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
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 o...
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| Veröffentlicht in: | Public health nutrition 2012-11, Vol.15 (11), p.2100-2109 |
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| creator | De Cocker, Katrien Artero, Enrique G De Henauw, Stefaan Dietrich, Sabine Gottrand, Frédéric Béghin, Laurent Hagströmer, Maria Sjöström, Michael Plada, Maria Manios, Yannis Mauro, Beatrice Molnár, Dénes Moreno, Luis A Ottevaere, Charlene Valtueña, Jara Maes, Lea De Bourdeaudhuij, Ilse |
| description | 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.
Cross-sectional study testing the mediating role of psychosocial correlates in the SES-PA association using the product-of-coefficients test of MacKinnon.
Ten European cities in nine different countries, the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study.
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).
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 |
| doi_str_mv | 10.1017/S1368980012001036 |
| format | Article |
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Cross-sectional study testing the mediating role of psychosocial correlates in the SES-PA association using the product-of-coefficients test of MacKinnon.
Ten European cities in nine different countries, the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study.
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).
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).
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.</description><identifier>ISSN: 1368-9800</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S1368980012001036</identifier><identifier>PMID: 22717373</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adolescents ; Affluence ; Assessment and Methodology ; Awareness ; Child ; Child development ; Cities ; Cross-Sectional Studies ; Economics ; Europe ; Exercise ; Exercise - psychology ; Female ; Health Behavior ; Humans ; Intention ; Life Style ; Lifestyles ; Male ; Nutrition ; Psychological aspects ; Questionnaires ; Self Efficacy ; Self Report ; Social Class ; Social Support ; Socioeconomic Factors ; Socioeconomics ; Teenagers</subject><ispartof>Public health nutrition, 2012-11, Vol.15 (11), p.2100-2109</ispartof><rights>Copyright © The Authors 2012</rights><rights>The Authors 2012 2012 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c543t-5f7c5c771104a94c72281f8cdee0666d169dbc6b3f12c62d1bd7f9a078d2aa823</citedby><cites>FETCH-LOGICAL-c543t-5f7c5c771104a94c72281f8cdee0666d169dbc6b3f12c62d1bd7f9a078d2aa823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10271304/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10271304/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,550,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22717373$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:125484109$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>De Cocker, Katrien</creatorcontrib><creatorcontrib>Artero, Enrique G</creatorcontrib><creatorcontrib>De Henauw, Stefaan</creatorcontrib><creatorcontrib>Dietrich, Sabine</creatorcontrib><creatorcontrib>Gottrand, Frédéric</creatorcontrib><creatorcontrib>Béghin, Laurent</creatorcontrib><creatorcontrib>Hagströmer, Maria</creatorcontrib><creatorcontrib>Sjöström, Michael</creatorcontrib><creatorcontrib>Plada, Maria</creatorcontrib><creatorcontrib>Manios, Yannis</creatorcontrib><creatorcontrib>Mauro, Beatrice</creatorcontrib><creatorcontrib>Molnár, Dénes</creatorcontrib><creatorcontrib>Moreno, Luis A</creatorcontrib><creatorcontrib>Ottevaere, Charlene</creatorcontrib><creatorcontrib>Valtueña, Jara</creatorcontrib><creatorcontrib>Maes, Lea</creatorcontrib><creatorcontrib>De Bourdeaudhuij, Ilse</creatorcontrib><creatorcontrib>HELENA Study Group</creatorcontrib><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</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description>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.
Cross-sectional study testing the mediating role of psychosocial correlates in the SES-PA association using the product-of-coefficients test of MacKinnon.
Ten European cities in nine different countries, the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study.
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).
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).
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.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Affluence</subject><subject>Assessment and Methodology</subject><subject>Awareness</subject><subject>Child</subject><subject>Child development</subject><subject>Cities</subject><subject>Cross-Sectional Studies</subject><subject>Economics</subject><subject>Europe</subject><subject>Exercise</subject><subject>Exercise - psychology</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Humans</subject><subject>Intention</subject><subject>Life Style</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Nutrition</subject><subject>Psychological aspects</subject><subject>Questionnaires</subject><subject>Self Efficacy</subject><subject>Self Report</subject><subject>Social Class</subject><subject>Social