01-04-2018 | Original Article
Are school factors and urbanization supportive for being physically active and engaging in less screen-based activities?
Published in: International Journal of Public Health | Issue 3/2018
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Objectives
The aim was to assess the association between physical activity and screen-based activities in adolescents and selected school factors and urbanization and whether these associations were modified by degree of urbanization.
Methods
We obtained data regarding the fifth–ninth grade students from 130 schools in 2014 via the Health Behaviour in School-aged Children cross-sectional study in Slovakia (n = 9743, mean age = 13.5, 50.3% boys). We explored the associations using multilevel logistic regression.
Results
We found significant associations between physical activity and the accessibility of an area for skating/tennis court [odds ratio (OR) = 1.20 and 95% confidence interval (CI) 1.01–1.42], and between physical activity and active breaks (OR = 0.83 and 95% CI 0.69–0.99). The rates of screen-based activities were higher in small towns (OR = 1.63, 95% CI 1.29–2.06), towns (OR = 1.30, 95% CI 1.08–1.57), and cities (OR = 1.40, 95% CI 1.04–1.87) than in villages.
Conclusions
School environment and degree of urbanization are associated with adolescents’ physical activity and screen-based activities. This holds positively for access to an area for skating/tennis court and negatively for active breaks regarding physical activity and for living in villages regarding less use of screens.