ArticlePreventive medicine reports2021
Active living environments mediate rural and non-rural differences in physical activity, active transportation, and screen time among adolescents.
Article in Preventive medicine reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Barriers and facilitators to structured, out-of-school physical activity participation among rural youth in the United States: a systematic review.BMC public health · 2026Pooled it
- Movement Behaviour and Health Outcomes in Rural Children: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Factors influencing adolescents' participation in school recess activities in urban and rural schools: A qualitative study.Journal of exercise science and fitness · 2026Article
- Moderate-to-Vigorous Physical Activity and School Engagement in Adolescents Attending Rural and Urban Schools in Southern Spain.Children (Basel, Switzerland) · 2026Article
- Neighborhood environment associations with children's active transportation and location-specific physical activity in small town and rural Midwestern settings.Journal of transport & health · 2026Article
- Prevalence of insufficient outdoor activity and caregiver-related correlates among school-aged children in Beijing, China: a cross-sectional analysis.Frontiers in public health · 2026Article
- From Free Play to Farm Chores: Using the Youth Compendium to Characterize Physical Activity Behaviors Among Rural Children.Health promotion practice · 2025Article
- Geographic Differences in Obesogenic Behaviors and Overweight and Obesity Among Children and Adolescents.Preventing chronic disease · 2025Article
- Physical fitness status and associated determinants among Chinese children aged 9-12 years in Shandong province: a population-based cross-sectional study.Scientific reports · 2025Article
- A Preliminary Study on the Effect of an Intervention Based on Green Exercise on Mental Health and Physical Fitness of Adolescents.Healthcare (Basel, Switzerland) · 2025Article
- Ecological Momentary Assessment of Momentary Associations Between Availability of Physical Activity Space and Physical Activity Opportunities Among Children from Rural, Urban, and Suburban Locales.International journal of environmental research and public health · 2024Article
- Experiences of Rural-Dwelling Children Wearing Physical Activity Trackers: An Exploratory Study.Children (Basel, Switzerland) · 2024Article
- Work, travel, or leisure: comparing domain-specific physical activity patterns based on rural-urban location in Canada.BMC public health · 2023Article
- Linking Urban Planning, Community Environment, and Physical Activity: A Socio-Ecological Approach.International journal of environmental research and public health · 2023Article
- Urban-rural disparities in childhood obesogenic environments in the United States: Application of differing rural definitions.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
- Physical Activity Among Adults in Rural Western North Carolina During the COVID-19 Pandemic.Preventing chronic disease · 2022Article
- Associations between Parents' Digital Media Habits, Engagement, Awareness, and Movement Guidelines among Preschool-Age Children: International Ipreschooler Surveillance Study.International journal of environmental research and public health · 2022Article
- A Comparison of Meeting Physical Activity and Screen Time Recommendations between Canadian Youth Living in Rural and Urban Communities: A Nationally Representative Cross-Sectional Analysis.International journal of environmental research and public health · 2022Article
- Patterns of age-related change in physical activity during the transition from elementary to high school.Preventive medicine reports · 2022Article
- Children's and Families' Determinants of Health-Related Behaviors in an Italian Primary School Sample: The "Seven Days for My Health" Project.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Disparities in physical activity-related behaviors among rural and non-rural adolescents are important to consider given the relatively recent concerns surrounding the health of rural populations. Differences in rural and non-rural environments may facilitate or hinder physical activity opportunities. The purpose of this study is to examine differences between non-rural and rural adolescents' moderate-to-vigorous physical activity (MVPA), screen time, and active transportation, including the mediating role of neighborhood resources. Data came from 1,128 adolescents (207 rural, 18%) aged 12-17 years old and their parents living in the United States in the 2014 Family Life, Activity, Sun, Health, and Eating (FLASHE) study. Counterfactual mediation models were used to compare MVPA and screen time (linear regression) and active transit (log-binomial regression) among rural and non-rural adolescents, adjusting for demographics and health and measuring the mediating influence of neighborhood resources for PA. In adjusted models, rural adolescents engaged in less MVPA at school compared to non-rural adolescents (B = -1.14 min/day, p = 0.031) while no difference was found in MVPA at home or on weekends. Rural adolescents had less screen time (B = -2.1 min/day, p = 0.036) than their non-rural peers and were less likely to report active transit trips than non-rural adolescents (OR = 0.66, p = 0.016). Much of the differences in MVPA (70%) and active transit (54%) were mediated by differences in neighborhood resources. Improving the neighborhood resources in rural areas may encourage adolescents to be more active. This includes providing physical activity resources in rural areas such as sidewalks, bike lanes, greenways, playgrounds, fitness facilities, and parks/green space.
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