Associations between socioeconomic status and physical activity: A cross-sectional analysis of Chinese children and adolescents

ObjectivesAlthough socioeconomic status (SES) has been shown to be an important determinant of physical activity (PA) in adults, the association in children and adolescents remains less consistent based on evidence from western developed countries. The purpose of this study, therefore, is to investi...

Full description

Bibliographic Details
Main Authors: Youzhi Ke, Lijuan Shi, Lingqun Peng, Sitong Chen, Jintao Hong, Yang Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2022.904506/full
_version_ 1811185699823550464
author Youzhi Ke
Lijuan Shi
Lingqun Peng
Sitong Chen
Jintao Hong
Yang Liu
Yang Liu
author_facet Youzhi Ke
Lijuan Shi
Lingqun Peng
Sitong Chen
Jintao Hong
Yang Liu
Yang Liu
author_sort Youzhi Ke
collection DOAJ
description ObjectivesAlthough socioeconomic status (SES) has been shown to be an important determinant of physical activity (PA) in adults, the association in children and adolescents remains less consistent based on evidence from western developed countries. The purpose of this study, therefore, is to investigate associations between SES and PA among Chinese children and adolescents.MethodsA cross-sectional study was conducted with a self-reported questionnaire in China. The multi-stage stratified cluster sampling method was used, and 2,955 children and adolescents (8–17 years old, 53.4% girls) were enrolled in this study. SES was assessed by measuring parental education levels, perceived family wealth, and Family Affluence Scale II (FAS II). PA was assessed by reliable and valid items from the Health Behavior School-aged Children Surveillance questionnaires. Descriptive statistics were used to report sample characteristics, including demographic characteristics, levels of PA, and SES. The Chi-square test was applied to analyze the differences of PA in gender and school period. Binary logistic regression was used to analyze the association between SES and PA among children and adolescents.ResultsOverall, 10.4% of children and adolescents accumulated moderate-to-vigorous physical activity (MVPA) at least 60 min per day. Boys were more physically active than girls (14.1% vs. 7.2%, p < 0.001). Higher socioeconomic status was positively associated with higher physical activity levels among children and adolescents, especially using FAS and mother education level as SES measures. The association between SES and PA varied by gender and grade group, and the effects of SES are also different on weekdays and weekends.ConclusionThis study found socioeconomic disparities in PA among Chinese children and adolescents, and showed the importance of targeting children and adolescents with low SES intervention priority. Based on these research findings, it is suggested that SES, especially for FAS and mother education level, should be considered when designing and implementing the promotion of regular PA in children and adolescents. Health policymakers may use this information to develop interventions to reduce health inequalities among children and adolescents in the future.
first_indexed 2024-04-11T13:34:43Z
format Article
id doaj.art-ca6ab40f9996480f87d24a142e68343e
institution Directory Open Access Journal
issn 1664-1078
language English
last_indexed 2024-04-11T13:34:43Z
publishDate 2022-09-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychology
spelling doaj.art-ca6ab40f9996480f87d24a142e68343e2022-12-22T04:21:39ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-09-011310.3389/fpsyg.2022.904506904506Associations between socioeconomic status and physical activity: A cross-sectional analysis of Chinese children and adolescentsYouzhi Ke0Lijuan Shi1Lingqun Peng2Sitong Chen3Jintao Hong4Yang Liu5Yang Liu6School of Physical Education, Shanghai University of Sport, Shanghai, ChinaDepartment of Comprehensive Education and Preschool Education, Shanghai Teacher Training Center, Shanghai, ChinaSchool of Physical Education, Shanghai University of Electric Power, Shanghai, ChinaInstitute for Health and Sport, Victoria University, Melbourne, VIC, AustraliaShanghai Research Institute of Sports Science, Shanghai, ChinaSchool of Physical Education, Shanghai University of Sport, Shanghai, ChinaShanghai Research Center for Physical Fitness and Health of Children and Adolescents, Shanghai, ChinaObjectivesAlthough socioeconomic status (SES) has been shown to be an important determinant of physical