Prevalence and Correlates of Meeting Physical Activity and Screen Time Guidelines Among Children of English- and Non-English-Speaking Backgrounds in Australia

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2024-11-12 DOI:10.1111/cch.70007

Susan Paudel, Jenny Veitch, Gita D. Mishra, Leigh R. Tooth, Kylie D. Hesketh

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Abstract

Background

Limited evidence suggests inequality in the prevalence of physical activity and screen time for children of non-English-speaking backgrounds (NESB). However, factors associated with these behaviours are understudied. This study identified the prevalence and correlates of meeting guidelines (physical activity, screen time and combined) among children of English-speaking backgrounds (ESB) and NESB.

Methods

Participants were from the Mothers and their Children's Health Study, a sub-study of the Australian Longitudinal Study on Women's Health (1973–1978 cohort). Mothers provided information on physical activity and screen time behaviours of up to three children (aged 2–12 years). Age-specific Australian guidelines were used to classify children as meeting or not meeting physical activity and screen time guidelines. Those born in a non-English-speaking country or primarily speaking a non-English language at home were classified as ‘NESB’. Multivariable-adjusted logistic regression analyses accounting for family-level clustering were used for analysis.

Results

Data were from 4143 children (mean age 7.3 ± 2.9 years, 6.7% NESB). Around 17% children of NESB met physical activity guidelines (vs. 25% ESB, p = 0.002), 63% met screen time guidelines (vs. 58% ESB, p = 0.150), and 9% met combined physical activity and screen time guidelines (vs. 15% ESB, p = 0.011). Increasing age was inversely associated with meeting physical activity guidelines among children of both backgrounds (OR [95%CI]: NESB 0.81 [0.69–0.95], ESB 0.85 [0.82–0.87]). Family-level correlates (maternal education and physical activity level) were associated with meeting physical activity, screen time or combined guidelines among children of ESB only. A screen device in the child's bedroom was inversely associated with all outcomes among children of ESB. Children of NESB with a large yard at home had higher odds of meeting physical activity (4.14 [1.72–10.00]) and combined guidelines (4.48 [1.61–12.41]).

Conclusions

Children of NESB were less likely to meet physical activity and combined guidelines. Interventions may need to be tailored based on ESB background, with children of NESB (particularly older children and those with limited outdoor space at home) being a higher priority for intervention. Future large-scale studies examining a broader range of potential correlates, including cultural factors, are warranted.

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澳大利亚英语和非英语背景儿童达到体育活动和屏幕时间指南要求的普遍性和相关性。

背景：有限的证据表明，非英语背景（NESB）儿童在体育活动和屏幕时间方面存在不平等。然而，与这些行为相关的因素却未得到充分研究。本研究确定了英语背景儿童（ESB）和非英语背景儿童达到指导原则（体育活动、屏幕时间和综合）要求的普遍程度和相关因素：参与者来自 "母亲及其子女健康研究"，这是 "澳大利亚妇女健康纵向研究"（1973-1978 年队列）的一项子研究。母亲们提供了最多三个孩子（2-12 岁）的体育活动和屏幕时间行为信息。根据澳大利亚特定年龄的指导方针，将儿童划分为符合或不符合体育活动和屏幕时间指导方针。出生在非英语国家或在家主要讲非英语语言的儿童被归类为 "NESB"。分析采用多变量调整逻辑回归分析，考虑了家庭层面的聚类：数据来自 4143 名儿童（平均年龄为 7.3 ± 2.9 岁，6.7% 为 NESB）。约 17% 的 NESB 儿童符合体育锻炼指南（与 25% 的 ESB 儿童相比，p = 0.002），63% 的 NESB 儿童符合屏幕时间指南（与 58% 的 ESB 儿童相比，p = 0.150），9% 的 NESB 儿童同时符合体育锻炼和屏幕时间指南（与 15% 的 ESB 儿童相比，p = 0.011）。在两种背景的儿童中，年龄的增长与达到体育锻炼指南的要求成反比（OR [95%CI]：NESB 0.81 [0.69-0.95]，ESB 0.85 [0.82-0.87]）。家庭层面的相关因素（母亲教育程度和体育锻炼水平）仅与 ESB 儿童的体育锻炼、屏幕时间或综合指南达标有关。在 ESB 儿童中，儿童卧室中的屏幕设备与所有结果都成反比。家中有大庭院的 NESB 儿童达到体育活动（4.14 [1.72-10.00] ）和综合指南（4.48 [1.61-12.41] ）要求的几率更高：结论：NESB 儿童达到体育锻炼标准和综合标准的几率较低。干预措施可能需要根据 ESB 背景进行调整，NESB 儿童（尤其是年龄较大的儿童和家中户外空间有限的儿童）更需要优先干预。未来有必要开展大规模研究，对包括文化因素在内的更广泛的潜在相关因素进行研究。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.