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. 2019 Sep 4;9(9):e028555. doi: 10.1136/bmjopen-2018-028555

Table 4.

Associations between sport participation and mental health problems (psychological distress, low self-esteem and low life satisfaction) among girls and boys in junior and senior high school

Sport participation Outcome
Junior high school Senior high school
Unadjusted Adjusted‡ Unadjusted Adjusted‡
­
OR (95% CI) for psychological distress*
Girls
 No sport 1.0 (Reference) 1.0 (Reference) 1.0 (Reference) 1.0 (Reference)
 Individual sports 1.06 (0.70 to 1.60) 1.09 (0.68 to 1.73) 0.87 (0.61 to 1.22) 0.93 (0.64 to 1.35)
 Team sports 0.78 (0.53 to 1.14) 1.02 (0.66 to 1.56) 0.56 (0.40 to 0.78) 0.70 (0.49 to 1.00)
Boys
 No sport 1.0 (Reference) 1.0 (Reference) 1.0 (Reference) 1.0 (Reference)
 Individual sports 1.04 (0.56 to 1.95) 1.04 (0.52 to 2.09) 0.85 (0.49 to 1.49) 0.98 (0.51 to 1.88)
 Team sports 0.55 (0.31 to 0.99) 0.60 (0.31 to 1.15) 0.57 (0.34 to 0.96) 0.93 (0.50 to 1.70)
­
OR (95% CI) for low self-esteem†
Girls
 No sport 1.0 (Reference) 1.0 (Reference) 1.0 (Reference) 1.0 (Reference)
 Individual sports 0.52 (0.37 to 0.75) 0.55 (0.37 to 0.81) 0.77 (0.53 to 1.11) 0.81 (0.55 to 1.20)
 Team sports 0.42 (0.30 to 0.57) 0.45 (0.32 to 0.64) 0.50 (0.35 to 0.71) 0.57 (0.39 to 0.84)
Boys
 No sport 1.0 (Reference) 1.0 (Reference) 1.0 (Reference) 1.0 (Reference)
 Individual sports 1.11 (0.62 to 1.99) 1.43 (0.73 to 2.79) 0.42 (0.22 to 0.82) 0.37 (0.18 to 0.76)
 Team sports 0.53 (0.30 to 0.92) 0.72 (0.38 to 1.36) 0.47 (0.27 to 0.81) 0.57 (0.32 to 1.03)
­
OR (95% CI) for low life satisfaction
Girls
 No sport 1.0 (Reference) 1.0 (Reference) 1.0 (Reference) 1.0 (Reference)
 Individual sports 0.70 (0.51 to 0.96) 0.71 (0.50 to 1.00) 0.66 (0.48 to 0.91) 0.65 (0.46 to 0.91)
 Team sports 0.46 (0.34 to 0.61) 0.51 (0.37 to 0.70) 0.48 (0.36 to 0.65) 0.55 (0.40 to 0.76)
Boys
 No sport 1.0 (Reference) 1.0 (Reference) 1.0 (Reference) 1.0 (Reference)
 Individual sports 1.00 (0.68 to 1.46) 0.99 (0.65 to 1.52) 0.84 (0.55 to 1.29) 0.80 (0.50 to 1.28)
 Team sports 0.56 (0.39 to 0.79) 0.63 (0.43 to 0.93) 0.62 (0.42 to 0.92) 0.72 (0.47 to 1.12)

Bold numbers: statistically significant associations, p<0.05.

*SCL5 ≥2 (range 0–4).

†RSES <10 (range 4–16).

‡ Adjusted for age, puberty score (PDS), socioeconomic status, prior physical violence, prior bullying, prior sexual abuse.

PDS, Pubertal Development Scale; RSES, Rosenberg Self-Esteem Scale; SCL-5, Symptom Check List Five items.