Associations of neighborhood social environment attributes and physical activity among 9-11 year old children from 12 countries

Health Place. 2017 Jul;46:183-191. doi: 10.1016/j.healthplace.2017.05.013. Epub 2017 May 22.


We investigated whether associations of neighborhood social environment attributes and physical activity differed among 12 countries and levels of economic development using World Bank classification (low/lower-middle-, upper-middle- and high- income countries) among 9-11 year old children (N=6161) from the International Study of Childhood Obesity, Lifestyle, and the Environment (ISCOLE). Collective efficacy and perceived crime were obtained via parental/guardian report. Moderate-to-vigorous physical activity (MVPA) was assessed with waist-worn Actigraph accelerometers. Neighborhood environment by country interactions were tested using multi-level statistical models, adjusted for covariates. Effect estimates were reported by country and pooled estimates calculated across World Bank classifications for economic development using meta-analyses and forest plots. Associations between social environment attributes and MVPA varied among countries and levels of economic development. Associations were more consistent and in the hypothesized directions among countries with higher levels economic development, but less so among countries with lower levels of economic development.

Trial registration: NCT01722500.

Keywords: International; Neighborhood environment; Physical activity; Social environment.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Child
  • Economic Development
  • Exercise*
  • Female
  • Humans
  • Internationality*
  • Male
  • Residence Characteristics / statistics & numerical data*
  • Social Environment*
  • Surveys and Questionnaires

Associated data