Can differences in physical activity by socio-economic status in European adolescents be explained by differences in psychosocial correlates? A mediation analysis within the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study
Article
Article Title | Can differences in physical activity by socio-economic status in European adolescents be explained by differences in psychosocial correlates? A mediation analysis within the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study |
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ERA Journal ID | 13768 |
Article Category | Article |
Authors | De Cocker, Katrien (Author), Artero, Enrique G. (Author), De Henauw, Stefaan (Author), Dietrich, Sabine (Author), Gottrand, Frederic (Author), Beghin, Laurent (Author), Hagstromer, Maria (Author), Sjostrom, Michael (Author), Plada, Maria (Author), Manios, Yannis (Author), Mauro, Beatrice (Author), Molnar, Denes (Author), Moreno, Luis A. (Author), Ottevaere, Charlene (Author), Valtuena, Jara (Author), Maes, Lea (Author) and De Bourdeaudhuij, Ilse (Author) |
Journal Title | Public Health Nutrition |
Journal Citation | 15 (11), pp. 2100-2109 |
Number of Pages | 10 |
Year | 2012 |
Publisher | Cambridge University Press |
Place of Publication | United Kingdom |
ISSN | 1368-9800 |
1475-2727 | |
Digital Object Identifier (DOI) | https://doi.org/10.1017/s1368980012001036 |
Web Address (URL) | https://www.cambridge.org/core/journals/public-health-nutrition/article/can-differences-in-physical-activity-by-socioeconomic-status-in-european-adolescents-be-explained-by-differences-in-psychosocial-correlates-a-mediation-analysis-within-the-helena-heal |
Abstract | OBJECTIVE: Socio-economic status (SES) has been positively associated with physical activity (PA) levels in adolescents. In order to tackle these social inequalities, information is needed about the underlying mechanisms of this association. The present study aimed to investigate the potential mediating role of psychosocial correlates of PA on the relationship between SES and PA in European adolescents. DESIGN: Cross-sectional study testing the mediating role of psychosocial correlates in the SES-PA association using the product-of-coefficients test of MacKinnon. SETTING: Ten European cities in nine different countries, the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. SUBJECTS: Adolescents (n 2780) aged 12.5-17.49 years self-reported on PA (moderate-to-vigorous intensity PA and total PA), SES indicators (education of the mother and Family Affluence Scale) and psychosocial correlates of PA (stage of change, attitudes, awareness, modelling, social support, self-efficacy, benefits, barriers and environmental correlates). RESULTS: SES (Family Affluence Scale) was significantly associated with moderate-to-vigorous intensity PA. According to single-mediator models, this association was significantly mediated by stage of change (t = 3.6, P </= 0.001), awareness (t = 2.7, 0.001 < P </= 0.01), modelling (t = 4.8, P </= 0.001), self-efficacy (t = 2.5, 0.01<P </= 0.05), barriers (t = 2.7, 0.001 < P </= 0.01) and environmental (t = 3.0, 0.001 < P </= 0.01) correlates of PA. The multiple-mediators model showed that the mediating role of the combination of these psychosocial correlates was also significant (t = 6.2, P </= 0.001). CONCLUSIONS: Adolescents with low family wealth scored lower on stage of change, awareness, modelling, self-efficacy and environmental correlates of PA, and higher on PA barriers, which in turn resulted in lower levels of moderate-to-vigorous PA. Future interventions should target these individual and environmental constructs in order to tackle and intervene on social inequalities in PA among adolescents. |
Keywords | adolescence, mediating effect, Europe, family wealth |
ANZSRC Field of Research 2020 | 429999. Other health sciences not elsewhere classified |
420799. Sports science and exercise not elsewhere classified | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Ghent University, Belgium |
University of Granada, Spain | |
Medical University of Vienna, Austria | |
University of Lille, France | |
Karolinska Institute, Sweden | |
University of Crete, Greece | |
Harokopio University, Greece | |
National Research Institute on Food and Nutrition, Italy | |
University of Pecs, Hungary | |
University of Zaragoza, Spain | |
Polytechnic University of Madrid, Spain | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q5609/can-differences-in-physical-activity-by-socio-economic-status-in-european-adolescents-be-explained-by-differences-in-psychosocial-correlates-a-mediation-analysis-within-the-helena-healthy-lifestyle
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