父母受教育程度与儿童户外活动时长的关联

王天笑; 王菁菁; 杜林琳; 杨金柳行; 陈慧; 董凯歌; 张波; 何鲜桂; 陈军

doi:10.16835/j.cnki.1000-9817.2024367

父母受教育程度与儿童户外活动时长的关联

doi: 10.16835/j.cnki.1000-9817.2024367

1.
上海市眼病防治中心临床研究中心/上海市眼科医院/同济大学医学院临床研究中心，200336
2.
上海市实验学校
3.
复旦大学公共卫生学院

基金项目:

上海市卫生健康委员会临床研究青年课题 20214Y0424

上海市教育科学研究项目 C2021014

详细信息

作者简介:
王天笑(1996-)，女，河北保定人，大学本科，主要从事儿童青少年近视防控和药物临床试验工作

通讯作者:
陈军，E-mail: chenjun_0809@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 G78 G806
计量
- 文章访问数: 175
- HTML全文浏览量: 77
- PDF下载量: 48
- 被引次数: 0
出版历程
- 收稿日期: 2024-06-07
- 修回日期: 2024-07-24
- 网络出版日期: 2025-01-07
- 刊出日期: 2024-12-25

Association between parental education level and time spent outdoors among children

1.
Clinical Research Center, Shanghai Eye Diseases Prevention & Treatment Center/Shanghai Eye Hospital/School of Medicine, Tongji University, Shanghai (200336), China

摘要

摘要: 目的了解父母受教育程度与儿童户外活动时长的关联，为制定儿童近视防控政策提供科学依据。方法基于上海市户外干预研究数据开展二次分析，随访时间为2018年3—12月，纳入对照组中有完整问卷调查、眼科检查和户外活动时长数据的1 117名儿童。采用广义线性回归模型和趋势性检验，分析父母受教育程度与儿童户外活动时长的关联。结果儿童日均活动时长为76.4(59.7，94.6)min。广义线性回归模型调整儿童性别、年龄等协变量后显示，父亲受教育程度与儿童户外活动时长关联无统计学意义(P>0.05)；与母亲受教育程度为初中及以下水平的儿童相比，母亲受教育程度为高中/中职、大专及以上水平的儿童户外活动时长较低(β值分别为-6.64，-8.84，P值均 < 0.05)。趋势性检验发现，随父亲或母亲受教育程度升高，儿童户外活动时长均减少(P_趋势值均 < 0.01)。结论父亲或母亲受教育程度越高，儿童户外时长越短。近视防控工作除了要关注校内户外时长，还需要关注家长在增加孩子户外时长方面的作用。
- 法定监护人 /
- 教育 /
- 运动活动 /
- 回归分析 /
- 儿童
Abstract: Objective To explore the association between parental education level and time spent outdoors among children, so as to provide the scientific evidence for formulating policies of myopia prevention and control among children. Methods The study was based on secondary analysis of data from outdoor intervention studies in Shanghai. The follow-up period was from March to December 2018. It included control group children (n=1 117) with complete questionnaire surveys, ocular examinations, and time spent outdoors. Generalized linear regression models and trend tests were used to analyze the effect of parental education level on time spent outdoors among children. Results The median time spent outdoors was 76.4(59.7, 94.6) minutes. After adjusting for covariates including children's sex and age, generalized linear regression model suggested that there was no statistical significance between father's education level and outdoor activity time (P>0.05). Compared with children whose mothers had a junior high school education or below, children whose mothers had high school/vocational high school education, college or above had shorter time spent outdoors (β=-6.64, -8.84, P < 0.05). Trend tests revealed that time spent outdoors among children decreased with the increase of parental education level (P_trend < 0.01). Conclusions The higher the education level of fathers or mothers, the shorter time spent outdoors of children. In addition to highlight outdoor activities at school, myopia prevention and control efforts should be focused on the role of parents in increasing children's outdoor activities.
- Legal guardians /
- Education /
- Motor activity /
- Regression analysis /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

表 1 不同父亲和母亲受教育程度儿童基本特征与右眼SE及户外活动时长比较[M(P₂₅, P₇₅)]

Table 1. Comparison of the basic characteristics, spherical equivalent in the right eye and outdoor activities of children with different educational levels of their fathers and mothers[M(P₂₅, P₇₅)]

