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. 2021 Mar 18;18:41. doi: 10.1186/s12966-021-01097-9

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