Association of School Health Relationship Difficulties with Lack of Regular Physical Activity in Younger Adolescents: A Population Based Study.
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| Title: | Association of School Health Relationship Difficulties with Lack of Regular Physical Activity in Younger Adolescents: A Population Based Study. |
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| Authors: | Chau, Kénora, Gauchard, Gérome, Belbraouet, Slimane, Perrin, Philippe, Chau, Nearkasen |
| Source: | Psychiatry: Interpersonal & Biological Processes. Fall2023, Vol. 86 Issue 3, p229-248. 20p. 4 Charts, 1 Graph. |
| Subjects: | Mental depression risk factors, Middle schools, Cross-sectional method, Health status indicators, Mental health, Regression analysis, Socioeconomic factors, Physical activity, Interpersonal relations, Questionnaires, Age factors in disease, Descriptive statistics, Disease duration, Mental depression, Research funding, Logistic regression analysis, Odds ratio, Dose-response relationship in biochemistry, Adolescence |
| Geographic Terms: | France |
| Abstract: | Objective: Lack of regular physical activity (LPA) and the number of days/week with physical activity >60 minutes/day (Ndw) may be associated with school-health-relational difficulties (SHRDs) during the life-course. This study assessed their associations and the confounding role of socioeconomic features (nationality, family structure, parents' education/occupation/income) among younger adolescents. Methods: This cross-sectional population-based study included 1,559 middle-school adolescents from north-eastern France (10–18 years, 98% under 16 years, 778 boys and 781 girls). They completed over one-hour teaching period a questionnaire collecting last-12-month LPA and last-7-day Ndw (dependent variables), and risk factors including socioeconomic features, SHRDs (previous grade repetitions, last-12-month poor general health status/physical health/psychological health/social-relationships, depressive symptoms (and age at onset and duration from onset); cumulated number noted SHRDcn). Data were analyzed using logistic/linear regression models. Results: LPA was common (32.5%) and associated with all SHRDs (sex-age-adjusted odds ratio saOR reaching 1.99, p <.001) and depressive-symptoms duration (saOR 1.63 (p <.05) and 2.11 (p <.001) for 1–2 and ≥3 years, respectively, vs. no depressive symptoms). A dose-effect association was found between SHRDcn and LPA (24.0, 33.7, 45.6, and 53.5%; saOR 1.59, 2.58, and 3.43; for SHRDcn 1–2, 3–4, and ≥5 respectively, vs. SHRDcn = 0, p <.001). Ndw was similarly associated with all SHRDs and SHRDcn (sex-age-adjusted regression coefficient reaching −1.10 day/week, p <.001). These results were robust when controlling for socioeconomic features (18% |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objective: Lack of regular physical activity (LPA) and the number of days/week with physical activity >60 minutes/day (Ndw) may be associated with school-health-relational difficulties (SHRDs) during the life-course. This study assessed their associations and the confounding role of socioeconomic features (nationality, family structure, parents' education/occupation/income) among younger adolescents. Methods: This cross-sectional population-based study included 1,559 middle-school adolescents from north-eastern France (10–18 years, 98% under 16 years, 778 boys and 781 girls). They completed over one-hour teaching period a questionnaire collecting last-12-month LPA and last-7-day Ndw (dependent variables), and risk factors including socioeconomic features, SHRDs (previous grade repetitions, last-12-month poor general health status/physical health/psychological health/social-relationships, depressive symptoms (and age at onset and duration from onset); cumulated number noted SHRDcn). Data were analyzed using logistic/linear regression models. Results: LPA was common (32.5%) and associated with all SHRDs (sex-age-adjusted odds ratio saOR reaching 1.99, p <.001) and depressive-symptoms duration (saOR 1.63 (p <.05) and 2.11 (p <.001) for 1–2 and ≥3 years, respectively, vs. no depressive symptoms). A dose-effect association was found between SHRDcn and LPA (24.0, 33.7, 45.6, and 53.5%; saOR 1.59, 2.58, and 3.43; for SHRDcn 1–2, 3–4, and ≥5 respectively, vs. SHRDcn = 0, p <.001). Ndw was similarly associated with all SHRDs and SHRDcn (sex-age-adjusted regression coefficient reaching −1.10 day/week, p <.001). These results were robust when controlling for socioeconomic features (18%<contribution<51%). Conclusions: Physical activity is associated with SHRDs, and socioeconomic features have an elevated confounding role. Healthcare providers can detect/reduce SHRDs and consequently improve physical activity among adolescents and prevent physical inactivity in adulthood. • Lack of physical activity (LPA) is strongly associated with school-health-relational difficulties (SHRDs) affecting most adolescents. • There are dose-effect associations between cumulative number of SHRDs and both LPA and number of days/week with physical activity >60 min/day (Ndw). • These links are robust when controlling for socioeconomic features which have a strong confounding role. • The risk of LPA and reduced Ndw increase with the duration of depressive symptoms from their onset. • Prevention to detect/reduce SHRDs may improve physical activity, especially for most at-risk adolescents. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00332747 |
| DOI: | 10.1080/00332747.2023.2222639 |