父母	受教育程度	人数	统计值	年龄/岁	BMI/(kg·m^-2)	父亲年龄/岁	母亲年龄/岁	上下学时长/min	右眼SE/D	日均户外活动时长/min
父亲	初中及以下	226		7.2(6.8, 7.8)	16.6(15.5, 17.9)	35.0(31.5, 39.9)	33.4(29.8, 37.8)	10.0(8.0, 15.0)	0.9(0.4, 1.3)	84.9(64.6, 110.0)
	高中/中职	299		7.3(6.8, 7.8)	16.3(15.1, 18.0)	34.3(32.0, 37.8)	32.2(29.8, 36.2)	10.0(10.0, 15.0)	0.8(0.2, 1.3)	75.5(57.6, 95.8)
	大专及以上	592		7.1(6.7, 7.7)	15.9(14.7, 17.6)	35.2(33.7, 37.9)	34.0(32.1, 35.7)	10.0(10.0, 15.0)	0.8(-0.1, 1.1)	74.5(59.4, 90.4)
			H值	9.1	18.3	12.4	20.4	4.8	12.1	21.5
			P值	0.01	< 0.01	< 0.01	< 0.01	0.09	< 0.01	< 0.01
母亲	初中及以下	286		7.3(6.9, 7.9)	16.4(15.4, 17.8)	35.1(32.0, 39.8)	33.2(30.0, 38.1)	10.0(7.25, 15.0)	0.9(0.3, 1.3)	83.5(61.9, 110.0)
	高中/中职	251		7.1(6.7, 7.7)	16.2(14.9, 17.9)	34.2(32.2, 37.2)	32.3(29.8, 35.8)	10.0(10.0, 15.0)	0.8(0.3, 1.3)	75.7(58.6, 95.5)
	大专及以上	580		7.1(6.7, 7.7)	16.0(14.7, 17.6)	35.2(33.8, 38.0)	34.0(32.1, 35.6)	10.0(10.0, 15.0)	0.8(0.0, 1.1)	74.1(59.4, 89.9)
			H值	12.4	11.0	13.0	22.4	5.1	8.8	18.8
			P值	< 0.01	< 0.01	< 0.01	< 0.01	0.08	0.01	< 0.01

下载: 导出CSV

参考文献(24)

