Abstract
Objective
The purpose of this study was to examine the potential differences in knowledge and behaviors related to active living between two schools with contrasting socioeconomic status (SES) and racial characteristics.
Design
The sample involved 523 adolescents from two public middle schools in a southern US state including 243 Black (46.5%), 223 White (42.6%), and 67 others (12.8%). Physical activity (PA) and sedentary behavior (SB) were measured using the validated Youth Activity Profile (YAP), while knowledge of physical activity and fitness (PAF knowledge) was measured using the grade-appropriate PE Metrics written test. Socio-demographic characteristics were self-reported or obtained via secondary government database.
Results
The medium SES school showed higher PA outside of school (ΔM = 0.27, d = 0.26), lower SB (ΔM = − 0.35, d = − 0.45), and higher PAF knowledge (ΔM = 8.3%, d = 0.54) than the low SES school. Statistically significant differences were observed for after-school PA, evening PA, weekend PA, TV viewing, video games, and cell phone use (d = − 0.38 to 0.39). Group difference by race was also found with White participants demonstrating higher PA outside of school, lower SB, and higher PAK knowledge than Black participants (d = − 0.43 to 0.57).
Conclusions
The lower SES school (mostly Black) showed less favorable PA, SB, and knowledge results than the higher SES school. SES is a significant school-level characteristic influencing the determinants (i.e., knowledge and behaviors) of the active living habit in youth.
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References
Gentry M. Poverty re-cycles: Why America needs to prioritize child health disparities. Lucerna. 2016;10:82–94.
Howe LD, Lawlor DA, Propper C. Trajectories of socioeconomic inequalities in health, behaviours and academic achievement across childhood and adolescence. J Epidemiol Community Health. 2013;67(4):358–64.
Adler NE, Newman K. Socioeconomic disparities in health: pathways and policies. Health Affairs (Project Hope). 2002;21(2):60–76.
Hillier-Brown FC, Bambra CL, Cairns JM, Kasim A, Moore HJ, Summerbell CD. A systematic review of the effectiveness of individual, community and societal level interventions at reducing socioeconomic inequalities in obesity amongst children. BMC Public Health. 2014;14:834.
Cottrell L, Zatezalo J, Bonasso A, Lattin J, Shawley S, Murphy E, et al. The relationship between children’s physical activity and family income in rural settings: a cross-sectional study. Prev Med Rep. 2015;2:99–104.
Keating XD, Chen L, Guan J, Harrison LJ, Dauenhauer B. Urban minority ninth-grade students’ health-related fitness knowledge. Res Q Exerc Sport. 2009;80(4):747–55.
Melki IS, Beydoun HA, Khogali M, Tamim H, Yunis KA. Household crowding index: a correlate of socioeconomic status and interpregnancy spacing in an urban setting. J Epidemiol Community Health. 2004;58:476–80.
Krieger N, Chen JT, Waterman PD, Rehkopf DH, Subramanian SV. Painting a truer picture of US socioeconomic and racial/ethnic health inequalities: the public health disparities geocoding project. Am J Public Health. 2005;95(2):312–23.
Barr-Anderson DJ, Flynn JI, Dowda M, Taverno Ross SE, Schenkelberg MA, Reid LA, et al. The modifying effects of race/ethnicity and socioeconomic status on the change in physical activity from elementary to middle school. J Adolesc Health. 2017;61(5):562–70.
Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phy. 2010;7:40. https://doi.org/10.1186/1479-5868-7-40.
U.S. Department of Health and Human Services. 2018 physical activity guidelines advisory committee scientific report. Washington, DC: U.S. Department of Health and Human Services; 2018.
Villanueva R, Albaladejo R, Astasio P, Ortega P, Santos J, Regidor E. Socio-economic environment, area facilities and obesity and physical inactivity among children. Eur J Pub Health. 2016;26(2):267–71.
Centers for Disease Control and Prevention. High blood pressure during children and adolescence. Washington, DC October 1, 2019; 2018.
Legault EP, Descarreaux M, Cantin V. Musculoskeletal symptoms in an adolescent athlete population: a comparative study. BMC Musculoskelet Disord. 2015;16:210. https://doi.org/10.1186/s12891-015-0681-4.
Verswijveren SJJM, Lamb KE, Bell LA, Timperio A, Salmon J, Ridgers ND. Associations between activity patterns and cardio-metabolic risk factors in children and adolescents: a systematic review. PLoS One. 2018;13(8):e0201947. https://doi.org/10.1371/journal.pone.0201947.
Chen S, Gu X. Effects of cardiorespiratory fitness and weight status on knowledge of physical activity and fitness, attitude toward physical education, and physical activity. BMC Public Health. 2018;18(1):273.
Troiano RP. Can there be a single best measure of reported physical activity? Am J Clin Nutr. 2009;89(3):736–7.
Pate R, Mitchell J, Byun W, Dowda M. Sedentary behavior in youth. Br J Sports Med. 2011;45(11):906–13.
Sterdt E, Liersch S, Walter U. Correlates of physical activity of children and adolescents: a systematic review of reviews. Health Educ J. 2014;73(1):72–89.
Nicosia N, Shier V, Datar A. The role of school environments in explaining racial-ethnic disparities in body mass index among US adolescents. J Adolesc Health. 2016;59(2):215–21.
Bai Y, Chen S, Laurson KR, Kim Y, Saint-Maurice PF, Welk GJ. The associations of youth physical activity and screen time with fatness and fitness: the 2012 NHANES national youth fitness survey. PLoS One. 2016;11(1):e0148038.
Martinez-Gomez D, Eisenmann JC, Gomez-Martinez S, Veses A, Romeo J, Veiga OL, et al. Associations of physical activity and fitness with adipocytokines in adolescents: the AFINOS study. Nutr Metab Cardiovasc Dis. 2012;22(3):252–9.
