Contextual Influences on Weight Status Among Impoverished Adolescents: Neighborhood Amenities for Physical Activity and State Laws for Physical Education Time Requirements

Oh, April; Hennessy, Erin; McSpadden, Kate E.; Perna, Frank M.

doi:10.1123/jpah.2013-0303

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…However, FLASHE did not assess school equipment or facilities, which might influence adolescent MVPA. 30 Adolescents were prompted to anchor on the area around their home, and not around their school, when thinking about different aspects of their neighborhood, consistent with the literature. 9 However, half of participants’ homes were located less than 2 miles from their school, with more than 25% living within 1 mile of their school.…”

Section: Discussionmentioning

confidence: 99%

Adolescent Physical Activity: Moderation of Individual Factors by Neighborhood Environment

D’Angelo

Fowler

Nebeling

et al. 2017

American Journal of Preventive Medicine

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Introduction Less than a third of U.S. adolescents meet federal physical activity (PA) guidelines. Understanding correlates of PA at multiple levels of the Social Ecological Model could improve PA interventions among youth. This study examines: (1) associations between factors across the Social Ecological Model including psychosocial factors, perceived neighborhood physical and social environment characteristics, and adolescent moderate/vigorous PA (MVPA); and (2) whether perceived neighborhood characteristics moderate associations between psychosocial factors and MVPA. Methods A national sample of adolescents (aged 12–17 years) in the 2014 Family Life, Activity, Sun, Health, and Eating Study was used to examine associations between psychosocial characteristics, perceived neighborhood social and physical characteristics, and self-reported weekly minutes of MVPA. Analyses were conducted in 2015. Interaction terms between psychosocial and neighborhood variables were added to multiple linear regression models to examine moderation hypotheses. Results Significant two-way interactions revealed that neighborhoods with features perceived as supportive of PA strengthened several psychosocial–MVPA associations. The positive associations between MVPA and friend norms, friend support, and attitudes were strengthened for adolescents living in neighborhoods with high versus low PA resource availability (all p<0.05). Furthermore, the association between controlled and autonomous motivation and MVPA was strengthened under conditions of shops/stores near (versus distant from) adolescents’ homes (p<0.05). Conclusions The association between some psychosocial factors and adolescent MVPA may be environment dependent. Neighborhood physical and social environments supportive of PA are important to consider when developing targeted PA interventions, and may strengthen the association between psychosocial-level factors and adolescent MVPA.

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Section: Discussionmentioning

confidence: 99%

Adolescent Physical Activity: Moderation of Individual Factors by Neighborhood Environment

D’Angelo

Fowler

Nebeling

et al. 2017

American Journal of Preventive Medicine

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“…Prior studies in the US on school policies report that state laws addressing physical education (PE) or additional PA opportunities (e.g., PA breaks) in school are related to higher adolescent PE participation, total PA, and lower rates of obesity (Morton et al, 2016; Cawley et al, 2007a; Oh et al, 2015; Perna et al, 2012; Taber et al, 2013). Youth who are physically active in school may also be more active after school hours (Dale et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

School contextual correlates of physical activity among a national adolescent sample

Perez

Dwyer

et al. 2019

Preventive Medicine Reports

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Schools are an important context to promote adolescent physical activity (PA). However, following ecologic frameworks, little is known about the influence of multiple school contextual levels – environment and policy – on adolescent PA. This study aimed to examine associations of school neighborhood environment factors and state laws with PA, and the moderating effects of school neighborhood socioeconomic status (SES) on these associations. Analyses used cross-sectional data from a national sample of middle ( n = 387) and high ( n = 591) school adolescents from the Family Life, Activity, Sun, Health, and Eating study conducted in 2014. Outcomes included self-report school-time PA and active transport to/from school (ATS), and estimated minutes/week of school-related moderate-to-vigorous PA (MVPA) and total MVPA. Separate regression models for middle and high school respondents examined state laws (school PA or physical education (PE) time requirements) and school neighborhood factors (density, age, and commute times), and their interactions with school neighborhood SES, in relation to each PA outcome, adjusting for socio-demographic and psychosocial factors. The high school models showed strong PE laws (B[SE]: 0.3[0.1], p = 0.02) and any PA law (B[SE]: 0.3[0.1], p = 0.0003) were related to higher school-time PA, and shorter school neighborhood commute times were related to lower ATS (OR [95% CI]: 0.4 [0.2–0.7]). We found similar associations with estimated school-related MVPA. The middle school models showed no significant state law or school neighborhood main effects. Interactions with school neighborhood SES were not significant. Our findings provide further support for state laws to promote PA in school regardless of school neighborhood SES.

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“…However, school SES has been shown to influence the impact of school nutrition legislation . Other studies have suggested that neighbourhood structural factors including amenities, poverty and racial composition may influence the impact of obesity prevention interventions .…”

Section: Discussionmentioning

confidence: 99%

Community characteristics modify the relationship between obesity prevention efforts and dietary intake in children: the Healthy Communities Study

Woodward-Lopez

Gosliner

et al. 2018

Pediatric Obesity

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Contextual Influences on Weight Status Among Impoverished Adolescents: Neighborhood Amenities for Physical Activity and State Laws for Physical Education Time Requirements

Abstract: This study emphasizes the potential significance of state laws on low SES groups to combat obesity; as well as the potential differential effects of local level factors, and alignment with policy goals for healthy weight.

Cited by 5 publications

References 17 publications

Adolescent Physical Activity: Moderation of Individual Factors by Neighborhood Environment

Adolescent Physical Activity: Moderation of Individual Factors by Neighborhood Environment

School contextual correlates of physical activity among a national adolescent sample

Community characteristics modify the relationship between obesity prevention efforts and dietary intake in children: the Healthy Communities Study

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