Table 3.
Correlates of outdoor time
| Factors within SEM examined | Association | Consistency of association | Summary of evidence (consistent correlate (“+ +” or “– –”) is in bold) | ||
|---|---|---|---|---|---|
| Studies | Direction | Consistency (%) | Direction/ strength |
||
| INDIVIDUAL (7 identified3/10 examined3) | |||||
| Demographic |
‘ − ’ (3/4): Sex/gender (girls), Race/ethnicity (African Americans), immigration status (immigrated) |
||||
| Age (results from 2 to 12 years only; including grade) | [83]*, [98, 128]b:weekday | ∅ | 3/7 = 43% | ∅ | |
| [87]*, [128]b:weekend | + | 2/7 = 29% | |||
| [54]*; [55]* | – | 2/7 = 29% | |||
| Sex/Gender (girls) | [41]*; [42]*; [55]*; [56]*; [75]*; [83]*; [128]b:weekend | ∅ | 7/15 = 47% | −? | |
| [53]*; [54]* [75];*; [80]*; [87]*; [93]*; [123]*; [128]b:weekday | – | 8/15 = 53% | |||
| Race/ethnicity (African American) | [87] (Caucasian/Hispanic)* | – | 1/1 = 100% | – | |
| Immigration status (immigrated) | [55]* | – | 1/1 = 100% | – | |
| Physical | ‘ − ’ (1/2): Weight status (overweight) | ||||
| Weight status (overweight) | [101] | – | 1/1 = 100% | – | |
| Health status (healthy) | [69]* | ∅ | 5/7 = 71% | ∅∅ | |
| Nasal congestion | [69]* | ∅ | |||
| Asthma attacks | [69]* | ∅ | |||
| Frequent swollen glands | [69]* | ∅ | |||
| Diabetes | [69]* | ∅ | |||
| Trouble sleeping | [69]* | – | 2/7 = 29% | ||
| Feeling tired or having low energy | [69]* | – | |||
| Behavioral/Temperament |
‘ + ’ (2/4): Physical activity levels, outdoor tendencies ‘ − ’ (1/4): Indoor tendencies |
||||
| Physical activity levels | [55]; [133]* (MVPA) | + | 2/2 = 100% | + | |
| Screen time | [128]b:weekend | ∅ | 1/3 = 33% | ∅ | |
| [128]b:weekday for computer use | + | 1/3 = 33% | |||
| [128]b:weekday for tv viewing | – | 1/3 = 33% | |||
| Outdoor tendencies | [54] | + | 1/1 = 100% | + | |
| Indoor tendencies | [54] | – | 1/1 = 100% | – | |
| PARENTAL (5 identified3/13 examined3) | |||||
| Parental sociodemographic | ‘ + ’ (1/5): Parental education | ||||
| Parental education | [75]* (father’s) | ∅ | 1/2 = 50% | +? | |
| [98] | + | 1/2 = 50% | |||
| Parent in workforce | [75]* | ∅ | 1/1 = 100% | ∅ | |
| SES/Household income | [75]* | ∅ | 1/3 = 33% | ∅ | |
| [128] | + | 1/3 = 33% | |||
| [55]* | – | 1/3 = 33% | |||
| Car ownership | [98] | ∅ | 1/1 = 100% | ∅ | |
| Home ownership | [98] | ∅ | 1/1 = 100% | ∅ | |
| Parenting style/practice | ‘ − ’ (1/3): No adults to supervise active play outside after school | ||||
| Rules and restrictions | [54] | ∅ | 1/1 = 100% | ∅ | |
| Child must be supervised while playing outside | [54] | ∅ | 1/1 = 100% | ∅ | |
| No adults to supervise active play outside after school | [54] | – | 1/1 = 100% | – | |
| Parental psychological characteristics | |||||
| Attitude | ‘ + ’ (2/4): Parental attitude towards nature, crime safetyb | ||||
| Towards nature | [69]* | + | 1/1 = 100% | + | |
| Towards child’s outdoor recreation | [69]* | ∅ | 1/1 = 100% | ∅ | |
| Concerns | |||||
| Traffic safety | [128] | ∅ | 1/1 = 100% | ∅ | |
| Crime safety | [128]b:weekend | ∅ | 1/2 = 50% | +? | |
| [128]b:weekday | + | 1/2 = 50% | |||
| Parental support | ‘ + ’ (1/1): Parental encouragementc | ||||
| Parental encouragement | [54]c:boys | ∅ | 1/2 = 50% | +? | |
| [54]c:girls | + | 1/2 = 50% | |||
| MICROSYSTEM DIMENSIONS (6 identified3/12 examined3) | |||||
| Proximal social environment | ‘ + ’ (1/5): Social network | ||||
| Total number of siblings | [54, 75] | ∅ | 2/2 = 100% | ∅ | |
| Dog ownership | [54] | ∅ | 1/1 = 100% | ∅ | |
| Social trust and cohesion | [73] | ∅ | 1/1 = 100% | ∅ | |
| Social opportunities | [54] | ∅ | 1/1 = 100% | ∅ | |
| Social network | [73] | + | 1/1 = 100% | + | |
| Proximal physical environment (Home) |
‘ + ’ (3/8): Housing type (detached), residential building characteristics, screen in child’s bedroomb ‘ − ’ (2/8): Residential building density, access to mediab |
||||
| Housing type (detached) | [55]* | + | 1/1 = 100% | + | |
| Duration of residency | [75]* | ∅ | 1/1 = 100% | ∅ | |
| Building characteristics | |||||
| Number of stories in child’s residence building | [75]* | ∅ | 1/4 = 25% | +? | |
| Living in a building with outdoor space | [75]* | + | 2/4 = 50% | ||
| Lives in neighbourhood with dead-end | [75] | + | |||
| Level of residence floor | [75] | – | 1/4 = 25% | ||
| Density-Total building footprint area | [75] | – | 2/2 = 100% | – | |