[1]	国家疾病预防控制局积极推进儿童青少年近视防控近视率呈下降趋势[EB/OL]. (2024-03-13)[2024-04-28]. https://www.ndcpa.gov.cn/jbkzzx/c100008/common/content/content_1764617954927783936.html. National Disease Control and Prevention Administration actively promotes myopia prevention and control among children and adolescents with myopia rates on a downward trend[EB/OL]. (2024-03-13)[2024-04-28]. https://www.ndcpa.gov.cn/jbkzzx/c100008/common/content/content_1764617954927783936.html. (in Chinese)
[2]	HE X, SANKARIDURG P, WANG J, et al. Time outdoors in reducing myopia: a school-based cluster randomized trial with objective monitoring of outdoor time and light intensity[J]. Ophthalmology, 2022, 129(11): 1245-1254. doi: 10.1016/j.ophtha.2022.06.024
[3]	HE M, XIANG F, ZENG Y, et al. Effect of time spent outdoors at school on the development of myopia among children in China: a randomized clinical trial[J]. JAMA, 2015, 314(11): 1142-1148. doi: 10.1001/jama.2015.10803
[4]	吴海军, 谭志军, 梁英, 等. 学龄前儿童日常运动特征及影响因素[J]. 中国妇幼健康研究, 2018, 29(4): 393-398. doi: 10.3969/j.issn.1673-5293.2018.04.001 WU H J, TAN Z J, LIANG Y, et al. Characteristics and influencing factors of daily physical activity in preschool children[J]. Chin J Woman Child Health Res, 2018, 29(4): 393-398. (in Chinese) doi: 10.3969/j.issn.1673-5293.2018.04.001
[5]	张欣. 广东省部分城市流动儿童与常住儿童运动习惯的比较[J]. 体育学刊, 2016, 23(2): 64-67. ZHANG X. Comparison of exercise habits between the migrant children and resident children in some cities in Guangdong Province[J]. J Phys Educ, 2016, 23(2): 64-67. (in Chinese)
[6]	HE X, SANKARIDURG P, XIONG S, et al. Shanghai time outside to reduce myopia trial: design and baseline data[J]. Clin Exp Ophthalmol, 2019, 47(2): 171-178. doi: 10.1111/ceo.13391
[7]	YE B, LIU K, CAO S, et al. Discrimination of indoor versus outdoor environmental state with machine learning algorithms in myopia observational studies[J]. J Transl Med, 2019, 17(1): 314. doi: 10.1186/s12967-019-2057-2
[8]	上海市眼病防治中心. 一种提高户外活动检测准确率的方法、系统和可穿戴设备: 中国, 201610649626.4[P/OL]. (2019-12-27)[2024-03-30]. https://patents.google.com/patent/CN107733668A/zh. Shanghai Eye Disease Contml and Prevention Centre. A method, system and wearable device for improving the accuracy of outdoor activitydetection: China, 201610649626.4[P/OL]. (2019-12-27)[2024-03-30]. https://patents.google.com/patent/CN107733668A/zh. (in Chinese)
[9]	WISEMAN N, HARRIS N, DOWNES M. Preschool children's preferences for sedentary activity relates to parent's restrictive rules around active outdoor play[J]. BMC Public Health, 2019, 19(1): 946. doi: 10.1186/s12889-019-7235-x
[10]	BINGHAM D D, COSTA S, HINKLEY T, et al. Physical activity during the early years: a systematic review of correlates and determinants[J]. Am J Prev Med, 2016, 51(3): 384-402. doi: 10.1016/j.amepre.2016.04.022
[11]	ZECEVIC C A, TREMBLAY L, LOVSIN T, et al. Parental influence on young children's physical activity[J]. Int J Pediatr, 2010, 2010: 468526.
[12]	TONGE K L, JONES R A, OKELY A D. Correlates of children's objectively measured physical activity and sedentary behavior in early childhood education and care services: a systematic review[J]. Prev Med, 2016, 89: 129-139. doi: 10.1016/j.ypmed.2016.05.019
[13]	GUSTAFSON S L, RHODES R E. Parental correlates of physical activity in children and early adolescents[J]. Sports Med, 2006, 36(1): 79-97. doi: 10.2165/00007256-200636010-00006
[14]	马靓, 李红娟, 张援. 对疫情期间幼儿生活方式变化情况的调查分析[C]//中国体育科学学会. 第十二届全国体育科学大会论文摘要汇编: 专题报告(体质与健康分会). 天津, 2022. MA L, LI H J, ZHANG Y. Investigation and analysis of lifestyle changes in young children during the epidemic[C]//China Sport Science Society. Compilation of abstracts from the Twelfth National Sports Science Conference of the Chinese Society of Sports Science-Special Presentation (Physical Fitness and Health Division). Tianjin, 2022. (in Chinese)
[15]	HESKETH K D, CRAWFORD D A, ABBOTT G, et al. Prevalence and stability of active play, restricted movement and television viewing in infants[J]. Early Child Dev Care, 2015, 185(6): 883-894. doi: 10.1080/03004430.2014.963066
[16]	刘美燕, 吴丹, 霍言言, 等. 上海市学龄前儿童户外活动现状调查分析[J]. 中国儿童保健杂志, 2020, 28(6): 609-612. LIU M Y, WU D, HUO Y Y, et al. Investigation and analysis on the status of outdoor activities of preschool children in Shanghai[J]. Chin J Child Health Care, 2020, 28(6): 609-612. (in Chinese)
[17]	WONG M Y C, OU K L, WONG W S, et al. Physical fitness levels and trends of kindergarteners in Hong Kong during the COVID-19 pandemic[J]. J Exerc Sci Fit, 2024, 22(3): 202-207. doi: 10.1016/j.jesf.2024.03.003
[18]	LI Q, GUO L, ZHANG J, et al. Effect of school-based family health education via social media on children's myopia and parents' awareness: a randomized clinical trial[J]. JAMA Ophthalmol, 2021, 139(11): 1165-1172. doi: 10.1001/jamaophthalmol.2021.3695
[19]	NOWROOZZADEH M H. School-based myopia prevention effort[J]. JAMA, 2016, 315(8): 819-820. doi: 10.1001/jama.2015.17139
[20]	LI S M, RAN A R, KANG M T, et al. Effect of text messaging parents of school-aged children on outdoor time to control myopia: a randomized clinical trial[J]. JAMA Pediatr, 2022, 176(11): 1077-1083. doi: 10.1001/jamapediatrics.2022.3542
[21]	ARENDT J N, CHRISTENSEN M L, HJORTH-TROLLE A. Maternal education and child health: causal evidence from Denmark[J]. J Health Econ, 2021, 80: 102552. doi: 10.1016/j.jhealeco.2021.102552
[22]	MAHADEVAN R, FAN S. Differential effects of parents' education on adolescent well-being outcomes[J]. Child Ind Res, 2021, 14: 2495-2516. doi: 10.1007/s12187-021-09856-7
[23]	高兰英. 父母受教育程度对子女受教育水平的影响研究: 基于CGSS2017数据的实证分析[J]. 应用数学进展, 2022, 11(6): 3222-3229. GAO L Y. Study on the influence of parents' education level on children's education level-empirical analysis based on CGSS2017 data[J]. Prog Appl Math, 2022, 11(6): 3222-3229. (in Chinese)
[24]	VERWEIJ R M, KEIZER R. The intergenerational transmission of educational attainment: a closer look at the (interrelated) roles of paternal involvement and genetic inheritance[J]. PLoS One, 2022, 17(12): e0267254. doi: 10.1371/journal.pone.0267254