Support</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomics</subject><subject>Teenagers</subject><issn>1368-9800</issn><issn>1475-2727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>D8T</sourceid><recordid>eNp1Uk1v1DAQjRCIlsIP4IIscSmHgD8SOzlVq9VCkVblUDhHjj1pXLzxYjtt87_5ATjdbWmLOFi2Zt5782Y8WfaW4I8EE_HpnDBe1RXGhKaDGX-WHZJClDkVVDxP75TO5_xB9iqES4xxKYR4mR1QKohggh1mv5dyQNp0HXgYFARkBrTtp2CUtEiqaK5MnFA7oeCUcTkoN7iNUShEGcdb9Gr0bgtJRWpnISgYYkAtILjZWmkG0DP7aYUwqd7NkqmKct6DlRHCCVqgDWgjo3FJb5A2GQno2sQ-kWIP6HS1Xp0t0PEpSBv7Ca1NByFOFv46mcudjdGbW5EUXtz5UvABncdRT6-zF520Ad7s76Psx-fV9-Vpvv725etysc5VWbCYl51QpRKCEFzIulCC0op0ldIAmHOuCa91q3jLOkIVp5q0WnS1xKLSVMqKsqMs3-mGa9iObbP1ZiP91Dhpmn3oZ3pBUzLOap7wJzt8yqQ5zKP00j6iPc4Mpm8u3FVDcPpQhoukcLxX8O7XmEbTbExq3Vo5gBtDQ6qKiBIXdIa-fwK9dKNPM08oUlBcFxzPlsgOpbwLwUN374bgZl7C5p8lTJx3D9u4Z9xtXQKwvajctN7oC3hQ-7-yfwAf4-1R</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>De Cocker, Katrien</creator><creator>Artero, Enrique G</creator><creator>De Henauw, Stefaan</creator><creator>Dietrich, Sabine</creator><creator>Gottrand, Frédéric</creator><creator>Béghin, Laurent</creator><creator>Hagströmer, Maria</creator><creator>Sjöström, Michael</creator><creator>Plada, Maria</creator><creator>Manios, Yannis</creator><creator>Mauro, Beatrice</creator><creator>Molnár, Dénes</creator><creator>Moreno, Luis A</creator><creator>Ottevaere, Charlene</creator><creator>Valtueña, Jara</creator><creator>Maes, Lea</creator><creator>De Bourdeaudhuij, Ilse</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7T2</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7TS</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20121101</creationdate><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</title><author>De Cocker, Katrien ; Artero, Enrique G ; De Henauw, Stefaan ; Dietrich, Sabine ; Gottrand, Frédéric ; Béghin, Laurent ; Hagströmer, Maria ; Sjöström, Michael ; Plada, Maria ; Manios, Yannis ; Mauro, Beatrice ; Molnár, Dénes ; Moreno, Luis A ; Ottevaere, Charlene ; Valtueña, Jara ; Maes, Lea ; De Bourdeaudhuij, Ilse</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c543t-5f7c5c771104a94c72281f8cdee0666d169dbc6b3f12c62d1bd7f9a078d2aa823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Affluence</topic><topic>Assessment and Methodology</topic><topic>Awareness</topic><topic>Child</topic><topic>Child development</topic><topic>Cities</topic><topic>Cross-Sectional Studies</topic><topic>Economics</topic><topic>Europe</topic><topic>Exercise</topic><topic>Exercise - psychology</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Humans</topic><topic>Intention</topic><topic>Life Style</topic><topic>Lifestyles</topic><topic>Male</topic><topic>Nutrition</topic><topic>Psychological aspects</topic><topic>Questionnaires</topic><topic>Self Efficacy</topic><topic>Self Report</topic><topic>Social Class</topic><topic>Social Support</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomics</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>De Cocker, Katrien</creatorcontrib><creatorcontrib>Artero, Enrique G</creatorcontrib><creatorcontrib>De Henauw, Stefaan</creatorcontrib><creatorcontrib>Dietrich, Sabine</creatorcontrib><creatorcontrib>Gottrand, Frédéric</creatorcontrib><creatorcontrib>Béghin, Laurent</creatorcontrib><creatorcontrib>Hagströmer, Maria</creatorcontrib><creatorcontrib>Sjöström, Michael</creatorcontrib><creatorcontrib>Plada, Maria</creatorcontrib><creatorcontrib>Manios, Yannis</creatorcontrib><creatorcontrib>Mauro, Beatrice</creatorcontrib><creatorcontrib>Molnár, Dénes</creatorcontrib><creatorcontrib>Moreno, Luis A</creatorcontrib><creatorcontrib>Ottevaere, Charlene</creatorcontrib><creatorcontrib>Valtueña, Jara</creatorcontrib><creatorcontrib>Maes, Lea</creatorcontrib><creatorcontrib>De Bourdeaudhuij, Ilse</creatorcontrib><creatorcontrib>HELENA Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Physical Education Index</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Public health nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>De Cocker, Katrien</au><au>Artero, Enrique G</au><au>De Henauw, Stefaan</au><au>Dietrich, Sabine</au><au>Gottrand, Frédéric</au><au>Béghin, Laurent</au><au>Hagströmer, Maria</au><au>Sjöström, Michael</au><au>Plada, Maria</au><au>Manios, Yannis</au><au>Mauro, Beatrice</au><au>Molnár, Dénes</au><au>Moreno, Luis A</au><au>Ottevaere, Charlene</au><au>Valtueña, Jara</au><au>Maes, Lea</au><au>De Bourdeaudhuij, Ilse</au><aucorp>HELENA Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Public health nutrition</jtitle><addtitle>Public Health Nutr</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>15</volume><issue>11</issue><spage>2100</spage><epage>2109</epage><pages>2100-2109</pages><issn>1368-9800</issn><eissn>1475-2727</eissn><abstract>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.
Cross-sectional study testing the mediating role of psychosocial correlates in the SES-PA association using the product-of-coefficients test of MacKinnon.
Ten European cities in nine different countries, the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study.
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).
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).
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.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>22717373</pmid><doi>10.1017/S1368980012001036</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Public health nutrition, 2012-11, Vol.15 (11), p.2100-2109 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; SWEPUB Freely available online |
| subjects | Adolescent Adolescents Affluence Assessment and Methodology Awareness Child Child development Cities Cross-Sectional Studies Economics Europe Exercise Exercise - psychology Female Health Behavior Humans Intention Life Style Lifestyles Male Nutrition Psychological aspects Questionnaires Self Efficacy Self Report Social Class Social Support Socioeconomic Factors Socioeconomics Teenagers |
| 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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