Association between active school travel and depressive symptoms among 51,702 adolescents in 26 low-and middle-income countries

Liu, S, Chen, S, Zhu, X, Stubbs, B, Yu, Q, Griffiths, MD ORCID: https://orcid.org/0000-0001-8880-6524, Jiao, C, Chen, A, Hossain, M, Demetrovics, Z, Yeung, AS, Li, J, Zhang, X and Zou, L, 2021. Association between active school travel and depressive symptoms among 51,702 adolescents in 26 low-and middle-income countries. International Journal of Mental Health Promotion, 23 (2): 141-153. ISSN 1462-3730

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Abstract

Little is known about the role of active school travel (AST) on mental health among adolescents. Thus, this study aimed to explore the AST-depression association among adolescents aged 12-15 years from 26 low-and middle-income countries (LMICs). Data from the Global School-based Student Health Survey were analyzed in 51,702 adolescents [mean (SD) age 13.8 (1.0) years; 49.3% boys). Both depressive symptoms and AST were assessed by a single question self-reported measure, respectively. Participants who reported having 5 days or above were considered as AST. Multivariable logistic regression analysis (accounting for sampling weights) was performed while controlling for gender, age, physical activity, sedentary behavior, and food insecurity, and a countrywide meta-analysis was undertaken. The prevalence of depressive symptoms and AST were 30.1% and 37.0%, respectively. Compared with those not having AST, adolescents with AST were less likely to have self-reported depressive symptoms (OR = 0.88, 95%CI: 0.85-0.93) regardless of gender. Countrywide meta-analysis demonstrated that having AST versus not having AST was associated with 12% lower odds for depressive symptoms (OR = 0.88; 95%CI: 0.82-0.94) but with a moderate between-country heterogeneity (I 2 = 59.0%). Based on large samples of adolescents from LMICs, it would be expected that AST may play a critical role in preventing adolescent depression worldwide. However, it is necessary to consider more country-specific This work is licensed under a Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Item Type:	Journal article
Publication Title:	International Journal of Mental Health Promotion
Creators:	Liu, S., Chen, S., Zhu, X., Stubbs, B., Yu, Q., Griffiths, M.D., Jiao, C., Chen, A., Hossain, M., Demetrovics, Z., Yeung, A.S., Li, J., Zhang, X. and Zou, L.
Publisher:	Taylor and Francis
Date:	30 April 2021
Volume:	23
Number:	2
ISSN:	1462-3730
Identifiers:	Number Type 10.32604/IJMHP.2021.016274 DOI 1437330 Other
Rights:	This work is licensed under a Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Divisions:	Schools > School of Social Sciences
Record created by:	Linda Sullivan
Date Added:	11 May 2021 09:38
Last Modified:	31 May 2021 15:03
URI:	https://irep.ntu.ac.uk/id/eprint/42846

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