activity (PA) in adults, the association in children and adolescents remains less consistent based on evidence from western developed countries. The purpose of this study, therefore, is to investigate associations between SES and PA among Chinese children and adolescents.MethodsA cross-sectional study was conducted with a self-reported questionnaire in China. The multi-stage stratified cluster sampling method was used, and 2,955 children and adolescents (8–17 years old, 53.4% girls) were enrolled in this study. SES was assessed by measuring parental education levels, perceived family wealth, and Family Affluence Scale II (FAS II). PA was assessed by reliable and valid items from the Health Behavior School-aged Children Surveillance questionnaires. Descriptive statistics were used to report sample characteristics, including demographic characteristics, levels of PA, and SES. The Chi-square test was applied to analyze the differences of PA in gender and school period. Binary logistic regression was used to analyze the association between SES and PA among children and adolescents.ResultsOverall, 10.4% of children and adolescents accumulated moderate-to-vigorous physical activity (MVPA) at least 60 min per day. Boys were more physically active than girls (14.1% vs. 7.2%, p < 0.001). Higher socioeconomic status was positively associated with higher physical activity levels among children and adolescents, especially using FAS and mother education level as SES measures. The association between SES and PA varied by gender and grade group, and the effects of SES are also different on weekdays and weekends.ConclusionThis study found socioeconomic disparities in PA among Chinese children and adolescents, and showed the importance of targeting children and adolescents with low SES intervention priority. Based on these research findings, it is suggested that SES, especially for FAS and mother education level, should be considered when designing and implementing the promotion of regular PA in children and adolescents. Health policymakers may use this information to develop interventions to reduce health inequalities among children and adolescents in the future.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.904506/fullsocial inequalitiesphysical activityhealth promotionchildrenyouth
spellingShingle Youzhi Ke
Lijuan Shi
Lingqun Peng
Sitong Chen
Jintao Hong
Yang Liu
Yang Liu
Associations between socioeconomic status and physical activity: A cross-sectional analysis of Chinese children and adolescents
Frontiers in Psychology
social inequalities
physical activity
health promotion
children
youth
title Associations between socioeconomic status and physical activity: A cross-sectional analysis of Chinese children and adolescents
title_full Associations between socioeconomic status and physical activity: A cross-sectional analysis of Chinese children and adolescents
title_fullStr Associations between socioeconomic status and physical activity: A cross-sectional analysis of Chinese children and adolescents
title_full_unstemmed Associations between socioeconomic status and physical activity: A cross-sectional analysis of Chinese children and adolescents
title_short Associations between socioeconomic status and physical activity: A cross-sectional analysis of Chinese children and adolescents
title_sort associations between socioeconomic status and physical activity a cross sectional analysis of chinese children and adolescents
topic social inequalities
physical activity
health promotion
children
youth
url https://www.frontiersin.org/articles/10.3389/fpsyg.2022.904506/full
work_keys_str_mv AT youzhike associationsbetweensocioeconomicstatusandphysicalactivityacrosssectionalanalysisofchinesechildrenandadolescents
AT lijuanshi associationsbetweensocioeconomicstatusandphysicalactivityacrosssectionalanalysisofchinesechildrenandadolescents
AT lingqunpeng associationsbetweensocioeconomicstatusandphysicalactivityacrosssectionalanalysisofchinesechildrenandadolescents
AT sitongchen associationsbetweensocioeconomicstatusandphysicalactivityacrosssectionalanalysisofchinesechildrenandadolescents
AT jintaohong associationsbetweensocioeconomicstatusandphysicalactivityacrosssectionalanalysisofchinesechildrenandadolescents
AT yangliu associationsbetweensocioeconomicstatusandphysicalactivityacrosssectionalanalysisofchinesechildrenandadolescents
AT yangliu associationsbetweensocioeconomicstatusandphysicalactivityacrosssectionalanalysisofchinesechildrenandadolescents