| Density-Gross building floor area | [75]* | – | |||
| Access to media | [128]b:weekend | ∅ | 1/2 = 50% | −? | |
| [128]b:weekday | – | 1/2 = 50% | |||
| Yard size | [54] | ∅ | 1/1 = 100% | ∅ | |
| Home PA opportunities | [54] | ∅ | 1/1 = 100% | ∅ | |
| Screen in child’s bedroom | +? | ||||
| Computer | [128] | ∅ | 3/5 = 60% | ||
| TV | [128]b:weekend | ∅ | |||
| Non hand-held video game player | [128]b:weekend | ∅ | |||
| TV | [128]b:weekday | + | 2/5 = 40% | ||
| Non hand-held video game player | [128]b:weekday | + | |||
| INSTITUTIONAL (5 identified3/5 examined3) | |||||
| Timing |
‘ + ’ (2/5): Time of the day (during school hours), % total vegetation in childcare center ‘ − ’ (3/5): Days of the week (weekdays), school-level SESb, Shade factor in childcare centre |
||||
| Time of the day (school hours) | [56] (first hour after school)* | + | 1/1 = 100% | + | |
| Days of the week (weekdays) | [47] | ∅ | 1/2 = 50% | −? | |
| [55]* | – | 1/2 = 50% | |||
| Childcare/school Environment | |||||
| School-level SES | [98]b:weekday | ∅ | 1/2 = 50% | −? | |
| [98]b:weekend | – | 1/2 = 50% | |||
| % total vegetation in childcare | [52] | + | 1/1 = 100% | + | |
| Shade factor in childcare | [52] | – | 1/1 = 100% | – | |
| Country membership of childcare centers | [70]* | Australia > Canada | |||
| MACROSYSTEM DIMENSIONS/COMMUNITY (8 identified3/19 examined3) | |||||
| Built Environment |
‘ + ’ (3/19): Size of the community (small), adjacent space, neighborhood safety ‘ − ’ (5/19): Residential area, mixed-use building area, under-construction area, street intersection density, gridiron street pattern |
||||
| Size of the community (small) | [55]* | + | 1/1 = 100% | + | |
| Land-use (total footprint and gross floor areas) | |||||
| Residential area | [75]* | – | 1/1 = 100% | – | |
| Commercial area | [75]* | ∅ | 1/1 = 100% | ∅ | |
| Institutional building area | [75]* | ∅ | 1/1 = 100% | ∅ | |
| Mixed-use building area | [75]* | – | 1/1 = 100% | – | |
| Under-construction area | [75]* | – | 1/1 = 100% | – | |
| Availability/accessibility | |||||
| Adjacent space | [75] | + | 1/1 = 100% | + | |
| Local destinations | [54] | ∅ | 1/1 = 100% | ∅ | |
| Travel | |||||
| Easy to walk | [73] | + | 1/1 = 100% | + | |
| Street width | [75]* | ∅ | 1/1 = 100% | ∅ | |
| Traffic volume | [75]* | ∅ | 1/1 = 100% | ∅ | |
| Street capacity-street used mainly by pedestrians and non-motorized vehicles | [75]* | ∅ | 1/1 = 100% | ∅ | |
| Street capacity-Street used by all types of vehicles, except buses and trucks | [75]* | ∅ | 1/1 = 100% | ∅ | |
| Street capacity-Street used by all types of vehicles | [75]* | ∅ | 1/1 = 100% | ∅ | |
| Street intersection density | [75]* | – | 1/1 = 100% | – | |
| Unplanned street development | [75]* | ∅ | 1/1 = 100% | ∅ | |
| Street pattern-spontaneous street pattern | [75]* | ∅ | 1/1 = 100% | ∅ | |
| Street pattern-gridiron street pattern | [75]* | – | 1/1 = 100% | – | |
| Neighbourhood safety | [75] | + | 1/1 = 100% | + | |
| PHYSCIAL ECOLOGY/PRESSURE FOR MACROSYSTEM CHANGE (2 identified3/2 examined3) | |||||
| Natural Environment |
‘ + ’ (1/2): Rurality ‘ − ’ (1/2): Seasonality |
||||
| Seasonality (Fall/Winter) | [54] | ∅ | 1/4 = 25% | – | |
| [55]*; [56]*; [57]* | – | 3/4 = 75% | |||
| Rurality (vs suburban/urban) | [98] | ∅ | 1/5 = 20% | ++ | |
| [57]*, [55]*, [58, 80]* | + | 4/5 = 80% | |||
1Direction: ‘∅ ’ = No association; ‘ + ’ = Positive association; ‘ − ’ = Negative association
2Consistency: 0-33% observations reporting an association (‘ Ø ’: No association); 34-59% observations reporting an association (‘ + ?’: Positive association; ‘ − ?’: negative association); 60-100% observations reporting an association (‘ + ’: Positive association; ‘ − ’: Negative association). When 60-100% of ≥ 4 observations reporting an association (‘ ++ ’: Consistent positive association; ‘ − − ’: Consistent negative association; ‘ØØ’: Consistent no association)
3Factors examined indicate the correlates that are hypothesized and tested in different studies while factors identified indicate the correlates that are potentially important based on the consistency of association
*Unadjusted findings only
aAge-stratified findings available
bWeekday-weekend stratified findings available
cSex/gender-stratified findings available
SEM Socio-ecological modelling