Chen S, Liu Y, Schaben J. To move more and sit less: does physical activity/fitness knowledge matter in youth. J Teach Phys Educ. 2017;36(2):142–51.
Chen S, Gu X, Liu Y. To move more but sit less: the roles of students’ attitude and knowledge. Eur Phys Educ Rev. 2019;25(3):731–44.
Ennis CD. Educating students for a lifetime of physical activity: enhancing mindfulness, motivation, and meaning. Res Q Exerc Sport. 2017;88(3):241–50.
Nigg C. ACSM's behavioral aspects of physical activity and exercise. Philadelphia: Wolters Kluwer Health/Lippincott Williams and Wilkins; 2014.
Adams EK, Breen N, Joski PJ. Impact of the national breast and cervical cancer early detection program on mammography and Pap test utilization among white, Hispanic, and African American women: 1996-2000. Cancer. 2007;109(Suppl 2):348–58.
Fitzpatrick LK, Sutton M, Greenberg AE. Toward eliminating health disparities in HIV/AIDS: the importance of the minority investigator in addressing scientific gaps in black and Latino communities. J Natl Med Assoc. 2006;98(12):1906–11.
Marín G. Defining culturally appropriate community interventions: Hispanics as a case study. J Commun Psychol. 1993;21(2):149–61.
Harwell M, LeBeau B. Student eligibility for a free lunch as an SES measure in education research. Educ Res. 2010;39(2):120–31.
Saint-Maurice PF, Welk GJ. Validity and calibration of the youth activity profile. Public Libr Sci. 2015;10(12):1–16.
National Association for Sport and Physical Education [NASPE]. PE metrics: assessing national standards 1–6 in secondary school. Reston: American Alliance for Health, Physical Education, Recreation and Dance; 2011.
Dyson BP, Williams LH. The role of PE Metrics in physical education teacher education. J Phys Educ Recreat Dance. 2012;83(5):29–32.
Hodges M, Lee C, Lorenz KA, Cipriani D. Review of the PE metrics cognitive assessment tool for fifth grade students. Biomed Human Kinet. 2015;7(1):2080–234.
Zhu W, Rink J, Placek JH, et al. PE metrics: background, testing theory, and methods. Meas Phys Educ Exerc Sci. 2011;15:87–99.
Richardson JTE. Eta squared and partial eta squared as measures of effect size in educational research. Educ Res Rev-Neth. 2011;6(2):135–47.
Sawilowsky S. New effect size rules of thumb. J Mod Appl Stat Methods. 2009;8(2):467–74.
Belcher BR, Berrigan D, Dodd KW, Emken BA, Chou CP, Spruijt-Metz D. Physical activity in US youth: effect of race/ethnicity, age, gender, and weight status. Med Sci Sports Exerc. 2010;42(12):2211–21.
Katzmarzyk PT, Denstel KD, Beals K, Carlson J, Crouter SE, McKenzie T, et al. Results from the United States 2018 report card on physical activity for children and youth. J Phys Act Health. 2018;15:S422–4.
Hanson MD, Chen E. Socioeconomic status and health behaviors in adolescence: a review of the literature. J Behav Med. 2007;30(3):263–85.
Doerschuk P, Bahrim C, Daniel J, Kruger J, Mann J, Martin C. Closing the gaps and filling the STEM pipeline: a multidisciplinary approach. J Sci Educ Technol. 2016;25:682–95.
Ferkel RC, Stodden DF, Judge LW, Griffin K, Hamman D. Relationship between health-related fitness knowledge and physical fitness. Int J Phys Educ Sports Health. 2015;1(6):76–82.
Ferreira I, van der Horst K, Wendel-Vos W, Kremers S, van Lenthe FJ, Brug J. Environmental correlates of physical activity in youth – a review and update. Obes Rev. 2007;8(2):129–54.
Kantomaa MT, Tammelin TH, Näyhä S, Taanila AM. Adolescents' physical activity in relation to family income and parents' education. Prev Med. 2007;44(5):410–5.
Kimiecik JC, Horn TS. Parental beliefs and children’s moderate-to-vigorous physical activity. Res Q Exerc Sport. 1999;69:163–75.
Shriberg D. School psychology and social justice: conceptual foundations and tools for practice. New York: Routledge; 2013.
Beets MW, Okely A, Weaver RG, et al. The theory of expanded, extended, and enhanced opportunities for youth physical activity promotion. Int J Behav Nutr Phy. 2016;13:1–15.
Robinson TN, Killen JD, Kraemer HC, et al. Dance and reducing television viewing to prevent weight gain in African-American girls: the Stanford GEMS pilot study. Ethn Dis. 2003;13(Suppl 1):S65–77.
Gothe NP, Kendall BJ. Barriers, motivations, and preferences for physical activity among female African American older adults. Gerontol Geriat Med. 2016;2:1–8.
Milteer RM, Ginsburg KR, Mulligan DA. The importance of play in promoting healthy child development and maintaining strong parent-child bond: focus on children in poverty. Pediatrics. 2012;129(1):e204–13.
Acknowledgments
We thank the four PE teachers, two principals, and all the participating students at the two anonymous schools for their contribution to this study. We also acknowledge the graduate and undergraduate students who devoted time to data collection.
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Zhang, P., Liu, Y., Gu, X. et al. Toward Active Living: SES- and Race-Based Disparities in Knowledge and Behaviors. J. Racial and Ethnic Health Disparities 7, 374–382 (2020). https://doi.org/10.1007/s40615-019-00666-w
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DOI: https://doi.org/10.1007/s40615-019-00666-w