Prevalence and correlates of state and regional disparities in vigorous physical activity levels among US children and adolescents

Gopal K. Singh, Michael D. Kogan, Mohammad Siahpush, Peter C. Van Dyck

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Background: This study examines state and regional disparities in vigorous physical activity levels among US children age 6 to 17 years. Methods: The 2003 National Survey of Children's Health was used to calculate vigorous physical activity (VPA) and no days of vigorous physical activity (NVPA) prevalence by state and geographic region. Logistic and least squares regression were used to analyze geographic disparities. Results: Vigorous physical activity levels varied substantially across geographic areas, with the East Southcentral region of the US having the highest NVPA prevalence (13.4%) and the Pacific region the lowest prevalence (9.1%). Children in Georgia and Tennessee had 2.2 to 2.3 times higher odds and children in DC, Oklahoma, Arkansas, Indiana, Kentucky, Kansas, New Jersey, South Carolina, and Washington (adjusted prevalence >13.4%) had 1.8 to 2.0 times higher odds of NVPA than children in California (adjusted prevalence = 8.4%). Adjustment for race/ethnicity, socioeconomic status, social capital, television viewing, sleep behavior, and parental physical activity doubled the magnitude of geographic disparities in vigorous physical activity levels. Area poverty, income inequality, and violent crime rates were independent predictors of VPA and NVPA. Conclusions: Although individual and area-level socioeconomic factors are important predictors, substantial geographic disparities remain, with children in several Southern states having particularly high risks of NVPA.

Original languageEnglish (US)
Pages (from-to)73-87
Number of pages15
JournalJournal of Physical Activity and Health
Volume6
Issue number1
DOIs
StatePublished - Jan 2009

Keywords

  • Childhood physical inactivity
  • Deprivation
  • Geographic disparity
  • Parental behavior
  • Socioeconomic status
  • State
  • Television viewing
  • United States

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Prevalence and correlates of state and regional disparities in vigorous physical activity levels among US children and adolescents'. Together they form a unique fingerprint.

Cite this