This study aimed to characterize physical activity (PA) environments in Georgia public elementary schools and to identify socioeconomic status (SES) and racial/ethnic disparities in PA environments.
Design:
A school setting PA survey was launched in 2013 to 2014 as a cross-sectional online survey assessing PA environment factors, including facility access and school PA practices, staff PA opportunities, parental involvement in school PA, and out-of-school PA opportunities.
Setting:
All 1333 Georgia public elementary schools were recruited.
Participants:
A total of 1083 schools (81.2%) responded. Survey respondents included school administrators, physical education (PE) teachers, and grade-level chairs.
Measures:
Physical activity environment factors were assessed via an online questionnaire adapted from school PA surveys and articles.
Analysis:
The chi-square and Fisher exact analyses were conducted to examine the reporting of PA environment factors overall and by school SES, as measured by free/reduced lunch rate, and/or racial/ethnic composition.
Results:
Overall, many PA environment factors were widely prevalent (ie, gym [99%] or field [79%] access), although some factors such as some PA-related programs (ie, a structured walk/bike program [11%]) were less widely reported. Disparities in school PA environment factors were largely patterned by SES, though they varied for some factors by racial/ethnic composition and across SES within racial/ethnic composition categories. For example, lower SES schools were less likely to report access to blacktops and tracks (p-value < .0001), and higher SES schools were less likely to report access to playgrounds (p-value = .0076). Lower SES schools were also less likely to report “always/often” giving access to PE/PA equipment during recess (p-value < .01). Lower SES and majority nonwhite schools were less likely to report having joint use agreements with community agencies (p-value < .0001).
Conclusion:
This study highlights SES and racial/ethnic disparities in PA environments in Georgia public elementary schools.
US Department of Health & Human Services. Physical Activity Guidelines for Americans. Hyattsville, MD: US Department of Health and Human Services; 2008.
2.
JanssenILeblancAG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40.
3.
WilliamsCLHaymanLLDanielsSR. Cardiovascular health in childhood: a statement for health professionals from the Committee on Atherosclerosis, Hypertension, and Obesity in the Young (AHOY) of the Council on Cardiovascular Disease in the Young, American Heart Association. Circulation. 2002;106(1):143–160.
4.
Murillo PardoBGarcía BengoecheaEGenerelo LanaspaE. Promising school-based strategies and intervention guidelines to increase physical activity of adolescents. Health Educ Res. 2013;28(3):523–538.
RidgersNDStrattonGFaircloughSJ. Physical activity levels of children during school playtime. Sports Med. 2006;36(4):359–371.
7.
HynynenSTvan StralenMMSniehottaFF. A systematic review of school-based interventions targeting physical activity and sedentary behaviour among older adolescents. Int Rev Sport Exerc Psychol. 2016;9(1):22–44.
8.
NaylorPJMcKayHA. Prevention in the first place: schools a setting for action on physical inactivity. Br J Sports Med. 2009;43(1):10–13.
9.
SpenceJLeeR. Toward a comprehensive model of physical activity. Psychol Sport Exerc. 2003;4(1):7–24.
10.
TelamaRYangXViikariJVälimäkiIWanneORaitakariO. Physical activity from childhood to adulthood: a 21-year tracking study. Am J Prev Med. 2005;28(3):267–273.
11.
DobbinsMDe CorbyKRobesonPHussonHTirilisD. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6-18. Cochrane Database Syst Rev. 2009(1):CD007651.
12.
WatersEde Silva-SanigorskiAHallBJ. Interventions for preventing obesity in children. Cochrane Database Syst Rev. 2011(12):CD001871.
13.
SallisJFConwayTLProchaskaJJMcKenzieTLMarshallSJBrownM. The association of school environments with youth physical activity. Am J Public Health. 2001;91(4):618–620.
14.
EscalanteYGarcía-HermosoABackxKSaavedraJM. Playground designs to increase physical activity levels during school recess: a systematic review. Health Educ Behav. 2014;41(2):138–144.
15.
WechslerHDevereauxRDavisMCollinsJ. Using the school environment to promote physical activity and healthy eating. Prevent Med. 2000;31(2):S121–S137.
16.
RidgersNStrattonGFaircloughSTwiskJ. Children’s physical activity levels during school recess: a quasi-experimental intervention study. Int J Behav Nutr Phys Act. 2007;4(19).
17.
TurnerLChaloupkaFSandovalA. School Policies and Practices for Improving Children’s Health: National Elementary School Survey Results: School Years 2006-07 through 2009-10. Vol. 2. Chicago, IL: Bridging the Gap Program, Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago; 2012.
18.
DwyerJJAllisonKRBarreraMHansenBGoldenbergEBoutilierMA. Teachers’ perspective on barriers to implementing physical activity curriculum guidelines for school children in Toronto. Can J Public Health. 2003;94(6):448–452.
19.
CarlsonJAMignanoAMNormanGJ. Socioeconomic disparities in elementary school practices and children’s physical activity during school. Am J Health Promot. 2014;28(suppl 3):S47–S53.
