally representative sample of adolescents from the USA.Methods: 13,677 high school students aged 14-18 years were included in this cross-sectional study. The research data were retrieved from the Youth Risk Behavior Surveillance System Survey in 2019. All data on age, sex, grade, race, physical activity, television time, fruit intake, and suicide-related behavior were self-reported by students. Logistic regression models were adopted to examine the association between lifestyle behaviors and the suicide-related behaviors.Results: Students who played video/computer games for ≥2 h had higher risk of suicide attempt (OR = 1.55, 95%CI: 1.30-1.85). Daily sleep duration of ≤8 h was positively associated with considering a suicide attempt (OR = 1.99, 95%CI: 1.62-2.43). In addition, participants who did not engage in any sport team were more likely to report considering a suicide attempt (OR = 1.50, 95%CI: 1.24-1.81).Conclusion: This research suggests that some lifestyle behaviors (e.g., time for video or computer use, sleep duration, sports team participation, regular breakfast intake, and substance use) are associated with increased risk of suicidal behavior and ideation in high school students. To identify the specific effect of multiple lifestyle factors in influencing the risk of suicide-related behaviors in high school students, longitudinal studies are warranted in future.

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“…Based on the associations established in the extant literature ( 38 , 39 , 46 , 47 ) and, more importantly, their availability in the GSHS dataset, the following variables were included as covariates; sex, age, physical fighting, current cigarette use, loneliness, number of close friends, peer support, parental connectedness, and parental bonding were considered as control variables. Specifically, to facilitate the age-stratified analysis, we classified participants into two categories: younger adolescents (aged 12–14 years) and older adolescents (aged 15–17 years) based on the common age groups used to distinguish adolescence stages ( 48 ).…”

Section: Methodsmentioning

confidence: 99%

Food Insecurity and Bullying Victimization Among 170,618 Adolescents in 59 Countries

et al. 2021

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Background: Bullying victimization can impose long-lasting impacts on adolescent's current and subsequent well-being. Understanding the correlates of bullying victimization and how to prevent its occurrence is an urgent need. Food insecurity, an indicator of low socioeconomic status, may be related to bullying victimization. However, research on the association between food insecurity and bullying victimization is limited. Using a representative global sample, this study aimed to investigate the association between food insecurity and bullying victimization in adolescents and whether the association varied between country income levels, sexes, and age groups.Methods: Using cross-sectional, school-based data by 170,618 adolescents in 59 countries from the Global School-based Student Health Survey, multivariable logistic regression and meta-analysis were conducted to investigate the overall, country-stratified, sex-stratified, and age-stratified associations.Results: The prevalence of bullying victimization was 33.3%. In the total sample, adolescents with food insecurity showed significantly higher odds for bullying victimization than those without no food insecurity with a pooled odds ratio (OR) being 1.37 (1.28, 1.47). Further, the association was stronger in higher-income countries, females, and older adolescents.Conclusions: Bullying victimization is prevalent among global adolescents with food insecurity being a significant correlate. The identification of adolescents with perceptions of food insecurity and remedying this condition may be important to reduce the prevalence of bullying. This highlights the need to design and implement sex- and age-specific interventions focusing on remedying food insecurity and bullying victimization among in-school adolescents by taking country income levels into account.

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Active school travel is associated with fewer suicide attempts among adolescents from low-and middle-income countries

Cited by 20 publications

References 38 publications

Association between Active School Travel and Depressive Symptoms among 51,702 Adolescents in 26 Low- and Middle-Income Countries

Association between Active School Travel and Depressive Symptoms among 51,702 Adolescents in 26 Low- and Middle-Income Countries

Lifestyle Behaviors and Suicide-Related Behaviors in Adolescents: Cross-Sectional Study Using the 2019 YRBS Data

Food Insecurity and Bullying Victimization Among 170,618 Adolescents in 59 Countries

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