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Identifying local authority need for, and uptake of, school-based physical activity promotion in England – a cluster analysis

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Title: Identifying local authority need for, and uptake of, school-based physical activity promotion in England – a cluster analysis
Authors: Venkatraman, T
Honeyford, C
Ram, B
Esther, MFVS
Costelloe, C
Saxena, S
Item Type: Journal Article
Abstract: Background: School-based physical activity interventions such as The Daily Mile (TDM) are widely promoted in children’s physical activity guidance. However, targeting such interventions to areas of greatest need is challenging since determinants vary across geographical areas. Our study aimed to identify local authorities in England with the greatest need to increase children’s physical activity and assess whether TDM reaches school populations in areas with the highest need. Methods: This was a cross-sectional study using routinely collected data from Public Health England. Datasets on health, census and the built environment were linked. We conducted a hierarchical cluster analysis to group local authorities by ‘need’ and estimated the association between ‘need’ and registration to TDM. Results: We identified three clusters of high, medium and low need for physical activity interventions in 123 local authorities. Schools in high-need areas were more likely to be registered with TDM (incidence rate ratio 1.25, 95% confidence interval: 1.12–1.39) compared with low-need areas. Conclusions: Determinants of children’s physical activity cluster geographically across local authorities in England. TDM appears to be an equitable intervention reaching schools in local authorities with the highest needs. Health policy should account for clustering of health determinants to match interventions with populations most in need.
Issue Date: 4-May-2021
Date of Acceptance: 13-Apr-2021
URI: http://hdl.handle.net/10044/1/89562
DOI: 10.1093/pubmed/fdab138
ISSN: 1741-3842
Publisher: Oxford University Press
Journal / Book Title: Journal of Public Health
Copyright Statement: © The Author(s) 2021. Published by Oxford University Press on behalf of Faculty of Public Health.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse,distribution, and reproduction in any medium, provided the original work is properly cited.
Sponsor/Funder: NIHR School for Public Health Research
National Institute for Health Research
National Institute of Health and Medical Research
Imperial College Healthcare NHS Trust- BRC Funding
National Institute for Health Research
The Daily Mile Foundation
Funder's Grant Number: PD-SPH-2015-10055
Keywords: children
health promotion
physical activity
Public Health
1117 Public Health and Health Services
Publication Status: Published online
Online Publication Date: 2021-05-04
Appears in Collections:Department of Infectious Diseases
Faculty of Medicine
School of Public Health

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