20.
YoungDRFeltonGMGrieserM. Policies and opportunities for physical activity in middle school environments. J Sch Health. 2007;77(1):41–47.
21.
AdlerNENewmanK. Socioeconomic disparities in health: pathways and policies. Health Aff (Millwood). 2002;21(2):60–76.
22.
TurnerLChaloupkaFJChriquiJFSandovalA.School Policies and Practices to Improve Health and Prevent Obesity: National Elementary School Survey Results: School Years 2006–07 and 2007–08. Vol. 1. Chicago, IL: Bridging the Gap Program, Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago; 2010.
23.
NicosiaNShierVDatarA. The role of school environments in explaining racial-ethnic disparities in body mass index among U.S. adolescents. J Adolesc Health. 2016;59(2):215–221.
DatarASturmR. Physical education in elementary school and body mass index: evidence from the early childhood longitudinal study. Am J Public Health. 2004;94(9):1501–1506.
26.
RichmondTKHaywardRAGahaganSFieldAEHeislerM. Can school income and racial/ethnic composition explain the racial/ethnic disparity in adolescent physical activity participation?Pediatrics. 2006;117(6):2158–2166.
27.
Institute of Medicine. Educating the Student Body: Taking Physical Activity and Physical Education to School. Washington, DC: Institute of Medicine; 2013.
Darling-HammondL. Inequality in Teaching and Schooling: How Opportunity is Rationed to Students of Color in America. In: The Right Thing to Do, The Smart Thing to Do: Enhancing Diversity in the Health Professions: Summary of the Symposium on Diversity in Health Professions in Honor of Herbert W. Nickens, MD. Washington, DC: The National Academies Press; 2001.
32.
TaylorWLouD. Do All Children Have Places to be Active? Disparities in Access to Physical Activity Environments in Racial and Ethnic Minority and Lower-Income Communities. University of California, San Diego: Active Living Research; 2011.
33.
Gordon-LarsenPNelsonMCPagePPopkinBM. Inequality in the built environment underlies key health disparities in physical activity and obesity. Pediatrics. 2006;117(2):417–424.
34.
MooreLVDiez RouxAVEvensonKRMcGinnAPBrinesSJ. Availability of recreational resources in minority and low socioeconomic status areas. Am J Prev Med. 2008;34(1):16–22.
35.
WilsonDKLawmanHGSegalMChappellS. Neighborhood and parental supports for physical activity in minority adolescents. Am J Prev Med. 2011;41(4):399–406.
36.
WatsonKBHarrisCDCarlsonSADornJMFultonJE. Disparities in adolescents’ residence in neighborhoods supportive of physical activity—United States, 2011-2012. MMWR Morb Mortal Wkly Rep. 2016;65(23):598–601.
37.
CarverATimperioACrawfordD. Perceptions of neighborhood safety and physical activity among youth: the CLAN study. J Phys Act Health. 2008;5(3):430–444.
38.
CarverATimperioACrawfordD. Playing it safe: the influence neighbourhood safety on children’s physical activity. A review. Health Place. 2008;14(2):217–227.
39.
SallisJFMcKenzieTLConwayTL. Environmental interventions for eating and physical activity: a randomized controlled trial in middle schools. Am J Prev Med. 2003;24(3):209–217.
40.
SallisJFProchaskaJJTaylorWC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32(5):963–975.
41.
OlivaresPCossio-BolanosMAGomez-CamposRAlmonacida-FierroAGarcia-RubioJ. Influence of parents and physical education teachers in adolescent physical activity. Int J Clin Health Psychol. 2015;15(2):113–120.
42.
WilliamsDRJacksonPB. Social sources of racial disparities in health. Health Aff (Millwood). 2005;24(2):325–334.
43.
National Center for Health Statistics. Health, United States, 2011: With Special Features on Socioeconomic Status and Health. Hyattsville, MD: US Department of Health and Human Services; 2012.
44.
MendozaJAWatsonKNguyenNCerinEBaranowskiTNicklasTA. Active commuting to school and association with physical activity and adiposity among US youth. J Phys Act Health. 2011;8(4):488–495.
45.
O’Hara TompkinsNZizziSZedoskyLWrightJVitulloE. School-based opportunities for physical activity in West Virginia public schools. Prev Med. 2004;39(4):834–840.
46.
McDonaldNCBrownALMarchettiLMPedrosoMS. U.S. school travel, 2009 an assessment of trends. Am J Prev Med. 2011;41(2):146–151.
Levin MartinSMoetiRPullen-SeufertN. Implementing safe routes to school: application for the socioecological model and issues to consider. Health Promot Pract. 2009;10(4):606–614.
49.
MichelmoreKDynarskiS. The Gap within the Gap: Using Longitudinal Data to Understand Income Differences in Student Achievement. National Bureau of Economic Research Working Paper No. 22474. 2016. http://www.nber.org/papers/w22474. Accessed June 18, 2017.
